NURSING 2LA2 Study Guide - Summer 2018, Comprehensive Midterm Notes - Syndrome, Metabolism, Blood
NURSING 2LA2
MIDTERM EXAM
STUDY GUIDE
Fall 2018
Complex Physiological Interactions
•
Many physiological interactions occur w/ stress
-labelled : stress response
neuroendocrine response mind body connection
psycho
-
neuro -
immunologic response
Stress Response
•
Stress response : a state manifested by aspecific syndrome of the body ,developed in response to any stimuli
that made an intense systemic demand on it
-
Set ye ,1956
•
Stress response : a person experiences stress when a demand exceeds aperson 's coping abilities ,resulting
in reactions such as disturbances of cognition ,emotion ,
and behaviour that can adversely affect well
being
-
Negative impact of excessive demand
•
Dr Sel ye said stress if unavoidable and
,in fact ,you probably wouldn't want to avoid it
-
Stress can be the stimulus of achievement ,but can also cause suffering and death
• "
One persons stress is an others paid recreation
" -Dr R.sa polsky
•
when ones mind overrides the body ,desire to choke the living daylights out of Somebody
Istressors
What is Stress
A
•
Stress Is a response to external influence that alters your homeostatic balance
2 Stress response
•
Stressors are everywhere but they dont necessarily lead to stress
3pathophysiological
sequela
I
can be positive ,negative ,or neutral
Neutral stressors :Stressors that have a neutral effect and dont lead to Stress until we make them
-It
•
Stressors come from external environment
,personal perception and aphysiological response
•
Short term and long term responses cause similar hormonal responses
External Stimuli
•External Stimuli : external demands that trigger emotional
,
behavioural and physical reactions
•
Quantity
-
Identities negative consequences of stress resulting from an accumulation of stressors in a short time
-
Holmes and Rahe Stress Scale
>positive t Negative stressors can add up to cause illness
°
Quality
-
three types
>
Major change affecting large number of people leg .war ,economic depression )
>
Major change affecting afew people leg .divorce ,bereavement )
>Daily hassles Inormal people Nnormal lives may complain of Stress responses )
find more resources at oneclass.com
find more resources at oneclass.com
•
Duration
-
Acute or time limited leg .job
interview )
-
sequential leg . changes following
divorce )
-
Chronic intermittent leg .periodic
arguments w/ spouse or children )
-
Chronic leg .
permanent disability or
family strife persisting over long
periods )
°
NOT MUTUALLY EXCLUSIVE
Individual Judgement
°
Individuals conscious appraisal that a
disturbance has occurred
,thus
•
Demand resource imbalance challenging the ability to cope
•
people arent passive victims of stressful forces
Physiological Response
•
Example of mind body connection i
psycho neuroendocrine responses
•
perception or Emotion
-
perception such as fear ,anger ,and frustration can lead to the hormonal release
-
Responses to life events such as depression ,anxiety ,excitement and even anticipatory events can
lead to atype of physiological mediated Stress response
•
The primary hormones involved :Glucocorticoid Icortisol )
Mineralocorticoid IIaldosterone )
catecholamines Iepinephrine ,norepinephrine ,dopamine )
•
potential consequences
IShort and longterm effects
ANS implications ,
hormonal effects ,etc
Examples of Stressors
•
trauma
°
weather extremes
°
radiation
•
pain
°
obesity
°
surgery
°
disasters
°
malnutrition
°
new baby
•
aging
•temperature
extremes
°
chemo
°
prolonged exercise
°
new job
•
grief
Remember the Adrenal Glands
•
Retro peritoneal glands comprised of
'
.
Iouter tough ,fibrous capsule enclosed in fat for protection
2Adrenal cortex forms bulk of gland and hat 3Zones
-
Zona Glomerulus a
>
Produces primarily aldosterone 1951 , of minero corticioid produced )
>
Regulates Na and k secretion and retention
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Many physiological interactions occur w/ stress labelled stress response neuroendocrine response mind body connection psycho neuro immunologic response. Stress response a state manifested by a specific syndrome of the body , developed in response to any stimuli that made an intense systemic demand on it. Stress response a person experiences stress when a demand exceeds a person. "s coping abilities resulting in reactions such as disturbances of cognition emotion and behaviour that can adversely affect well being. Sel ye said stress if unavoidable and in fact you probably wouldn"t want to avoid it. Stress can be the stimulus of achievement but can also cause suffering and death. Dr r . sa polsky recreation desire to choke the living daylights out of somebody. One when persons stress is an others ones mind overrides the paid body , Is a response to external influence that alters your homeostatic balance.