annaattoommy 3 pphhiissiiologgyyweekt lecturenotes Nursing process patientassesment data acquisition alltypes mentalstatusassessment ispatientalert andoriented physicalassessment vitalsigns checking forsigns symptoms Physical exam etc person place time Lab Tests t medicalhistory surgical diseases medications allergies vaccinehistory pregnant iii miscarriages abortions social history sexual history etc basedon patient'scondition 3signssymptoms identify patient'sspecificneed 3 Establishplan w outcomecriteria goals 4 Implementplan carry out patienteducation 5 Evaluate goal met if not re assess modifyplan assignmentsymptom chestpain I considerif it is life threatening 2 what aresignssymptoms cardiac angina attack Heart attack Ielectrocardiogram cardiac enzyme pain assessment what are other causes of chestpain think of 4different causes of chest pain 31 2thingsyou can do to establishthe cause collapsed lungs 2 injured rib 3 Hiatal hernia 4 GERD gastroesophageal refluxdisease listsigns symptoms thingsyou can do to diagnose cause must betyped vital signsshould be presentforeach box pain assessment I laid Homeostasis correct amount of fluids I correctamountof fluids in differentcompartments 3 correct composition of fluids 4 correctstate of fluids 2 keypoint weighing apatientdailygivesyou a goodoverall assessment ofpatient's fluid status dramaticfluctuations in bodyweight reflectschanges in flugida volume excess volume defecit one liter of waterweighs 1kg 2.2 lbs keypoint fluidsnormally move between differentcompartments Edema accumulationoffluid in the interstitial compartment tissue Edematousdiseases I heart failure 2 cirrhosis of liver 3 nephroticdiseases spaces Effusion accumulation of fluid in a bodycavity lungs i e pleuraleffusion pleuralcavity fluid pericardialeffusion pericardialcavity fluid heart peritoneal effusion inabdomen fluid AKA Ascites Blood is commonly associated with liver disease fluid glucose 65 115mg1dL potassium 3.5 5.0mg L 0.6 1.3mg dh creatinine albumin 3.5 5gal milliequivalents per liter an excess or decrease in any of the levels is problematic arterial blood PH 7.35 745 acidosis alkalosis ifyouchange thepHofa bodyfluid youmay alter itsfunctions bloodosmolarity 275 295mOsm kg Bodytemperature 97.7 99.5 pyretic increases bodytemp antipyretic decreases bodytemp Inmales 601 of thebodyweightis water Infemales 501 ofthe bodyweight is water In neonates in 80 of the bodyweight is water In newborns 701 of the bodyweight is water diarrhea is extremely serious in neonates I newbornsblo of this Bloodplasma 921 water RBC 60 t water keypoint when water fluids Mor y you are changing the concentration of whatis dissolved in thefluids
