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,
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
A cardiac assessment: Listen to heart sounds listening for extra heart sounds, fast heartbeat, and monitor EKG looking for dysthymias. Assess vitals especially BP, BP should be kept low in heart failure patients to put less stress on the heart. Assess the patient for edema as a result of fluid retention. Listen for crackles in the lungs due to fluid built up. Watch I&O’s and weight the patient to assess for edema, ask about activity intolerance. Assess for changes in mental status, cool extremities, pale or cyanotic, fatigue, and JVD (Indications of poor perfusion) (Ignatavicius &Workman, p.756).
Magnesium is an important element necessary healthy bones and teeth. The use of all muscles, and nerves convert it into energy for daily living. It is also instrumental in maintaining adequate levels of calcium in the blood. Having a therapeutic magnesium level helps prevent cardiovascular disease and reduces the risk of bone loss. The body of the adult human contains about 2000 mEq of Mg. Half of this amount stays within the skeleton and the other half in soft tissues (Wacker and Parisi 1968). The normal concentration in the blood is somewhere in the ranges of 1.7-2.3 mg/dL (Magnesium, 2013)
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.
The thyroid organ, though small, impacts every cell in the body by providing metabolism regulation (endocrine web). This butterfly-shaped, endocrine organ located at the neck, secretes hormones to control the body’s metabolism - or the way the body uses energy that help the body with energy, manage heat, and help organs such as the heart and brain function properly (thyroid.org). When not functioning properly, thyroid dysfunctions occur disrupting the three points of control: the hypothalamus in the brain, the pituitary gland, and the thyroid gland. Common thyroid disorders include Hashimoto’s, Graves’ disease, thyroid disorders like hypothyroidism and hyperthyroidism, and nodules or goiters (health line).
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...
When diagnosed with hyponatremia treatment usually immediately begins. Treatment must be a restriction of both salt and water (Gheorghita et. al 2010). Hyponatremic patients must receive a slow increase in sodium with a restriction of liquids. Intravenous hypertonic saline solution of 3% NaCl can be administered to patients who have been diagnosed with hyponatremia. There is a precise formula that is used in determining the quantity of NaCl that is used in increasing sodemia and the rate at which it should be administered (Gheorghita et. al 2010).
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.
Using medication will decrease all the pressure that is caused by fluid going around the lungs and heart. Pulmonary edema may be life-threatening, especially without urgent medical treatment and professional assistance. Curing this problem may also be follow the steps of supplement oxygen and medicine. The patient should then follow a low sodium diet to prevent this from being an occurring health problem. Oxygen therapy on a three to five-day treatment will cut down on the chances of having this health condition attacking the Pulmonary system. Follow -up appointments scheduled by a patient that had been diagnosed with Pulmonary edema is critical. Just based off the studies that this wet lung disorder is a chronic build up that is to be controlled and not necessarily cured. Controlling possible risk factors such as salt intake, smoking, cholesterol consumption and taking the prescribed medications will eventually help minimize symptoms and future episodes of edema. On the other hand, it is important to understand that a lot of treatment resolutions can come from self-care which include a low sodium diet and also supportive care which consists of an oxygen therapy treatment. Nevertheless, with a low sodium diet, this a type of diet that restricts salt and other types of sodium. With the oxygen treatment, patients with pulmonary
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.
Being hypothermic or having frostbite on any part of your body can be very dangerous. This is an interesting topic because it can happen to anyone at anytime and if your are not prepared for it, it can be life threatening. If you are just going out to play in the snow and you are not dressed warm enough or all your skin is not covered frostbite can develop and you are at risk of hypothermia. Even if it is not snowing and there is not a cloud in the sky you can develop hypothermia if it is cold enough. If you are going to go hiking or skiing you will want to be aware of what hypothermia is and what to do if you get frostbite as this can result in the amputation of limbs and fingers. When skiing up in Vermont over Christmas break while going down the mountain my fingers started hurting and they were very cold. My dad and I were going down to the base of mountain, it was our final run of the day. We were skiing in negative 20 degree weather. This sparked my interest in hypothermia and frostbite because if we had not decided to get off the mountain frostbite developed on my hands and fingers and I would have run the risk of maybe getting them amputated. The purpose of writing this paper is to show how dangerous and lethal hypothermia and frostbite are if not taken care of properly.
Hypertrichosis, which is also known as Ambras Syndrome or Werewolf Syndrome, is excess growth of hair on parts of the body. Hypertrichosis can either be generalized meaning it covers the whole body or localized meaning it is only on a certain area. There are three different hair types that may be involved. They include Lanugo (long and silky), Vellus (replace Lanugo after birth except on the scalp and eyebrows), and terminal (course, thick, and pigmented). Generalized can include all three types while acquired usually involves vellus that turn into terminal. Along with being generalized or localized, Hypertrichosis is also separated into congenital or acquired classifications. Congenital means that this disorder was present at birth and may have been caused by mutations in the genes. While acquired means that it became present over time. The cause for congenital is typically genetics while the cause for acquired is influence by medical conditions such as metabolic disorders, cancer or even oral and topical drug treatments. Congenital Hypertrichosis Lanuginosa is thought to be caused by mutations on the eighth chromosome or spontaneous gene mutations. The main sign of Hypertrichosis is excess hair growth, especially in places that hair does not typically grow in. Symptoms of Hypertrichosis may be present because of underlying conditions or chemical imbalances and the side effects of some medications. When a patient is being diagnosed with Hypertrichosis, a Doctor will determine if this was congenital or acquired. Congenital has no cure but acquired are typically triggered by factors that can be reversed or lessened so the Doctor could try to find these triggers. Hypertrichosis can cause cosmet...
...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.
In the case study it is the left lung that is in distress, and as the pressure increases within the left lung it can cause an impaired venus return to the right atrium (Daley, 2014). The increased pressure can eventually affect the right lung as the pressure builds in the left side and causes mediastinal shift which increases pressure on the right lung, which decreases the patients ability to breath, and diffuse the bodies tissues appropriately. The increase in pressure on the left side where the original traum... ... middle of paper ... ... 14, January 29).
Health psychology is a relatively new concept rapidly growing and could be defined as the biological and psychological influences affect ones behaviour also bringing in social influences of health and illness (MacDonald, 2013). Biological determinants consider genetic and biological factors of an illness whereas psychological determinants focus on the psychological factors such as why people behave the way they do when dealing with issues such as anxiety and stress. Models such as the Health Belief Model and Locus of Control were developed in attempt to try and explain psychological issues around a chronic illness such as breast cancer (Ogden, 2012). Sociological factors can cause an enormous amount of pressure for one to behave in a certain way for example gender roles in society and religious considerations when dealing with health beliefs. Health Beliefs can be defined as one’s own perception to their own personal health and illness and health behaviours (Ogden, 2012). There are also theories and models used to explain pain and coping with diagnosis such as Moos and Schaefer (1984) Crisis theory and Shontz (1975) cycle of grief people go through when being diagnosed with a serious illness.