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What are the three purposes of Labs. |
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Definition
Screen for occult disease processes in healthy patients. I dentify cause of symptoms. To monitor progression of disease. |
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complete blood count. measures WBC, Hgb, Hct, platelets. NO PT if low WBC. table 10-2 |
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low WBC, make sure you don't have a cold/ infection. |
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If count is low may be due to blood loss. Reduce O2 carrying capacity. PT look mostly at Hct, Hgb. |
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differentiating different types of WBC. immature neutrophils --> acute infection. mature infection --> cancer, MI |
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Erythrocyte Sedimentation Rate. how long it takes RBC to settle to the bottom of blood. inflammatory process causes ESR to be quicker. |
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What will happen if K+ is high/low |
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Definition
Cardiak arrhythmias, weakness. 3.5 - 5. mEq/L |
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Hypernatremia/Hyponatremia |
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Definition
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At what level is hyperglycemia? |
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Causes of Heat-related illness |
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Definition
hot, humid environment, not drinking enough fluids. exercising. electrolyte imbalance. therapeutic pools-->hydrotherapy |
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Definition
profuse sweating, nausea, headache, shallow breathing, thready pulse, pale, sweaty, core temp is normal. exhaustion, total fatigue. muscle cramping in abdominal muscles & LE. |
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Treament of Heat Exhaustion |
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Definition
rest, stretching, cooling, water, gatorade, shade, ventillation, cool compresses @ pulse points. |
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Definition
dry no sweating, headache, nausea, strong labored pulse, flush. core temp increased to 106-110. Life threatening. |
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Treatment for Heat Stroke |
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Definition
call 911. cooled IV fluids. deficiencies in ability to sweat. |
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Definition
SCI pt most common. massive sympathetic response below level of lesion. typically from some sort of stimulus. increased HR, BP, vasodilation in muscles, vasoconstriction of core organs. |
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Cause of Autonomic Hyperreflexia |
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Definition
full bladder w/ a catheter and not draining, kinked catheter tube. full bowels --> high sympathetic response. excessive exercise . open wound. |
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Sypmtoms of Autonomic Hyperreflexia |
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Definition
severe hypertension, diaphoretic above lesion, pounding headache, blotchy skin, goose bumps. |
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Treatment of Hyperreflexia |
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Definition
It is a medical emergency. CALL 911. find thhe cause. Sit them UP immediately! Don't recline the legs. Rapid onset assume this will happen w/ any SCI pt. |
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Precautions with Total Hip Arhtroplasty |
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Definition
Do not flex hip past 90. Do not adduct hip midline. Do not internally rotate hip past neutral. |
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Total Knee Arthroplasty Precautions |
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Definition
Do not put a pillow under your knee. Do not twist or pivot on surgical leg. Do not kneel, jump or run. |
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Orthostatic Hypotension Causes |
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Definition
dehydration, immobility, paralysis of calf muscles. Shock due to change in position. |
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Treatment of Orthostatic Hypotension. |
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Definition
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Prevention of Orthostatic Hypotension |
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Definition
change position slowly. properly hydrated. ankle pumps. skeletal muscle pump in the calf. compression stockings. tilt table. |
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Hemorrhage iff due to laceration |
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Definition
Control bleeding and prevent contamination. Apply pressure, slow down blood to allow clotting. Turnicate. |
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Most likely encounter patient with internal hemorrhaging... |
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Definition
post-op, ulcers, other internal problems. Hypovolemic shock. S/S same as shock plus spots before eyes, ringing in ears. weakness, thirst. |
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Definition
treat as hypovolemic shock. |
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Definition
Protect patient. Monitor respirations. Prevent aspiration if vomiting and maintain airway by turning the hea to the side. NO pillows. Ease to floor, protect head. Loosen tight clothing. Place nothing inn the mouth, you cannot swallow your tongue. Lethargy may follow seizure. Protect Modesty. |
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Definition
low BP, increased HR, thready tachycardia, rapid shallow breathing, agitated, restless. syncope. fainting nauseated. Peripheral vasoconstriction. |
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Definition
Percutaneous Transluminal Coronary Angioplasty |
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Definition
Coronary Artery Bypass Graft. |
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Definition
Automatic Implantable Cardiac Defibrillator. |
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Definition
Left ventricular assistive device. |
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Definition
4.6-6.2 x 10^12/L (male). 4.2-5.4 x 10^12 (female). |
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14-18 g/dL(male). 13-16 g/dL (female). |
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40-54 mL/dL (male). 37-48 mL/dL (female). |
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0.6 -1.5 mg/dL (male). 0.5 - 1.0 mg/dL (female). |
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Creatine kinase (CK) - total. |
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