ATI MED SURG NURSING CARE OF THE ADULT - CELLULAR BIOLOGY AND HUMAN PHYSIOLOGY FINAL EXAM REVIEW Diabetic Ketoacidosis - assessment: dehydration, ketosis, metabolic acidosis, hyperglycemia - admin fast acting insulin that can be effective within 10 min, admin IV - kussmaul resp Beta blockers (Propanolol) - monitor: sore throat, vision changes, blurred vision, dry eyes, dry mouth, abd cramping, colitis, acute pancreatitis - notify provider: night cough Factors that affect wound healing - dehydration (UO) - infection - BMI 25 - malnutrition (low protein, vita C) - age - decreased hgb, tissue perfusion - wound stress HIV/AIDS - positive response to treatment monitored by viral load - risk for infection: do not drink fluids left out for longer than 60 min, clean toothbrush in dishwasher weekly, avoid fresh produce, check temp daily - dx test: ELISA confirmed by western blot/IFA, viral load Fluid replacement - monitor BUN Cerebrovascular accident- right sided: visual, spatial, proprioception; poor impulse control/judgment; unilateral neglect - left sided: language, math, analytical skills Preventing UTIs - wipe from front to back - void after intercourse - avoid baths - drink 2-3 L of fluid daily - cotton underwear - urinate Q2-4h Radiation therapy - do not