ACID-BASE DISORDERS MADE SO EASY EVEN A CAVEMAN CAN DO IT Lorraine R Franzi, MS/HSM, RD, LDN, CNSD Nutrition Support Specialist University of Pittsburgh Medical Center Pittsburgh, PA I. LEARNING OBJECTIVES The clinician after participating in the roundtable will be able to: 1) Indicate whether the pH level indicates acidosis or alkalosis. 2) State whether the cause of the pH imbalance is respiratory or metabolic. 3) Identify if there is any compensation for the acid-base imbalance. II
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As far as asthma goes, triggers for asthma are: allergies, family history (because there is a genetic influence) dust mites, pet dander, dust, cockroaches, pollen, mold, anything like that, pollutions and factory immetions can trigger some allergies. And often your patient will give you a history of GERD and exema (especially when they were a kid). In asthma we have reversible narrowing of the bronchioles. When they narrow they swell, so it gets hyper responsive, the airway tends to remodel
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Obstructive Pulmunary Disease A. Hallmarks 1.Airflow limitation 2.Irreversible type disease: (COPD) Emphysema, bronchitis, asthma, cystic fibrosis, bronchiectasis,bronchiolitis 3.Reversible Type:Hyper-reactive airway disease, Athma, chronic inflammatory disease B.Airflow reduction REduced bronchiole Tone elevated air trapping FEV1 is reduced Emphysema: low elastic recoil of bronchiles, low air flow, low airway tone, pressure drive of air is low Asthma:Bronchoconstriction with higher
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affect their ability to complete everyday tasks. An individual may have a physical disability, learning disability or mental health issue as well as other conditions EG Arthritis, diabetes, dementia, Huntington’s disease, Parkinson’s disease, cancer or COPD. They may also have a sensory impairment which means they have problems with their hearing and their sight. 1.2 Explain how multiple conditions and/or disabilities may have an additional impact on the individual’s wellbeing and quality of life. If
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Final exam study guide: Cancer: Know the difference between Benign and Malignant tumors. Classification of tumors Benign neoplasm Well differentiated Usually encapsulated Kidneys have their own capsule so is easier to catch Expansive mode of growth Characteristics similar to parent cell Metastasis is absent. Rarely recur Classification of tumors Malignant neoplasm May range from well differentiated to undifferentiated Able to metastasize Infiltrative and expansive growth Frequent
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following: • • • • Purulent endotracheal secretions Increasing oxygen requirements Core temperature > 38.0o C WBC < 3.5 or > 11.0 Adapted from N Engl J Med 2006;355:2619-30. Host Risk Factors for VAP • Underlying pulmonary disease (e.g. COPD) • • • • • Sepsis ARDS Major surgery Multiple organ failure Head injury (traumatic and nontraumatic brain injury) Ann Intern Med. 2004;141:305-13. Other Risk Factors for VAP • Enteral nutrition • GI prophylaxis • Patient position
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Lung Conditions Caused by WTC - 9/11 The World Trade Center tragedy and the list of injuries and illnesses evade our world and our resilience. People exposed to toxic dust after 9/11 still suffer from diminished lung and reduced lung function capacity1. People are not able to take deep breaths or push air out as routinely as normal2. An estimated 40,000 people, including rescues workers were exposed to noxious pollution. Itchy eyes and runny noses envelope people including nearby residents
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Person centred values are fundamental in health and social care to be able to provide high quality healthcare which respects the dignity, rights and autonomy of patients. It is important to ensure peoples preferences, needs and values are considered when a clinician is making decisions about a person’s care, so the care that is provided is respectful to the patient. The Health and Social Care Act 2008 states that the intention of the regulation is to make sure that people using a service, have care
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Fayetteville Public Schools Name of Course__Anatomy/Physiology_____________ Grade Level____11-12___________ Time Frame | Unit | Common Core StandardsOrArkansas Standards | EssentialTerms/Vocab | Resources | Assessments | 2-3 weeks4-6 weeks3-4 weeks2-3 weeks2-3 weeks2-3 weeks2-3 weeks2-3 weeks2-3 weeks2-3 weeks2-3 weeks2-3 weeks | Body Cavities/ Anatomical Directions/ and MovementsSkeletal SystemMuscular SystemCirculatory SystemDigestive SystemRespiratory SystemLymphatic systemUrinary SystemEndocrine
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Respiratory Disease Paper Shonay Williams HCS/245 September 9, 2014 Susan Fahrney Respiratory Disease Paper Pneumonia is an infection of the lungs that can be caused by either a bacteria, a virus, or fungus. The alveoli or (air sacs) fill up with fluid and pus and then become solid. This disease would be considered a tertiary disease. It is classified as a tertiary disease because it is an end result of some other types of infections or illnesses. The flu is one of the main illnesses that
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