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149 Cards in this Set
- Front
- Back
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unable to produce or understand language
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aphasia
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motor type of aphasia; inability to name common objects or to express simple ideas in words or writing
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expressive aphasia
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inability to understand written or spoken language
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receptive (sensory) aphasia
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hearing
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auditory
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caused be excessive cerumen occluding the ear canal (with aging, cerumen thickens and builds up in the ear canal)
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conductive hearing loss
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false or pathologic belief
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delusions
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taste
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gustatory
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excessive sensitivity to tactile stimuli
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hyperesthesia
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a distortion of sensory perception; may be auditory, visual, or tactile
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illusions
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sense that enables a person to be aware of the position and movement of body parts without seeing them
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kinesthetic
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smell
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olfactory
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ear, nose, and throat specialist - may be good doctor to refer patients to if you suspect hearing loss
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otolaryngologist
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toxic to the ears, may permanently damage the auditory nerve
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ototoxic
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the ability to respond to stimuli originating from within the body regarding spatial position or movement
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proprioceptive
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most common visual error; defect in the ability of the lens of the eyes to focus light, such as occurs in nearsightedness or farsightedness
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refractive error
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smell
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olfactory
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ear, nose, and throat specialist - may be good doctor to refer patients to if you suspect hearing loss
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otolaryngologist
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toxic to the ears, may permanently damage the auditory nerve
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ototoxic
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the ability to respond to stimuli originating from within the body regarding spatial position or movement
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proprioceptive
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most common visual error; defect in the ability of the lens of the eyes to focus light, such as occurs in nearsightedness or farsightedness
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refractive error
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a deficit in the normal function of sensory reception and perception
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sensory deficit
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occurs when a person experiences an inadequate quality or quantity of stimulation, such as monotonous or meaningless stimuli
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sensory deprivation
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occurs when a person receives multiply sensory stimuli and cannot perceptually disregard or selectively ignore some stimuli
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sensory overload
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a sense that allows a person to recognize an object's size, shape, and texture
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stereognosis
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abnormal ocular condition in which the eyes are crossed; causes visual impairment
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stabismus
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touch
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tactile
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begins with stimulation of a nerve cell (ex light, touch, sound); this stimulation travels to the brain along nerve pathways and the spinal cord
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reception
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occurs in the brain (cerebral cortex) this is when the person becomes aware of the stimulus
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perception
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occurs when a stimulus travels down a motor nerve to a target organ
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reaction
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a gradual decline in the ability of the lens to accommodate or to focus on close objects; individual is unable to see near objects clearly
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presbyopia
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cloudy or opaque areas in part of the lens or the entire lens; problems with glare and blurred vision; develop gradually without pain
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cataract
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result when tear glands produce too few tears resulting in itching, burning, or even reduced vision
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dry eyes
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slowly progressive increase in intraocular pressure that causes progressive pressure against the optic nerves, resulting in peripheral visual loss, decreased visual acuity with difficulty adapting to darkness, and a halo effect around lights, if left untreated
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glaucoma
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pathological changes occur in the blood vessels of the retina, resulting in decreased vision or vision loss due to hemorrhage and macular edema
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diabetic retinopathy
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condition in which the macula (specialized portion of the retina responsible for central vision) loses its ability to function efficiently
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macular degeneration
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a common progressive hearing disorder in older adults; loss of hearing acuity
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presbycusis
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buildup of earwax in the external auditory canal; cerumen becomes hard and collects in the canal and causes a conduction deafness
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cerumen accumulation
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common condition in older adulthood, usually resulting from vestibular dysfunction
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dizziness and disequilibrium
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decrease in saliva production that leads to thicker mucus and a dry mouth
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xerostomia
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disorder of the peripheral nervous system, characterized by symptoms that include numbness and tingling of the affected area and stumbling gait (mostly legs and feet but may be upper extremities)
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peripheral neuropathy
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cerebrovascular accident caused by clot, hemorrhage, or emboli disrupting blood flow to the brain
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stroke
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Diet: complex carbs, lowfat, whole grain products, vegetables/fruits to promote normal bowel function
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High-fiber diets
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Diet: orange juice, apricots, cantaloupes, and bananas for clients with K losses
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High-potassium
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Diet: milk & dairy products; osteoporosis and kidney failure
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High-Calcium
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Diet: athletes, dietician or MD needs to prescribe
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High-protein
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Diet: Avoid fresh fruits, raw veggies, nuts, seeds, dried fruits, black pepper or any other foods that carry pseudomonas aeruginosa
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Neutropenic
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serum sodium normal level
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136-145 mEq/L
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serum potassium normal level
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3.5.5.0 mEq/L
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serum chloride normal level
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98-106 mEq/L
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serum calcium normal level
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9-10.5 mg/dL
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serum phosphate normal level
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3.0-4.5 mg/dL
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serum magnesium normal level
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1.3-2.1 mEq/L
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Increased magnesium
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renal failure
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Decreased magnesium
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malnutrition/malabsorption, ETOH abuse, poor heart function, torsade de pointe
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Increased phosphorous
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hyperparathyroidism, renal failure
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Decreased phosphorous
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hyperthyroidism, diuretics, malabsorption/malnutrition, antacid abuse, tetany
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Increased calcium
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hyperparathyroidism, tumors, immobilization, thiazide diuretics, antacid abuse, renal calculi
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Decreased calcium
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hypoparathyroidism, chronic renal disease, pancreatitis, massive blood transfusion, malnutrition, tetany
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Increased chloride
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hypernatremia or decreased serum bicarbonate levels
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Decreased chloride
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loss of GI secretions, use of diuretics, COPD
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Increased potassium
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renal dysfunction, decreased steroid secretion, decreased ADH, K+ sparing diuretics, ACE inhibitors, metabolic acidosis
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Decreased potassium
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loss of GI secretions, decreased dietary K intake, K+ wasting diuretics, increased steroid secretion (Cushing's), corticosteriod drugs, tumors, alkalosis
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Increased sodium
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large increase in sodium w/o increase in water, loss of water without loss of salt, intracellular dehydration, N/V/D, decreased H2O intake, diabetes insipidus
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Decreased sodium
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excess of water in body SIADH, water intoxication, use of salt free IV fluids to replace GI losses, Addison's disease
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Olfactory nerve function
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smell
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Optic nerve function
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vision
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Oculomotor nerve function
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eye movement
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Trochlear nerve function
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eye movement
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Trigeminal nerve function
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Facial sensation
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Abducens nerve function
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eye movement
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Facial nerve function
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Facial movement
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Auditory nerve function
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hearing and balance
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Glossophayngeal nerve function
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organs and taste
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Vagus nerve function
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organs and taste
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Accessory nerve function
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shoulder shrug and head turn
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Hypoglossal nerve function
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tongue movement
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all fluids within the cells of the body
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intracellular fluid
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blood plasma found in the vascular system
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intravascular fluid
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fluid separated from other fluids by a cellular barrier
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transcellular fluid
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Positive ions
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Na+, K+, Ca+
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the movement of a pure solvent, such as water, across a semi-permeable membrane from an area of lesser solute (electroyle) to an area of greater solute concentration
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Osmosis
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a random movement of a solute through a semi-permeable membrane from higher to lower concentrations
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diffusion
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movement across a membrane, under pressure, from higher to lower pressure
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filtration
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movement of ions against osmotic pressure to an area of higher pressure
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active transport
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what is normal intake daily?
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2200-2700 ml/day
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where is ADH stored?
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posterior pituitary
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Renin acts to produce angiotensin I, which causes what?
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vasoconstriction
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Overall effect of renin-angiotensin-aldosterone mechanism:
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sodium and water retention, leading to restoration of blood volume
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what is the most abundant extracellular cation?
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Sodium
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what is the most abundant intracellular cation?
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Potassium
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what is the primary cause of hyperkalemia?
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renal failure
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what are the 3 main anions of body fluids?
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Chloride, Bicarbonate, and Phosphate
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substance or group of substances that can absorb or release H+ to correct acid/base imbalance
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Buffer
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Acid/base regulator: carbonic acid/base buffer system
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Chemical
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Acid/base regulator: absorption and release of H+ by the cell
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biological
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Acid/base regulator: lungs and kidneys
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Physiological
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How do we get out of balance?
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V/D, NPO, can't take in fluids, etc
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balance of fluid and electrolytes is maintained by what 2 body systems?
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renal and pulmonary
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elements or compounds that when dissolved or dissociated in water or other solvent separate into ions that are electrically charged
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electrolytes
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what are the 4 processes by which fluids and electrolytes shift from compartment to compartment?
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1. Osmosis
2. Diffusion 3. Filtration 4. Active transport |
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T or F: Osmosis requires work.
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False! Osmosis does not require work it naturally occurs!
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drawing power of water and depends on the number of molecules in solution
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Osmotic pressure
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term that describes the concentration of solutions, reflects the number of molecules in a liter of solution, and is measured in milliosmoles per liter
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Osmolarity
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Pulls fluid from cells, causing them to shrink (ex. 3% sodium chloride)
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Hypertonic solution
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example of when you would give a hypertonic solution
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increased ICP and pulmonary edema
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expand the body's fluid volume without causing a fluid shift from one compartment to another
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isotonic solution
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moves fluid into the cells, causing them to enlarge (ex. 0.45% sodium chloride)
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Hypotonic solution
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example of when you would give a hypotonic solution
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vomiting and diarrhea
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what is the normal amount of fluid output daily?
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1500-1600 ml urine daily
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prevents diuresis, causes the body to save water
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ADH
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works on renal tubules and collecting ducts to save water and return it to systemic circulation
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ADH
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plays a critical role in the balance of fluid and electrolytes and the maintenance of vascular tone
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Atrial Natriuretic Peptide
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a hormone secreted from atrial cells of the heart in response to atrial stretching and increase in circulating blood volume
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Atrial Natriuretic Peptide
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acts as a diuretic that causes sodium loss and inhibits the thirst mechanism
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Atrial Natriuretic Peptide
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what organs do you lose fluid from?
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kidneys, skin, lungs, and GI tract
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continuous and occurs through the skin and lungs; patient does not perceive the loss, but it can significantly increase with fever or burns
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insensible water loss
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occurs through excess perspiration and can be perceived by the client or through inspection. Sympathic nervous system activates sweat glands to regulate water loss from the skin.
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Sensible loss
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what EKG changes will you see with hypokalemia?
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flattened T wave on monitor, ventricular rhythms will effect what you see in your T wave
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what 2 electrolytes are inversely related?
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Calcium and phosphorus
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what is pH a reflection of?
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balance between CO2 and HCO3
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what is CO2 regulated by?
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Lungs
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what is HCO3 regulated by?
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Kidneys
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the energy needed to maintain life-sustaining activities like breathing, circulation, heart rate, and temperature for a specific period of time at rest
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Basal Metabolic Rate (BMR)
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the amount of energy an individual needs to consume over a 24 hours period for the body to maintain all its internal working activities while at rest
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Resting Energy Expenditure (REE)
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the elements necessary for body process and function: carbs, proteins, fats, water, vitamins and minerals
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nutrients
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what are the macronutrients?
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carbohydrates, proteins, lipids (fats), and water
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what are the micronutrients?
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vitamins and minerals
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fat soluble vitamins
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A, D, E, K
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water soluble vitamins
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B, C
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what is the main source of energy in the diet?
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Carbs
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protein like substances that act as catalysts to speed up chemical reactions
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Enzymes
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avoids meat, fish, and poultry but eats eggs and milk
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Ovolactovegetarian
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drinks milk but no eggs
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Lactovegetarian
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consumes only plant foods
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Vegans
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fruits, nuts, honey and olive oil (nutrient poor)
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Fruitarian
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Diet: thickened diet for clients with difficulty swallowing (CVA)
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Dysphagia Diet
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IBW for females
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100 lbs for 5 feet plus 5 lbs per inch over 5 feet
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IBW for males
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106 lbs for 5 feet plus 6 lbs per inch over 5 feet
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Albumin level
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3.5-5
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Total lymphocyte count
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1800-3000
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Total pre-albumin
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15-36; best indicator for acute condition
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what could giving protein too fast cause?
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seizure
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what is restricted with celiac disease?
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Gluten
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Diet: small meals, low fat, high protein, NO carbonated beverages, or high fiber
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Gastric by-pass diet
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Diet: minimizes elimination, restrict high fiber foods, fried foods, pepper, alcohol, heavy seasonings ect - IBS
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Low-residue diet
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Diet: for malabsorption, chronic pancreatitis, gallbladder disease or clients with CVD, CHF
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Fat-controlled diet
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Diet: renal disease and liver disease
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Protein-controlled diet
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15 g of carb = ? servings
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1 serving
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how many calories should a diabetic intake daily?
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1800, 900 should be carbs
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