Nursing 3910A/B Lecture Notes - Lecture 2: Sinus Rhythm, Sodium Bicarbonate, Ph
7 Nov 2017
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Fluid & electrolyte balance: shock, acid base balance. Outline: shock, acid base balance, sodium & potassium. Word of the week: urticaria- hives, pruritis- itchy. Which of the following is an early indicator of shock: cool and clammy skin. Increase hr to increase to keep bp the same. 3: level of consciousness, urinary output, cap refill. Interventions: give fluids to maintain fluid volume, monitor fluid output, monitor vital signs, reducing metabolic demands- don(cid:495)t go for a run or tire self out. Progressive: map falls, sbp less than 90, or 40 mmhg below baseline, overworked heart becomes dysfunctional failure of cardiac pump. Increased capillary permeability fluids leak from capillaries interstitial edema, decreased circulating volume. Inflammatory response coagulation system: survival, depends on overall health. Increase hr- tachycardia: chest pain- heart overworking and not enough oxygen, neurological, so, poor resp, unhappy heart, what are the neuro s & s, apprehension, anxiety, confusion, eventually can lead to loss of concioussness, renal.
