Exam (elaborations)
NR 324 : Exam 1 Study Guide; Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances (Latest) A+
- Course
- Institution
NR 324 : Exam 1 Study Guide; Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances (Latest) A+
[Show more]
Content preview
Low moodWeight loss
Low energy
Muscle wasting
Increased risk of fractures
Impact of malnutrition Increased risk of hospital admissions
Confusion
Infections
Reduced independence
Increased risk for falls
Reduced mobility
Type 2 DM
Dyslipidemia
Cancer
Mood disorders
Risks associated with obesity
Heart disease
Reproductive disorders
Liver disease
Hypertension
(POOPER SCOOP)
Position (upright, sitting)
Outpput (adequate hydration)
Offer fluids
Privacy
Exercise
Promotion of normal elimination Report results
Size (amount)
Consistency
Occult blood
Odor
Peristalsis
Fresh fruit
Foods that prevent constipation
Whole wheat toast
Hypotension
Expected findings with prolonged diarrhea Elevated temperature
Poor skin turgor
Gastroesophageal reflux disease
GERD
Acid splashing in esophagus, burning tissue
Obesity
Smoking
Risks for GERD Pregnancy
Drinking alcohol
Acidic foods
Gastric reflux Lower esophageal sphincter open allowing acid reflux
Heart burn
Abdominal cramping
GERD ssx
Nausea/vomiting
Tooth decay
, Foods difficult to digest
Gas forming foods
GMO foods
Things that relax LES (spicy, acidic, ETOH)
Refined carbohydrates
GERD trigger foods
Food additives
Acid containing foods
Mint
Sugar alcohols
Too much sugar
Eliminate symptoms
Heal esophageal mucosa
Goals for tx of GERD
Maintain remission for a lifetime
Manage or prevent complications
Sit patient up during and after meals
Tums/Antacids
Nursing care for GERD
H2 receptor blockers
PPIs
Tums/Antacids Neutralize pH
Pepcid
H2 receptor blockers
Decreases acid production
Blocks proton pumps to block acid
PPIs
Stronger than H2 receptor blocker
Avoid triggers
GERD education Eat small frequent meals and not before bed
Untreated can lead to permanent damage
Expected finding for a patient with GERD Loss of tooth enamel
Stress
H. Pylori
Risk factors for PUD
Alcohol
Smoking
Most common
Well nourished
Duodenal ulcers
Pain 2-3 hours after eating
Food main decrease pain
Physiological stress shock
Stress ulcers Cushing's ulcer - brain injury
Cushing's ulcer - extensive burns
Weight loss
HCL normal or hyposecretion
Gastric ulcers Pain 1/2-1 hr after meals
Vomiting
Eating main increase pain
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller stuuviaa. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.89. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now