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إظهار المزيد2 048
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لا توجد بيانات24 ساعات
لا توجد بيانات7 أيام
لا توجد بيانات30 أيام
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2 048
Baby Angela was rushed to the Emergency Room following her mother's complaint that the infant has been irritable, difficult to breastfeed and has had diarrhea for the past 3 days. The infant's respiratory rate is elevated and the fontanels are sunken. The Emergency Room physician orders ABGs after assessing the ABCs. The results from the ABG results show pH 7.39, PaC02 27 mmHg and HCO3 19 mEq/L. What does this mean?
2 048
Mr. Wales, who underwent post-abdominal surgery, has a nasogastric tube. The nurse on duty notes that the nasogastric tube (NGT) is draining a large amount (900 cc in 2 hours) of coffee ground secretions. The client is not oriented to person, place, or time. The nurse contacts the attending physician and STAT ABGs are ordered. The results from the ABGs show pH 7.57, PaCO2 37 mmHg and HCO3 30 mEq/L. What is your assessment?
2 048
Client Z is admitted to the hospital and is to undergo brain surgery. The client is very anxious and scared of the upcoming surgery. He begins to hyperventilate and becomes very dizzy. The client loses consciousness and the STAT ABGs reveal pH 7.61, PaCO2 22 mmHg and HCO3 25 mEq/L. What is the ABG interpretation based on the findings?
2 048
Three-year-old Adrian is admitted to the hospital with a diagnosis of asthma and respiratory distress syndrome. The mother of the child reports to the nurse on duty that she has witnessed slight tremors and behavioral changes in her child over the past four days. The attending physician orders routine ABGs following an assessment of the ABCs. The ABG results are pH 7.35, PaCO2 72 mmHg and HCO3 38 mEq/L. What acid-base disorder is shown?
2 048
Anne, who is drinking beer at a party, falls and hits her head on the ground. Her friend Liza dials "911" because Anne is unconscious, depressed ventilation (shallow and slow respirations), rapid heart rate, and is profusely bleeding from both ears. Which primary acid-base imbalance is Anne at risk for if medical attention is not provided?
2 048
PROGESTERONE
^ Progesterone causes the lower esophageal sphincter RELAX
In turn, acid in the stomach is able to creep upward, causing increased acid reflux or “heartburn”
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2 048
TRUE…!
Metoclopramide is a dopamine receptor antagonist used for nausea and vomiting, GERD, and to promote gastric emptying.
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2 048
Because symptoms can fluctuate with lifestyle and dietary changes, it’s important to be aware of your patient’s status. Some factors which can worsen symptoms of GERD :
- Caffeine & soda
- Carbonated drinks
- Chocolate
- Acidic foods ( ex.: citrus, red sauces )
- Spices & spicy foods
- Lying flat after eating
- Stress
- New medication ( ex.: antibiotics, steroids)
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2 048
GERD STANDS FOR :
GastroEsophageal Reflux Disease
Ok…..but what does that exactly mean? Let’s break down the term
GASTRO ——> relating to the stomach
ESOPHAGEAL ——> relating to the esophagus
REFLUX ——> the movement of fluid or gas in the opposite direction
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2 048
A patient who is 21 weeks pregnant calls with a complaint of worsening acid reflux. The nurse knows that GERD symptoms often worsen during pregnancy due to increased :
