Exam 22: Metabolic and Respiratory Stress

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Margaret Chen is a 73-year-old widow and mother of 3 adult children. She visits her physician due to decreased appetite, lethargy, weight loss, and a productive cough for the past 2 weeks. Her past medical history includes osteoporosis, sinusitis, respiratory infections, and smoking. Many of the medications used to treat COPD can cause gastrointestinal effects such as ____.

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A

Effects of prolonged elevated cortisol levels include ____.

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Match each word or phrase with the most appropriate definition or explanation.
Premises:
a disruption in the body's chemical environment due to the effects of disease or injury; characterized by changes in metabolic rate, heart rate and blood pressure, hormonal status, and nutrient metabolism
Responses:
systemic inflammatory response syndrome (SIRS)
shock
respiratory stress
Correct Answer:
Verified
Premises:
Responses:
a disruption in the body's chemical environment due to the effects of disease or injury; characterized by changes in metabolic rate, heart rate and blood pressure, hormonal status, and nutrient metabolism
systemic inflammatory response syndrome (SIRS)
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Discuss the systemic effects of inflammation.

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Nutrition support as part of treatment for MODS ____. ​

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Which substance is the precursor for the eicosanoids?

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Protein intake should average ____ percent of total calories for clients with burns greater than 10 percent TBSA.

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The complication that results when adequate nutrition is reintroduced rapidly is ____.

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In what way do blood transfusions contribute to development of MODS? ​

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Match each word or phrase with the most appropriate definition or explanation.
Premises:
a whole-body response to illness or trauma; characterized by raised heart and respiratory rates, abnormal white blood cell counts, and abnormal body temperature
Responses:
counterregulatory hormones
hypoxemia
acute respiratory distress syndrome (ARDS)
Correct Answer:
Verified
Premises:
Responses:
a whole-body response to illness or trauma; characterized by raised heart and respiratory rates, abnormal white blood cell counts, and abnormal body temperature
counterregulatory hormones
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An estimate of the energy needs of a 70-kg man who is critically ill would be ____ kcalories.

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Shortness of breath is also called ____.

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Chemical mediators that control the inflammatory process are released from ____.

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Discuss the micronutrient needs in patients with metabolic stress, including the increased need for certain nutrients and their specific role in the healing process. ​

(Essay)
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Support of heart and blood vessel function during treatment of MODS is characterized by ____. ​

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In what way does advancing age contribute to development of MODS?

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What percentage of persons with COPD is affected by malnutrition?

(Multiple Choice)
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Match each word or phrase with the most appropriate definition or explanation.
Premises:
group of lung diseases characterized by persistent obstructed airflow through the lungs and airways
Responses:
hypoxia
counterregulatory hormones
wasting
Correct Answer:
Verified
Premises:
Responses:
group of lung diseases characterized by persistent obstructed airflow through the lungs and airways
hypoxia
(Matching)
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(71)
Match each word or phrase with the most appropriate definition or explanation.
Premises:
a severe reduction in blood flow that deprives the body's tissues of oxygen and nutrients
Responses:
wasting
chronic obstructive pulmonary disease
systemic inflammatory response syndrome (SIRS)
Correct Answer:
Verified
Premises:
Responses:
a severe reduction in blood flow that deprives the body's tissues of oxygen and nutrients
wasting
(Matching)
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Which hormone(s)is/are referred to as the "fight-or-flight" hormone(s)?

(Multiple Choice)
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