Nsg care with Fluid & Electrolyte imbalance.pptxAbhishek Joshi
Helpful for first year GNM and B.Sc. Nurses students.
Keep Reading and i will keep uploading...i want to enhance the nursing profession and provide an ideal nursing care to one and every students of India. Thanks
fluid and electrolyte disturbance in human bodybhartisharma175
it explain about definition of fluid and electrolyte disturbance, causes and different types of fluid disturbance. diagnostic evaluation and their emergent management along with supportive management.
Nsg care with Fluid & Electrolyte imbalance.pptxAbhishek Joshi
Helpful for first year GNM and B.Sc. Nurses students.
Keep Reading and i will keep uploading...i want to enhance the nursing profession and provide an ideal nursing care to one and every students of India. Thanks
fluid and electrolyte disturbance in human bodybhartisharma175
it explain about definition of fluid and electrolyte disturbance, causes and different types of fluid disturbance. diagnostic evaluation and their emergent management along with supportive management.
oxygen is very very important for the human being. so i tried here to provide best content from the books and easy way to understand, if you like this slide comment it.
elimination, bowel elimination, physiology of elimination, process of bowel eliminaton factor impaired bowel, factors improve bowel elimination, alteration in bowel elimination, maintenance of bowel motility, assessment of bowel elimination, characteristics of feces, type of feces, methods for maintain the bowel elimination:- enemas, rectal suppositories and colostomies, types of colostomies, colostomy care
A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history.
Cardiogenic shock : Medical Surgical NursingRaksha Yadav
This
presentation is designed for Nursing students and it gives a brief
about what you should know while caring for a client with Cardiogenic
shock and also its prevention.
oxygen is very very important for the human being. so i tried here to provide best content from the books and easy way to understand, if you like this slide comment it.
elimination, bowel elimination, physiology of elimination, process of bowel eliminaton factor impaired bowel, factors improve bowel elimination, alteration in bowel elimination, maintenance of bowel motility, assessment of bowel elimination, characteristics of feces, type of feces, methods for maintain the bowel elimination:- enemas, rectal suppositories and colostomies, types of colostomies, colostomy care
A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history.
Cardiogenic shock : Medical Surgical NursingRaksha Yadav
This
presentation is designed for Nursing students and it gives a brief
about what you should know while caring for a client with Cardiogenic
shock and also its prevention.
Biochemical mechanismsof acid base balance and acid base disordersrohini sane
A comprehensive presentation on Biochemical Mechanisms of Acid-Base Balance and Acid Base disorders for undergraduate medical, dental, biotechnology and pharmacology students for self –learning. pH maintained in tissues under physiological conditions are mentioned.
Basic concepts of buffers & their types (Acidic buffer & alkaline) are illustrated. Mechanisms of action of Buffer system for acid base balance is explained for perusal of students. Acids produced in a human body during metabolisms are listed.
Front line defense, second line defense (kidney) and dilution factor in regulation of pH in human body for acid-base balance are presented.
Blood buffers involved in acid base balance are classified. Ratio involved, Advantages and Disadvantages of Bicarbonate Buffer / Phosphate buffer system in acid base balance elaborated for their clinical applications.
Comparison of Buffering action of hemoglobin verses plasma proteins is presented under Protein buffer system. Mechanism of Buffering action of plasma proteins in Acidic and alkaline conditions is explained. Working of Hemoglobin buffer system in lung and tissue is illustrated.
Mechanisms involving hypo ventilation and hyperventilation of respiratory system in acid base balance is presented. Importance of Imidazole group of Histidine of hemoglobin in maintaining blood pH is explained
Role Renal Mechanism during acidosis and alkalosis using Bicarbonate mechanism, Phosphate mechanism, Ammonia mechanism, HCO³⁻ reabsorption and NH ₃ production is simplified. pCO₂, Concentration of K⁺ in ICF (intracellular fluid). Plasma Concentration of Cl⁻ ions and Concentration of adrenal-corticoids Hormones as factors affecting bicarbonate re absorption in proximal renal tubular cells are explained in lucid manner.
Phosphate buffer mechanism (Distal tubular cells) for acid base balance is illustrated.
Importance of Anion Gap in detection of metabolic acidosis & alkalosis presented. Anion Gap in Metabolic acidosis (acid accumulation and bicarbonate ion loss) is elucidated. Urinary anion gap as indicator of effective renal acid secretion during acidosis is explained diagrammatically. Clinical Conditions associated with increase and decrease in Anion Gap are listed. Comparison of Anion Gap between Metabolic acidosis And Metabolic alkalosis is explained diagrammatically.
Importance of Glutaminase, Glutaminase, L- amino acid oxidase, and Glycine oxidase in Ammonia mechanism in kidney-Distal tubular cells for acid base balance is presented.
Comparison of Definition, Ratio, Biochemical findings in Uncompensated and Compensatory phase of between different types of acidosis & alkalosis is done for their laboratory diagnosis. Clinical conditions associated in different types of acidosis & alkalosis are listed. Google images are used to convey the concept of the subject to self-learners.
Computed tomography (CT scan) is a medical imaging procedure that uses computer-processed X-rays to produce tomographic images or 'slices' of specific areas of the body. These cross-sectional images are used for diagnostic and therapeutic purposes in various medical disciplines.
fluid electrolyte imbalance with the causes, sign and symptoms, pathophysiology, medical management and nursing process.
helpful for the nursing students
THIS SEMINAR GIVES THE BASIC OVERVIEW THAT HOW YOU CAN MANAGE THE PATIENT WHO COMES TO YOU A FLUID AND ELECTROLYTE IMBALANCE . AND BASIC MECHANISM OF HOMEOSTASTIS
Identify the distinction of DSM 5 vs ICD.
Explain the significant change in the fifth edition .
Discuss and differentiate the purposes of mental illness classification.
More from James Malce Alo, PhD, MAN, MAPsych, RN, OSHA (20)
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
2. The most important practical lesson that can
be given to nurses is to teach them what to
observe—how to observe—what are of
importance.
—Nightingale (in Skretkowicz, 1992)
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3. 1. Review the physiological processes and core
concepts relative to body fluid and acid-base
balance and imbalances.
2. Identify the function, distribution, composition and
types of body fluid & electrolyte movement.
3. Describe the regulation of ECF, fluid output, causes
of electrolyte imbalances and client at risk of f/e
imbalances.
4. Relate the common disturbances in body fluid and
acid-base balance to their clinical manifestations
and nursing interventions.
5. Describe the common nursing interventions for
clients with alterations in body fluid and acid-base
balance in the scope of nursing process.
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4. About 46% to 60% of the average adult weight
is water.
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7. Medium of metabolic reaction with cells.
Transporter for nutrients, waste products and
other substances.
A lubricant.
Shock absorber.
Regulate and maintain body temperature.
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8. The proportion of water decreases with aging
because of fats, age and sex effect of the
total body water.
Infant (70-80%).
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9. The body fluids divided into 2 major
compartments:
A. Intracellular fluid (ICF)
Is found in the cells of the body. It constitute 2/3 of
the total body fluid in adult.
B. Extracellular fluid (ECF)
Is found outside the cell and account 1/3 of hkthe
total body fluid.
It is subdivided in 3 compartments
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10. 1. Intravascular fluid or plasma - is found
within the vascular system.
2. Interstitial fluid- is found surrounding the
cells an includes lymph.
3. Transcellular – includes cerebrospinal
fluid, fleural, peritoneal and synovial fluid.
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11. Plasma osmolar concentration, interstitial and intracellular fluid. Note that the main cation in the
plasma and in the interstitial fluid is sodium, while in the intracellular fluid the main cation is
potassium. Adaptad from West JBE (10), 1985.
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12. Cation- a positively charged ion, i.e. one that would be attracted to the cathode in
electrolysis.
Anion - a negatively charged ion, i.e. one that would be attracted to the anode in
electrolysis.
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15. ICF
Vital to normal cell function.
Contains solute such as oxygen, electrolytes and
glucose.
Medium to metabolic purposes.
ECF
Transport system that caries nutrients and waste
product from the cell.
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16. 1. Osmosis
It is the movement of water across cell
membranes from the less concentrated solution
to more concentrated solution.
Water move toward higher concentration.
Solutes are substance dissolved in liquid.
Crystalloids are salts dissolved readily into true
solution.
Colloids are substance such as large protein
molecules that do not dissolve in true solution.
Sodium is the major determinant of serum
osmolality.
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17. 2. Diffusion
Is the continual intermingling of molecules in
liquid, gases by random movement of the
molecules.
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18. 3. Filtration
Is the process whereby fluid and solute move
together across a membrane from one
compartment to another.
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19. 4. Active transport
Substance can move across cell membrane from
a less concentrated solution to a more
concentrated one by active transport.
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20. The average adult drinks about 1500ml/day,
this added volume is acquired by the food.
The thirst center is located in the brain, this
center is triggered by osmotic pressure and
angiotensin II.
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23. 1. Urine : normal urine output 1500ml/ 24
hrs or at least 30ml/hr
2. Insensible loss: through the skin as
perspiration and through the lung as water
vapor in the expired air.
3. Loss through the intestine (feces)
4. Obligatory losses: approx. 500ml ‘of fluid
must be exerted through the kidney to
eliminate metabolic waste product and
feces, respiration and perspiration to
maintain body temperature.
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24. The average daily fluid output for adult is
2500ml / day
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25. Post-operative client.
Client with severe trauma or burn.
Client with chronic disease as congestive
heart failure.
Client who are NPO.
Client with intravenous infusion.
Client with special drainage.
Client receiving diuretic.
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26. 1. Age : infant have greater water need and
greater loss due to greater metabolic rate.
2. Environment: excess heat stimulates the
sympathetic nervous system and cause
person to sweat.
3. Diet : in nutritional deficiency, the body
preserved the protein, by breaking down the
fat and glycogen.
4. Stress : water retention & increase the
production of antidiuretic hormone.
5. illness : burn & renal disorder.
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28. 4. Edema: is collection of fluid in the tissue.
Types of edema
1. Dependent edema – found in the lowest part of the
body.
2. Pitting edema – edema that leaves a depression or
pit after finger pressure is applied on the swollen
area.
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29. occurs when fluid collects in the tissue. By pressing a thumb or finger firmly against
the tissue for a few seconds, a dent can be produced.
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30. Is the most abundant cation in ECF & major
contributor to serum osmolality.
Functions:
1. controlling & regulating water balance
2. maintaining blood vol
3. transmit nerve impulses
Normal level : 135-145mg/dl
Hyponatremia- Na deficit in the blood
Hypernatemia – Na excess in the blood
Na is found in many foods, such as
;processed cheese & table salt.
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33. Is the major cation in ICF
Functions:
Maintain ICF osmolality
Transmitting nerve impulses
Regulate cardiac impulses
Skeletal & smooth muscle function
Regulate acid-base balance
K is found ;in many fruits & vegetables, meat,
fish & milk
Normal level of K is 3.5-5.3 meq/L
Hypokalemia : K deficit in the blood
Hyperkalemia : K excess in the blood
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41. Excess intake of Na containing intraveous
fluid.
Excess ingestion of Na in a diet.
Heart failure.
Renal failure.
Liver cirrhosis.
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43. metabolic acidosis
= acidosis and bicarbonate concentration in the body fluids resulting either from the
accumulation of acids or the abnormal loss of bases from the body (as in diarrhea or renal
disease)
metabolic alkalosis
= alkalosis resulting from hydrogen-ion loss or excessive intake of alkaline substances
respiratory acidosis
= acidosis resulting from reduced gas exchange in the lungs (as in emphysema or pneumonia);
excess carbon dioxide combines with water to form carbonic acid which increases the acidity
of the blood
respiratory alkalosis
= alkalosis resulting from increased gas exchange in the lungs (as in hyperventilation
associated with extreme anxiety or aspirin intoxication or metabolic acidosis)
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