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PATHOS EXAM 2 - PART 2 Flashcards | StudBud
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PATHOS EXAM 2 - PART 2
ex. of bioterrorism
dehydration is caused by
PATHOS EXAM 2 - PART 2
86 terms
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Answers
1
dehydration is caused by
diuretics
low intake
fever
diarrhea and vomiting
2
ex. of bioterrorism
B. anthracis
hemorrhagic fever viruses
yersinia pestis
c. botulinum
3
if a female patient is HIV positive, she must
have s pap smear every six months
have an annual pap smear
may be exposed to HPV
have a pap smear every other year
4
hypotonic fluids
propensity to go from vascular space into the interstitial and cellular
push fluids out of vascular space into the interstitial and cellular space
changes cell size to EDEMA
5
overload causes are
liver failure
burns
increased intake of hypotonic fluid
renal failure
6
signs and symptoms of overt aids are
fever
opportunistic infections - lungs, skin
cachexia
weight loss and wasting
7
confused and disoriented, over having repetitive CNS infections
AIDS dementia
HIV dementia
8
SIADH effects ADH how?
low ADH; too much pee
high ADH; too little pee
9
diffusion
higher to lower concentration
movement of solution or particles
movement of water
10
capillary permeability
movement of water
fluid exchanges
movement of solution or particles
11
pulls fluid into vascular space from the interstitial and cellular spaces
hypertonic
hyptonic
isotonic
12
causes of hypernatremia
concentrated tube feedings
vomiting / diarrhea
fever
results from fluid loss/ deficit
13
name the treatment(s) for HIV
chemotherapy
cryotherapy
cocktails of antiviral medicine
antrietroviral treatment
14
normal range of potassium is 3.5 - 5.0 mEq/L
False
True
15
sodium moves
K and Na move in opposition
follows proteins
Na and Cl moves together
16
intracellular organisms w/ no organized cell structure and either a protein or lipoprotein coat or genome but not both
viruses
fungi
prion
bacteria
17
DEHYDRATION
hemoconcentration
dry
decrease vascular and cellular volume
18
children with AIDS
experience failure to thrive
PCP in first 3-6 months of life
CNS abnormalities
development delays
19
best indicator of fluid status is daily weights
False
True
20
same concentration as human blood
isotonic
hypertonic
hypotonic
21
for an adult, anything less than 30 mL an hour of UOP is considered a PROBLEM
False
True
22
bacteria
replicates asexually - non nucleated cells within a cell wall
protective or pathogenic
may be anaerobic
may be aerobic
23
combined characteristics of viruses and bacteria; intracellular, have cells walls, asexual, have DNA and RNA
parasites
chlamydiae
protoza
rickettsia
24
childbearing factors of HIV are
HIV crosses the placenta
HIV antibodies cross the placenta
HIV is present in breast milk
blood transmission at birth
25
pressure created by protein "sponge," pulls water towards protein
hydrostatic pressure
colloidal or oncotic pressure
26
members of the animal kingdom that cause infection in humans - helminths, protozoa, and arthropods
rickettsia
parasites
chlamydiae
27
signs of AIDS dementia
toxoplasmosis
encephalopathy
cryptococcus
28
fluid inside cells
interstitial
extracellular
intracellular
29
causes to hypokalemia
increase ingestion
decrease urinary excretion
intra-extra cellular shifts
trauma that destroy a lot of tissue
30
an obese person can pee easier, because there is a lack of retention to hold in their urine
False
True
31
s & s of hypernatremia
seizures
THIRST
tachycardia
dry skin
32
if there is not enough fluid, blood pressure is low
False
True
33
RETROVIRUS - carries genetic information in RNA instead of DNA
True
False
34
wasting means
lipodystrophies
diarrhea
fever
chronic weakness
35
HPV can lead to cervical cancer
True
False
36
opportunistic infections GI
gardia
c. diff
thrush
salmonella
37
isotonic fluids are
Ringers Lactate
0.9 NS
0.45 NS
0.225 NS
38
inability to concentrate urine and impaired cel membrane excitability
hypokalemia
hyperkalemia
39
transformed protein structures that are not broken down by proteases and accumulate in neuronal tissue
fungi
prion
viruses
bacteria
40
the weight equivalent of water =
one L of water = 1 pound
one L of water = 2.2 pounds
one L of water = 2.2 kg
one L of water = 1kg
41
an example of prion infection is MAD COW DISEASE
False
True
42
hyponatremia signs and symptoms
abdominal cramps
weight gain
edema
lethargy
43
daily fluid intake = 1.5 to 3 liters
True
False
44
name the test to diagnosis of HIV
western blot
ELISA
EIA
45
name the hypertonic fluids
D5 o.9% NS
3% NS
25% albumin
5% NS
46
thirst is controlled via the
hypothalamus
pituitary gland
pons
medulla oblongata
47
when you test for HIV, which antibodies do you look at
IgA
IgD
IgE
IgG
48
hypertonic fluids
pulls fluid into vascular space from the interstitial and cellular spaces
leads to dehydration if not monitored closely
shrink
49
potassium
extracellular
intracellular
50
collection or localization of fluid which is neither intra - nor extra - cellular
intracellular
third space
interstitial
extracellular
51
pressure created by water; creates a pushing motion of fluid
osmosis
hydrostatic pressure
colloidal or oncotic pressure
52
daily weights should be measured
same amount of clothing
at the same time
with the same scale
53
free living eukaryotic saprophytes
fungi
viruses
bacteria
parasites
54
infants testing negative for SIX months w/out opportunistic dz are said to be HIV free
True
False
55
appropriate fluid types and specific fluids used for patient with dehydration
hypertonic
hypotonic
isotonic
56
obligatory urine should be
at least 0.5 mg/kg/hour
at least 0.5 mcg/kg/hour
57
global infections dz are
severe actue respiratory syndrome
ebola
west nile virus
zika
58
extremely low potassium levels in the blood
hypokalemia
hyperkalemia
59
OVERLOAD
hemodilution
wet
dry
excess volume in the vascular
60
bacteria kills by destroying the cell wall
False
True
61
appropriate fluid types and specific fluids used for patient w/ overload
isotonic
hypotonic
hypertonic
62
fluid surrounding cells outside of the vascular space (liver, heart, kidney)
interstitial
extraceullar
interstitial
third space
63
diabetes insipidus (DI) effects ADH how?
high ADH, you pee too little
low ADH, you pee too much
64
prion transmissions are
contact w/ contaminated medical equipment
ingestion of contaminated food
transplantation of contaminated tissue
injection
65
osmosis
movement of water
movement of solution or particles
higher to lower concentration
66
HIV - latency phase
increasing viral load
can last for a few to 10-15 years
S&S free except for enlarged nodes
continued decrease in CD4+
67
CD4+ count is less than 200 cells/uL and an Aids defining illness
overt AIDS phase
primary infection phase
latency phase
68
normal sodium
135-145 mEq
165
120
69
similar to rickettsia but are transmitted from vertebrate to vertebrate
rickettsiae
bacteria
chlamydiae
parasites
70
thirst is controlled via the hypothalamus in response to
hypovolemia
angiotensin II
dehydration
71
viruses can only reproduce w/in a living cell
False
True
72
SODIUM
intracellular
extracellular
73
S & S of overload
jugular vein distention
edema
bulging eyeballs
crackles
74
fluid outside cells and mostly in the vascular space (liquid in blood)
interstitial
intracellular
extracellular
75
overload - hemodiluted
165
130-145 mEq
120
76
thirst regulates H2O
False
True
77
opportunistic infections lungs
pneumocystis jirovecci pneumonia
mycobacterium (TB) infections
strep pneumonia
cytomegalovirus (CMV)
78
potassium
excreted in stool and sweat
moves in opposition to Na+
excreted via kidneys
79
hypernatremia =
dehydration
volume overload
80
cause of hypoatremia
too little aldosterone
too much water or hypotonic fluids especially to replace fluids lost
too much ADH
too little cortisol
81
malignancies that can occur from HIV
kaposi sarcoma
cervical cancer
non-hodgkins lymphoma
82
identify signs and symptoms of dehydration
thirst
poor skin tugor
tachycardia
UOP < 30 mL/hr
83
hydrated - hemoconcentration
165
135-145 mEq
120
84
hyponatremia
volume overload
dehydration
85
name the hypotonic fluids
0.45 NS
D5w
0.9 NS
D5 0.9 NS
86
has fewer particles/lower ethnicity than human blood per unit of measure
isotonic
hypotonic
hypertonic