1. What is the most common cause of acute kidney injury (AKI) in hospitalized patients? How
does AKI affect the fluid and electrolyte balance in the body?
- The most common cause of AKI is prerenal failure, which occurs when there is a decrease in
blood flow to the kidneys due to hypovolemia, hypotension, heart failure, or sepsis. AKI can
lead to fluid overload, edema, hypertension, and pulmonary congestion. It can also cause
electrolyte imbalances such as hyperkalemia, hyponatremia, hypocalcemia, and metabolic
acidosis.
2. What are the signs and symptoms of diabetic ketoacidosis (DKA)? What are the goals of
treatment for DKA?
- DKA is a life-threatening complication of diabetes mellitus that occurs when the body cannot
use glucose as a fuel source and breaks down fat instead, producing ketones. The signs and
symptoms of DKA include polyuria, polydipsia, polyphagia, nausea, vomiting, abdominal pain,
fruity breath odor, Kussmaul respirations, tachycardia, hypotension, and altered mental status.
The goals of treatment for DKA are to correct dehydration, electrolyte imbalances, acidosis,
and hyperglycemia with fluid replacement, insulin therapy, and bicarbonate administration if
needed.
3. What are the risk factors for developing pressure ulcers? How can pressure ulcers be
prevented and treated?
- Pressure ulcers are localized injuries to the skin and underlying tissue caused by prolonged
pressure or shear forces. The risk factors for developing pressure ulcers include immobility,
malnutrition, dehydration, incontinence, impaired sensation, infection, and aging. Pressure
ulcers can be prevented by performing regular skin assessments, repositioning patients every
two hours or more frequently if needed, using pressure-relieving devices such as mattresses and
cushions, maintaining adequate nutrition and hydration, keeping the skin clean and dry, and
applying moisturizers and barrier creams as needed. Pressure ulcers can be treated by removing
necrotic tissue (debridement), applying topical dressings or negative pressure wound therapy
(NPWT), administering antibiotics if infected, and promoting wound healing with adequate
nutrition and blood supply.
4. What are the types and causes of anemia? How does anemia affect the oxygen-carrying
capacity of the blood?
- Anemia is a condition in which the number of red blood cells (RBCs) or the amount of
hemoglobin in the blood is below normal. There are three main types of anemia: blood loss
anemia, hemolytic anemia, and aplastic anemia. Blood loss anemia occurs when there is acute
or chronic bleeding from trauma, surgery, ulcers, or menstruation. Hemolytic anemia occurs
when RBCs are destroyed prematurely by autoimmune disorders, infections, drugs, or inherited
defects. Aplastic anemia occurs when the bone marrow fails to produce enough RBCs due to
radiation, chemotherapy, toxins, or idiopathic causes. Anemia reduces the oxygen-carrying
capacity of the blood by decreasing the number of RBCs or hemoglobin molecules available to
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