NC1 for Excelsior final #3

dilate to increase visual perception when serious threats to the body arise

diaphoresis- increases to control elevated body heat d/t increased metabolism

cardiac output increases to transport nutrtion and byproducts pf metabolism more efficently

paled due to constriction of peripheral blood vessels (an effect of norepinephrine)

sodium and water retention increases d/t release of mineralocorticoids which results in increased blood volumes which elevates the B/P

rate and depth are increased due to dialtion of bronchioles, promoting hyperventilation

decreases due to sweating and increased blood volume

mouth may become dry

decreases resulting in constipation and gas

improves with serious threats

increases to prepare for rapid motor activity

increases d/t release of glucocortocoid and gluconeogensis

increases as metabolism increases energy levels

may cause anxiety, fear, anger, depression and unconscious ego defense mechanisms

anxiety, anger, fear, and depression

increased questioning, mild restlessness, sleeplessness, feelings of increased arrousal and alertness, uses learnign to adapt

voice tremors and pitch changes, tremors, facial twitches, shakiness, increase muscle tension, narrowed focus of attention, able to focus but selectively inattentive, learning slightly impaired, circulatory and respiratory rate slightly increased. butterflies in stomach

difficult to understand verbalizations or unable to understand at all, unable to relax, aggitation, fearful facial expression, unpredictable responses, inability to focus or easily distracted, trembling, poor motor function, perception distorted or exaggerated, unable to learn or severely impaired, tachycardia, hyperventilation, dyspnea, palpitation, choking, chest pain or pressure, HA, dizziness, nausea, feeling of impending doom, paresthesia, sweating

implementation

play an important role for early detection resulting in a greater chance of cure and less complex treatment, uses inspection and palpation adn should be done once a month

turn and reposition q2h, position in proper body alignment, use appropriate therapeutic mattress, proper hygiene, apply protective barriers, adequate nutrition,

inflamation of the oral mucosa, teach or provide regular cleaning

activities designed to restore individuals with disabilities to their optimal level of functioning

injections, shanging wound dressings, urinary caths, IV therapy

protein, carbohydrates, fluids, vitamin C

Face other person squarely, adopt an open posture, lean toward the person, maintain good eye contact, try to be relatively relaxed

etiologic agent (microorganism), reservoir (place whereorganism naturally resides), mode of transmission (a portal of exit form reservoir), a potal of entry into host, susceptibility of the host