Leukotrienes

Leukotrienes are inflammatory chemicals produced by the body, specifically by white blood cells called leukocytes. They play a key role in the body's immune response, particularly in the lungs and in conditions like asthma and allergic reactions.

Key Points About Leukotrienes:

Functions

  • Inflammatory Mediators: Leukotrienes contribute to the inflammation process by attracting immune cells to the site of infection or injury.
  • Bronchoconstriction: In the lungs, leukotrienes can cause the muscles around the airways to tighten, leading to bronchoconstriction (narrowing of the airways), which is a hallmark of asthma.
  • Increased Mucus Production: Leukotrienes also stimulate the production of mucus in the airways, which can further obstruct breathing.

Role in Asthma and Allergies:

  • In asthma, leukotrienes are responsible for many of the symptoms, such as airway constriction, mucus production, and inflammation.
  • In allergic reactions, leukotrienes can contribute to symptoms like swelling, itching, and hives

Leukotriene Modifiers:

  • Medications such as Montelukast (Singulair), Zafirlukast (Accolate), and Zileuton (Zyflo) are classified as leukotriene receptor antagonists or leukotriene synthesis inhibitors. These drugs work by blocking the effects of leukotrienes, helping to reduce inflammation, bronchoconstriction, and mucus production.
  • These medications are commonly used in the treatment of asthma and allergic rhinitis to help control symptoms and prevent asthma attacks.

Summary:

Leukotrienes are powerful inflammatory mediators involved in the pathophysiology of asthma, allergic reactions, and other inflammatory conditions. Medications that inhibit leukotrienes can be effective in managing and preventing symptoms associated with these conditions.

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ABG Analysis

ABG Analysis

Mastering ABG analysis is essential for nursing practice and success on the NCLEX. Each question in this set emphasizes key concepts, including the identification of acid-base imbalances, physiological responses, and their implications for patient care. A strong grasp of these principles will enhance your ability to assess and respond effectively to patients' needs in various clinical situations.

The number of attempts remaining is 5

1 / 50

In which condition would you expect to see a decreased HCO3- level?

2 / 50

A patient presents with confusion and fatigue. Their ABG results show: pH 7.28, PaCO2 58 mmHg, HCO3- 22 mEq/L. What condition do these findings suggest?

3 / 50

A patient with chronic kidney disease shows signs of acidosis. What ABG change would be expected?

4 / 50

A patient with severe dehydration would likely exhibit which of the following ABG results?

5 / 50

If a patient’s ABG shows a pH of 7.28, what should the nurse suspect?

6 / 50

A nurse is assessing a patient with potential metabolic acidosis. Which sign would be most indicative?

7 / 50

A patient with renal failure shows ABG results of pH 7.25, PaCO2 40 mmHg, HCO3- 16 mEq/L. This indicates:

8 / 50

A patient has the following ABG results: pH 7.30, PaCO2 50 mmHg, HCO3- 24 mEq/L. What is the primary acid-base disturbance?

9 / 50

A patient with renal failure presents with ABG results: pH 7.32, PaCO2 42 mmHg, HCO3- 16 mEq/L. What does this indicate?

10 / 50

A patient with a history of COPD is experiencing respiratory acidosis. Which intervention is most appropriate?

11 / 50

ABG results show: pH 7.48, PaCO2 42 mmHg, HCO3- 30 mEq/L. What does this indicate?

12 / 50

Which patient condition would most likely cause metabolic alkalosis?

13 / 50

ABG results show: pH 7.45, PaCO2 35 mmHg, HCO3- 21 mEq/L. What is the interpretation?

14 / 50

A patient with a history of excessive alcohol consumption presents with ABG results: pH 7.30, PaCO2 40 mmHg, HCO3- 15 mEq/L. What is the likely diagnosis?

15 / 50

A patient presents with tachypnea and lightheadedness. Which ABG finding would be expected?

16 / 50

ABG results show: pH 7.47, PaCO2 38 mmHg, HCO3- 29 mEq/L. The nurse should assess for which of the following?

17 / 50

A patient with chronic kidney disease has a pH of 7.35 and HCO3- of 18 mEq/L. What is the likely diagnosis?

18 / 50

What is the normal range for arterial blood pH?

19 / 50

Which of the following ABG values would indicate respiratory alkalosis?

20 / 50

A patient with chronic respiratory acidosis may develop:

21 / 50

A patient’s ABG indicates a pH of 7.50, what should the nurse suspect?

22 / 50

What is a common cause of metabolic acidosis?

23 / 50

If a patient is experiencing metabolic acidosis, what would you expect the respiratory compensation to be?

24 / 50

Which of the following ABG results would indicate metabolic acidosis?

25 / 50

In a patient with respiratory acidosis, what is the expected change in the kidneys?

26 / 50

A patient has a pH of 7.39, PaCO2 of 52 mmHg, and HCO3- of 28 mEq/L. This patient is likely experiencing:

27 / 50

A patient presents with confusion and lethargy. ABG analysis reveals pH 7.34, PaCO2 55 mmHg, HCO3- 26 mEq/L. Which of the following interventions is the priority?

28 / 50

A patient is hypoventilating after a drug overdose. What would their ABG likely show?

29 / 50

A patient presents with a high HCO3- level and a pH of 7.50. What could this indicate?

30 / 50

A patient with diabetic ketoacidosis has the following ABG results: pH 7.25, PaCO2 30 mmHg, HCO3- 15 mEq/L. What is the primary acid-base imbalance?

31 / 50

Which of the following can lead to metabolic alkalosis?

32 / 50

A nurse reviews an ABG report: pH 7.35, PaCO2 55 mmHg, HCO3- 22 mEq/L. Which nursing diagnosis is appropriate?

33 / 50

A patient’s ABG shows: pH 7.45, PaCO2 48 mmHg, HCO3- 36 mEq/L. What condition does this most likely indicate?

34 / 50

A patient has a pH of 7.39, PaCO2 of 52 mmHg, and HCO3- of 28 mEq/L. This patient is likely experiencing:

35 / 50

A nurse is reviewing ABG results: pH 7.35, PaCO2 50 mmHg, HCO3- 25 mEq/L. Which condition is most likely?

36 / 50

A patient is experiencing respiratory distress and has an ABG result of pH 7.32, PaCO2 52 mmHg, HCO3- 24 mEq/L. What does this indicate?

37 / 50

Which of the following scenarios would likely lead to respiratory alkalosis?

38 / 50

If a patient is experiencing metabolic alkalosis, which ABG result might be expected?

39 / 50

A patient has a pH of 7.30, PaCO2 30 mmHg, HCO3- 18 mEq/L. What is the most likely diagnosis?

40 / 50

ABG results show: pH 7.40, PaCO2 32 mmHg, HCO3- 19 mEq/L. Which acid-base balance does this indicate?

41 / 50

In a patient with a suspected pulmonary embolism, what ABG changes might you expect?

42 / 50

The nurse is interpreting ABG results: pH 7.50, PaCO2 30 mmHg, HCO3- 24 mEq/L. What condition is indicated?

43 / 50

A patient with diabetes presents with a fruity odor on their breath. ABG results show: pH 7.25, PaCO2 40 mmHg, HCO3- 15 mEq/L. What condition is this indicative of?

44 / 50

The nurse is caring for a patient with COPD. Which ABG result would indicate respiratory acidosis?

45 / 50

A nurse notices a patient has rapid, shallow breathing. The patient’s ABG shows: pH 7.45, PaCO2 30 mmHg, HCO3- 22 mEq/L. What is the likely diagnosis?

46 / 50

A patient in renal failure presents with pH 7.30 and HCO3- 15 mEq/L. What is the expected respiratory response?

47 / 50

A patient with an acute asthma attack is likely to have which of the following ABG results?

48 / 50

A patient is hyperventilating due to anxiety. What would you expect their ABG results to show?

49 / 50

ABG results show: pH 7.38, PaCO2 48 mmHg, HCO3- 26 mEq/L. This indicates which type of compensation?

50 / 50

A patient presents with tachycardia and muscle cramps. ABG analysis shows: pH 7.50, PaCO2 38 mmHg, HCO3- 30 mEq/L. What should the nurse assess for?

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