NURS 3664 Lecture Notes - Lecture 29: Coagulation, Embolism, Antihypotensive Agent
Document Summary
Chapter 66- systemic inflammatory response syndrome (sirs) and multiple organ dysfunction syndrome (mods) Albumin and fluid move out of blood vessels. Mental status changes due to hypoxemia, inflammatory mediators, or impaired perfusion. May see increased dosage related to gfr. Motility decreased: abdominal distention and paralytic ileus. Decreased perfusion: risk for ulceration and gi bleeding. Careful use of drugs metabolized by liver. Protein-calorie malnutrition is primary sign of hypermetabolism. Lactic acidosis cannot convert lactate to glucose, lactate accumulates. Goal of nutritional support: preserve organ function. Glycemic control - provide continuous infusion of insulin and glucose to maintain blood glucose 140- Disseminated intravascular coagulation (dic) dysfunction of coagulation systam. Electrolyte imbalances hormonal & metabolic changes, fluid shift. Goal: prevent the progression of sirs to mods. Vigilant assessment and ongoing monitoring to detect early signs of deterioration or organ dysfunction are critical. Interprofessional care for patients with mods focuses on.
