NURSING 101 - Complete Hurst Packet; Latest updated solution guide | Keiser University | 2021-Define: too much volume in the
l. Causes:
a. CHF: heart is , CO , decreased perfusion, UO
*the volume stays i
...
NURSING 101 - Complete Hurst Packet; Latest updated solution guide | Keiser University | 2021-Define: too much volume in the
l. Causes:
a. CHF: heart is , CO , decreased perfusion, UO
*the volume stays in the
b. RF: Kidneys aren't
c. Alkaseltzer
Fleets enemas All 3 have a lot of
IVF with Na
d. Aldosterone (steroid, mineralocorticoid) Where does aldosterone live?
-Normal action: when blood volume gets low (vomiting, blood loss, etc.) →aldosterone secretion increases→ retain Na/water→ blood volume
** Diseases with too much aldosterone:
-also seen with liver disease and heart disease 1.
2.
**Disease with too little aldosterone:
1.
e. ADH (anti-diuretic hormone) Normally makes you retain or diurese? Retain?
2 ADH problems
Too Much Not enough
Retain Lose (diuese)
Fluid Volume Fluid Volume
SIADH DI
Syndrome of Inappropriate ADH Secretion Diabetes Insipidus Urine Urine
Blood Blood
*Concentrated makes #’s go up specific gravity, Na
*Dilute makes #’s go down
ADH lives in pituitary; key words to make you think potential ADH problem: craniotomy, head injury, sinus surgery, transphenoidal hypophysectomy
*Another name for anti-diuretic hormone (ADH) is Vasopressin. The drug Vasopressin (Pitressin or DDAVP (Desmopressin acetate) may be utilized as an ADH replacement in Diabetes Insipidus.
f. S/Sx of FVE:
Distended neck veins/peripheral veins: vessels are
Peripheral edema, third spacing: vessels can't hold anymore so they start to
CVP: measured where? ; number goes More More
Lung sounds:
Polyuria: kidneys trying to help you
Pulse: ; your heart only wants fluid to go
If the fluid doesn't go forward it's going to go into the
BP: move volume more
Weight: any acute gain or loss isn't fat-it’s fluid
g. Treatment: Low Na diet Diuretics
Loop *Bumex® may be given when Lasix® doesn’t work.
Thiazide (HCTZ) * Watch lab work with all diuretics
*Dehydration and electrolyte problems
K-sparing
Bed rest induces
*when you are supine you perfuse your kidneys more
h. Interventions:
Physical Assessment
Give IVF’s slowly to elderly
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