NR 574/ NR574 FINAL EXAM: ACUTE CARE PRACTICUM I GUIDE| QUESTIONS & ANSWERS| GRADE A| 100% CORRECT
Health Care / Exam
NR 574/ NR574 FINAL EXAM: ACUTE CARE PRACTICUM I GUIDE| QUESTIONS & ANSWERS| GRADE A| 100% CORRECT
What can happen if you only transfuse PRBCs during an acute hemorrhage?: does not replace the plasma and other clotting factors the client is losing during hemorrhage. This can lead to coagulopathy and clotting problems as well as difficulty with volume status. 2. Risk factors for rhabdomyolysis: -trauma, muscle compression, or ischemia -Heat-related causes (heat, stroke, malignant hypothermia, neuroleptic malignant syndrome) -Infection with bacteria or viruses that can directly attack a muscle (EBV, CMV, virus, HIV, Coxsackie, influenza, HSV, VZV, E. coli, legionella, Rickettsia, GBS, etc.) -Metabolic factors (hypocalcemia, hypophosphatemia, hypokalemia, hypo/hyponatremia, HHS, hypothyroid) NR 574 1 / 70 -Exertional activities (marathons, high intensity interval training, intense repetitive physical activity, especially in untrained people causing dehydration or performed and hot or humid conditions) -nutritional supplements containing substances that may cause muscle injury (Ephedra, creatine, lg dose caffeine) -meds causing direct myotoxicity (HMG-CoA recuctase inhibitors, cyclosporin, corticosteroids, colchicine, itraconazole) -Genetic factors (sickle cell) 3. Diagnostic criteria for rhabdomyolysis: • dark urine OR • an acute neuromuscular illness without other symptoms PLUS • an acute elevation in ...
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