Exam 2 Flashcards

(38 cards)

1
Q

What age does the CDC switch immunization to an adult schedule

A

19 years old

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2
Q

What are the 4 patient factors to consider when evaluating what drug you should use

A

Age
PMH
SH
FH

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3
Q

What is VIS (vaccine information statement)

A

Info sheet on benefits, risks, what to do if adverse reaction occurs

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4
Q

When is the VIS document provided when administering a vaccine

A

Before the vaccine is given

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5
Q

Age at which routine flu vaccine is recommended

A

6 months of age

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6
Q

Age at which the annual pneumococcal vaccine is recommended

A

65 years old

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7
Q

When is Tdap is recommended

A

During pregnancy
Booster every 10 years

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8
Q

What is the age recommendation at which Zoster (RZV) vaccine should be given annually

A

50 years old

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9
Q

Conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients and integrating individual clinical expertise with the best available external clinical evidence from systematic research

A

Evidence-based medicine definition

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10
Q

Dissemination of scientific information

A

Complete of og research project
Prep and submission of abstract
acceptance of abstract for presentation
publication of abstract and present project

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11
Q

Non-solicited commentary pointing out weaknesses in a study or adding information not discussed in the article

A

Letter to the editor

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12
Q

Written by an editor or selected expert that brings attention to and comments on an original research article by either supporting it (through praise or adding additional information) or questioning the results and attempting to refute the article, or at least interpret the results with caution.

A

Editorial

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13
Q

Initial incomplete report, generally published with all
other abstracts from a meeting

A

Abstract

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14
Q

Observational in nature.
Describe one or more patients with regard to disease or treatment of interest.
Generally for rare or unique diseases and treatments

A

Case Report

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15
Q

Combines data from many studies and then analyzes the combined data set. Allows for much larger sample sizes than can be seen from one individual trial.

A

Meta Analysis

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16
Q

Scientifically investigates original research articles with
a pre-defined method and entry criteria including how studies are identified and how data are extracted.

A

Systematic Review

17
Q

Reviews a particular topic.
Summarizes information that the author feels is important in a manner that lacks systematic searching or analysis of the literature. Subjective summary
and analysis.

A

Narrative Review (non-systematic)

18
Q

systematically developed statements to assist
practitioner and patient decisions about appropriate health care for specific clinical circumstances

A

Clinical Practice Guidelines

19
Q

What are the components of a general assessment

A

Age
Skin
Facial features
Level of consciousness
Acute distress
Nutrition
Dress and grooming
Body structure
Behavior
Mobility

20
Q

List and explain the 4 assessment techniques used during physical examination of a print

A

Inspection: visual looking
Palpitation: touching and feeling with the hand
Percussion: striking body surface to determine underlying structures
Auscultation: listening to body sounds

21
Q

What is the core body temperature

22
Q

Normal fluctuations of body temp include

A

Diurnal: low in morning and peaks at 5pm
Age: infant higher temp while elderly have lower temp

23
Q

What are the 5 routes to measure body temp

A

Oral
Rectal 1 degree higher
Axillary (armpit) 1 degree lower
Tempanic (eardrum)
Temporal (forehead)

24
Q

Antipyretic drug examples

A

Acetaminophen
Aspirin
Ibuprofen
Naproxen

25
What is sometimes referred to a 5th vital sign
Pain
26
Subjective and objective pain examples
Subjective: verb complains, taking pain meds, ROS, pain scale Objective: facial expression, body movement, vocalization
27
What is the definition of pulse
A pressure wave felt in a peripheral artery created each time the heart contracts and pushes blood through the vasculature
28
What are drugs/substances to increase heart rate or blood pressure
Pain Hypoglycemia Hyperthyroidism Dehydration Blood loss Heart failure
29
What are drugs/substances to decrease heart rate or blood pressure
NASID Estrogen containing hormone contraceptives Verapamil Diltiazem
30
Difference between radial and brachial artery
Radial: wrist, used to access HR, heart rhythm Brachial: toward body above elbow crease, used to access BP
31
Lifestyle changes that lower BP
Diet Weight loss Exercise Emotions (decrease stress)
32
What are the four traditional vital signs
Temp BP Pulse Respiratory rate
33
What is respiratory rate and what units define it
Determined by inspection of the patient counting number of breaths RPM
34
What is a normal RR (respiratory rate)
12-20 rpm
35
What can increase or decrease RR
Fast: COPD, pulmonary embolism, pain, stress, fear Slow: opioids, overdose, toxicity, head injury, hypothyroidism
36
What is cyanosis and dyspnea
Cyanosis: blue discoloration of skin, gums, fingernails, mucous membrane, lack of O2 Dyspnea: difficulty breathing (SOB)
37
Examples of lung sounds
Wheeze/rhonchi Crackles/rales
38
Are spirometry and peak flow meter subjective or objective
Objective