Alterations in Body Systems - Nurse Dojo
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Physiological Adaptation 8.1 · Alterations in Body Systems
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8.1 · Alterations in Body Systems
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MODULE 8.1 QUIZ

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Alterations in Body Systems

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Autonomic dysreflexia
Sit Up, Find It, Fix It
  • Sit upSit the client up, lower the legs
  • FindLook for the trigger: bladder first, then bowel, then skin
  • FixRemove the trigger: drain the bladder, loosen clothing
  • MedsBP still high: antihypertensive per order
Pearl: Above T6 is the risk. A kinked catheter is the usual cause.
When you need it: A client with a T4 spinal injury has BP 210/110 and a pounding headache.
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Treating shock by type
Fill, Squeeze, Squeeze
  • HypovolemicFill the tank: fluids and blood
  • CardiogenicHelp the pump: inotropes, not big fluid boluses
  • SepticSqueeze the vessels: fluids, then vasopressors, plus antibiotics
When you need it: A client in shock after a large MI. Should you give 2 L of saline?
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Magnesium sulfate in preeclampsia
Mag Toxic: Calcium Back
  • ReflexesCheck deep tendon reflexes
  • RRRR under 12: stop the infusion
  • UrineUrine under 30 mL per hour: notify
  • AntidoteCalcium gluconate at the bedside
When you need it: A client on magnesium has absent reflexes and RR 10.
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