Fluid from the intravascular space shifts into the interstitial space surrounding the cells. This shift is caused by increased hydrostatic pressure within capillaries as the result of reduced liver function blocking blood flow. Increased capillary permeability from inflammation pushes albumin into the interstitial space, increasing interstitial osmotic pressure and deceasing capillary osmotic pressure. Due to decreased liver function, albumin is not longer readily made decreasing its presence in body. Without albumin, osmotic pressure will remain decreased within the plasma. As the body compensates for this loss of water and increased sodium in the intravascular space hypertonic alterations pull water from the intracellular fluid causing …show more content…
Actual vs relative hypovolemia
Hypovolemia is the decreased of blood volume related to extracellular fluid volume insufficiency. Extracellular volume is determined by the total amount of sodium and water when osmolality is normal. Visible loss of sodium, chloride and total body water due to increased fluid loss such as diarrhea, vomiting and polyuria or inadequate fluid intake is called actual hypovolemia. When the water within the body is displaced not lost, from the intravascular space to the interstitial space, it is called relative hypovolemia. (Ignatavicius & Workman,
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Fluid volume overload within the intervascular space can cause shortness of breath, fluid within the lungs, engorged neck veins, increased blood pressure and heart rate with a bounding pulse. As blood volume increases so will blood pressure and heart rate. Impaired gas exchange related to pulmonary congestion causes crackles within the lung fields. If oxygen saturation is low the nurse should supply supplemental oxygen. The nurse would raise head of the bed at least thirty degrees or higher to promote breathing and reduce cardiac pressure. Having the patient cough and breath deep can pop open alveoli to clear lung passages. Once the patient is comfortable and in safe position the nurse can call the doctor. The nurse should anticipate another dose of diuretics, such as furosemide. This treatment will decrease respiratory rate and blood pressure by reducing the amount of sodium and fluid within the body. Breath sounds will improve as crackles decrease. Maintaining appropriate fluid volume stabilizes blood pressure, cellular metabolism and proper nutrition gained or wastes lost. Supplemental oxygen if oxygen saturation is low and the nurse has already supplied the patient with oxygen. (Ignatavicius & Workman,
Hypovolemic shock specifically causes the cardiovascular system to fail from a significant loss of blood volume, the cause of which can occur from hemorrhage or other methods of severe fluid loss. This lack in blood volume is what causes the failure of the cardiovascular system and oxygen delivery, and this fluid loss occurs, the body experiences hypovolemic shock in three sequential stages to try and maintain adequate blood flow throughout the body. These stages are named compensated, decompensated, and irreversible (Wang
The Autonomic Nervous System is responsible for the functions of the body that are not thought about to control. When this system dysfunctions, it can cause havoc on the human body. One example of this would be Dysautonomia. Dysautonomia is a rare but serious disease that affects the autonomic nervous system, has many symptoms, and offers few treatment options.
Hypothyroidism is a chronic disease that is part of the endocrine system. Hypothyroidism is due low or lack of tri-iodothryonine (T3) and tetraiodothyronine (T4) thyroid hormones being produced by the thyroid gland. The lack of thyroid hormones could be due to iodine or thyroid stimulating hormone (TSH) deficiency or underactive thyroid gland (Sherwood, 2012). Thyroid hormones T3 and T4 are involved in almost every part of the body. It is ten times more prevalent in female than male, which affects about 4.6% of U.S population (Lellis-Santos et al, 2011). In the most cases, the symptoms are cold intolerance, fatigue, bradycardia and weight gain. Depending on the cause on hypothyroidism, a goiter may develop, which is the enlargement of the thyroid gland. In most cases taking thyroid hormone supplement is an effective treatment.
Imagine having an unbearable and excruciating pain deep in the pit of your stomach. You know that you are dying. However, no one believes you. The doctor, your family, friends, and loved ones continuously tell you that you are ok. Diagnostics tests and lab results all come back negative. You refuse to believe what everyone is telling you. Almost day in, and day out, this dilemma is revisited, and you experience déjà vu all over again. This issue persists for months, even years. This is a glimpse of the life of a hypochondriac.
During the nineteenth century a variety of alternative medical traditions became popular in the United States. There was a shift in how people began to view their physical, mental, and emotional health. A type of alternative medicine that quickly became popular in the United States and Europe was the tradition of hygeiotherapy. This form of treatment included hydropathy a type of water-cure treatment and combined that with exercise, dietary reform, sexual restraint, and any behaviors that were viewed as unhealthy.
Dehydration can happen at any age and from a variety of primary causes including diarrhea, vomiting, use of diuretics, exercise, and exposure to extreme heat. The body has compensatory mechanisms to balance mild dehydration or fluid deficit of 2-4%; however, moderate fluid deficit of 5-8% can lead to electrolyte imbalances, postural hypotension, and dryness in skin and mucous membranes (Porth, 2011). In severe dehydration, or fluid deficits greater than 8% severe hypotension and shock can occur (Porth, 2011). The circulatory system has its own compensatory mechanisms for fluid volume deficits. These include changes in cardiac output, heart rate, and blood pressure.
What is hypochondriasis? “Hypochondriasis is the excessive worry that you are or may become seriously ill, says Mayo Clinic.” Hypochondriasis is known to be an illness anxiety disorder. Hypochondriasis, when diagnosed to a person, is known as being a hypochondriac. Mayo Clinic also says that “It is not just worrying every so often that something might be wrong with a person, but it’s that the person is constantly worrying about themselves.” It will cause them to think the worst about them being ill and monitor their own body and expect something is wrong with themselves all of the time. (Carolyn Steber) Here are some symptoms, causes and treatments for hypochondriasis.
On a cellular level, Mrs. Jones’ cells are dehydrated due to osmotic pressure changes related to her high blood glucose. Cells dehydrate when poor cellular diffusion of glucose causes increased concentrations of glucose outside of the cell and lesser concentrations inside of the cell. Diffusion refers to the movement of particles from one gradient to another. In simple diffusion there is a stabilization of unequal of particles on either side of a permeable membrane through which the particles move freely to equalize the particles on both sides. The more complex facilitated diffusion is a passive transport of large particles from a high concentration of particles to a lower concentration of particles with the aid of a transport protein (Porth, 2011). The cellular membranes in our bodies are semipermeable allowing for smaller molecules to flow freely from the intracellular to extracellular space. The glucose molecule, however; is too large to diffuse through the cellul...
walls of the veins are permeable to H2O at this point, starving the rest of the
Pathophysiology Edema occurs when an excessive volume of fluid accumulates in the tissues, either within cells( cellular edema) or within the
Respiratory assessment is a significant aspect of nursing practice. According to the National Institute for Health and Care Excellence, respiratory rate is the best indicator of an ill patient and it is the first observation that will demonstrate a problem or deterioration in condition (Philip, Richardson, & Cohen, 2013). When a respiratory assessment performed effectively on a patient, it can result in upholding patient’s comfort and independence in progress of symptom management. Studies have acknowledged that in spite of the importance of the respiratory rate (RR) it is documented rarely than the other vital signs in the hospital settings (Parkes, 2011). This essay will highlight the importance of respiratory assessment and discuss why nurses
The largest component of the blood is the Plasma, a liquid substance made up of 91.5% water and 8.5% solutes that is responsible for over half the blood’s total volume. This liquid portion of the blood is vital for maintaining blood pressure within the body that helps capillary exchange. (Tortura 691-692). Cases of hemorrhagic or hypovolemic shock, a severe reduction in plasma is what triggers the body’s feedback systems, and compensation for fluid loss will stem from pulling of water from other
...ering to medication antibiotics which fight off infections, bronchodialators used to decrease dyspnea relieve broncho spasms , and pulmonary rehabilitation help betters their condition. The nurse expects the patient to be able to perform suitable activities without complication, avoid irritants that can worsen the disease (contaminated air) and reduce pulmonary infection by abiding to medications.
The thyroid gland is part of the endocrine system, and it is controlled by the pituitary which is known as the “master gland” of the endocrine system. The pituitary controls the thyroid by producing Thyroid Stimulating Hormone (TSH) which stimulates the production of thyroid hormones. . The thyroid gland secretes two main hormones: Thyroxine (T4) and Tri-Iodothyronine (T3). These hormones increase metabolic rate, heat production, oxygen consumption, appetite, growth hormone secretion, alertness and quicker reflexes. The thyroid gland is located in the anterior portion of the neck, beneath the Adam’s apple. It is divided in two lobes on either side of the windpipe: right lobe and left lobe. These lobes create what looks like a butterfly shape. The gland is essential to the contribution of maintaining the homeostasis of the body. It plays a role in monitoring the body’s expenditure of energy and running the body’s metabolism.
Nursing Diagnosis I for Patient R.M. is ineffective airway clearance related to retained secretions. This is evidenced by a weak unproductive cough and by both objective and subjective data. Objective data includes diagnosis of pneumonia, functional decline, and dyspnea. Subjective data include the patient’s complaints of feeling short of breath, even with assistance with basic ADLs. This is a crucial nursing diagnosis as pneumonia is a serious condition that is the eighth leading cause of death in the United States and the number one cause of death from infectious diseases (Lemon, & Burke, 2011). It is vital to keep the airway clear of the mucus that may be produced from the inflammatory response of pneumonia. This care plan is increasingly important because of R.M.'s state of functional decline; he is unable to perform ADL and to elicit a strong cough by himself due to his slouched posture. Respiratory infections and in this case, pneumonia, will further impair the airway (Lemon, & Burke, 2011). Because of the combination of pneumonia and R.M's other diagnoses of lifelong asthma, it is imperative that the nursing care plan of ineffective airway clearance be carried out. The first goal of this care plan was to have the patient breathe deeply and cough to remove secretions. It is important that the nurse help the patient deep breathe in an upright position; this is the best position for chest expansion, which promotes expansion and ventilation of all lung fields (Sparks and Taylor, 2011). It is also important the nurse teach the patient an easily performed cough technique and help mobilize the patient with ADL's. This helps the patient learn to cough and clear their airways without fatigue (Sparks a...