Nurs 3000 Midterm - Experiencing Acute Illness Solved 100% Correct!!

Factors Influencing ICP {Ans: - BP, cardiac function, intra-abdominal & intrathoracic pressure, posture, temp, blood-gasses, ability of brain to accomodate changes affects the levels that these factors are able to change ICP}Increases IICP {Ans: - life threatening situation resulting from an inc. in any or all 3 compartments within skull - IICP > 20 mmHg leads to dec. CPP, inc. risk of brain ischemia & infarction, contributes to poor prognosis - cerebral edema (vasogenic, cytotoxic, intersticsial)}Interventions - DKA {Ans: - reestablish intravascular fluid - establish IV access - admin fluids - monitor vitals, LOC, U/O - assess cardiac, resp., neuro & urinary status - monitor ECG - record in/out - add glucose based IVF once glucose has reached <14 to avoid rebound hypoglycemia}Priority - HHS {Ans: - FVD, risk for shock, risk for dec. CO, risk for electrolyte imbalance, risk for cerebral perfusion, risk of ineffective renal perfusion}Conditions Causing F/E Changes - HHS {Ans: - Hyperosmolar Hyperglycemic State (HHS) - life-threatening syndrome - occurs w/ older adults w/ DM2 - can be related to dec. thirst mechanism/inability to correct fluid loss (elderly) - can be history of dec. fluid intake, mental changes & polyuria -