Stage IV - Observation through 4 hours post stage III
Pregnancy - Systemic Changes - Renal
Increase in capacity
Increase need to empty
Increase glomural filtration (removes nitrogn from urine)
Pregnancy - Common Dysfunctions - Renal
Ureter obstruction
Urge incontinence
Retention
Kidney infection
Pregnancy - Systemic Changes - Cardio
Increase in BV
Increase Cardiac Output
Decrease arterial BP (due to progesterone)
Pregnancy - Systemic Changes - Respiratory
Dyspnea
Increase O2 consumption
Increase tidal volume
Increase BPM
What is the pregnancy hormone
Human Chorionic Gonadatrophin
Preeclampsia
after 20th week
related to increased BP & protein in urine
Eclampsia
seizures caused by preeclampsia
2nd leading cause of maternl death
leading cause of fetal complications
only "cure" is to deliver baby
Last stage of life
Senescence
What is vitality
The ability to respond to stress, the amount of reserve capacity
Determinants of aging
Genetics
Lifestyle
Environment
Successful aging
low risk of disease & disease related disability
Usual Aging
physical & mental function decline due to poor genes & lifestyle
Pathological aging
serious functional deficits caused from bad genes or developmental traits
3 stages of wound healing
inflammation - 1st 10 days. platelet activation & clotting cascades used in prep for repair
Proliferation - Granulation tissues & capillary buds are set in place for the collagen matrix
Maturation & remodeling - fibrous tissue in place for scarring to take place, rebuild to reduce scarring and add skin integrity
Ulcer stages
Stage I - skin intact no blanch
Stage II - Partial thickness, open sore or blister
Stage III - Full thickness can see fat
Stage IV - Full thickness can see bone & tendon
Classifications of exudate
Serous - clear
Sanguinous - clear & watery, red/brown
Serosanguinous - clear & watery, pink
Seropurulent - cloudy clear/yellow
Purulent - yellow/green thick
Tytpes of wound treatment
Selective debridement - enzymatic or autolytic
Wet to dry dressings
Hydrotherapy
Wound Irrigation
Negative Pressure - Foam dressing
Hyperbaric
Types of dressing
Gauze
Transparent Film (super/part)
Foam (Part/Full) - protectant
Hydrocolloids (Part/Full) - protectant
Hydrogels (super/part)
Differentiated cells
specialized cells that are split from undifferentiated (normal) cells
Hyperplasia
Increased cell production in a normal tissue or organ
CAUTION
C - change in bowel/bladder habits
A - A sore that doesn't heal
U - Unusual bleeding or discharge
T - Thickening or lump
I - Indigestion or difficulty swallowing
O - Obvious change in wart or mole
N - Nagging cough or hoarseness
Stages of malignancy
0 - Early malignancy only present in the layer that it began (carcinoma in situ)
1 - limited to the tissue of origin with no metastasis
2 - spreading into adjacent tissues & maybe lymph nodes
3 - spreading to adjacent tissues with high likelihood of lymph node involvement
4 - Metastasized beyond primary site
4 diagnostic tests used to diagnose cancer
family history
mammography
radiography
endoscopy
chemotherapy vs.biotherapy vs. radiation
chemo uses chemicals to fight cancer, bio attempts to make the body change the way it deals with the malignancy and radiation attempts to destroy the tumor