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,
…show more content…
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,
Renin angiotensin system activation: Because of decreased blood flow to the kidneys the compensatory mechanisms activate to hold on to sodium and water. When the Blood flow is decreased Angiotensin II is released causing vasoconstriction
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).
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.
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.
...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.
The thyroid gland is part of the endocrine system, and it is controlled by the pituitary which is known as the “master gland” of the endocrine system. The pituitary controls the thyroid by producing Thyroid Stimulating Hormone (TSH) which stimulates the production of thyroid hormones. . The thyroid gland secretes two main hormones: Thyroxine (T4) and Tri-Iodothyronine (T3). These hormones increase metabolic rate, heat production, oxygen consumption, appetite, growth hormone secretion, alertness and quicker reflexes. The thyroid gland is located in the anterior portion of the neck, beneath the Adam’s apple. It is divided in two lobes on either side of the windpipe: right lobe and left lobe. These lobes create what looks like a butterfly shape. The gland is essential to the contribution of maintaining the homeostasis of the body. It plays a role in monitoring the body’s expenditure of energy and running the body’s metabolism.
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.
walls of the veins are permeable to H2O at this point, starving the rest of the
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
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.
Mental health refers to the state of individuals psychologically, emotionally and socially. Mental health affects a person’s emotions, feelings, thoughts, and sections when exposed to different situations. Furthermore, mental health is responsible for a person’s reaction to stress and other social conditions. Generally, mental health affects how a person relates to others and their ability to understand and interact with them. Therefore, problems that affect a person’s mental health affect the abilities to socialize, their feelings, moods, reaction to situations. The person experiencing mental health problem may portray different behaviors when confronted with different issues. Mental health issues have several