final

Question 1

oxygen humidification

Answer 1

if more than 4L/min

Question 2

nasal cannula highest rate

Answer 2

6

Question 3

trach tube dislodgement

Answer 3

1st 72 hrs- vent w bag and call rapid response

after 72 hrs- clamp open and replace tube

Question 4

tracheomalasia

Answer 4

constant pressure exerted by cuff causes tracheal dilation and erosion of cartilage- nothing unless bleeding, switch to uncuff ASAP

Question 5

trachea-innominate artery fistula

Answer 5

pulses, remove tube, emergency

Question 6

trach cuff pressure

Answer 6

14-20

Question 7

trach educatio-4

Answer 7

shower shield, cover w loose cotton cloth, increase humidity in home, med alert abot no speaking

Question 8

epistaxis

Answer 8

nosebleed

Question 9

head and neck cancer

Answer 9

painless hoarseness

Question 10

meniere’s disease

Answer 10

hydrops diet, low Na, avoid caffiene

Question 11

dermatonal distribution

Answer 11

shingles along nerve

Question 12

squamous cell

Answer 12

fixed nodular, rapid metastasis

Question 13

basal cell

Answer 13

pearly papule, rare metastasis

Question 14

melanoma

Answer 14

horizontal followed by verticle growth

Question 15

vancomycin

Answer 15

redman syndrome, no bolus, IV at least 1 hr

Question 16

high sp gravity

Answer 16

dehydrated

Question 17

renal impairment labs

Answer 17

Cr 1.5 +, GFR 45+

Question 18

thiazide diuretic

Answer 18

stone expulsion, hypo K, hypo Na, hypergly, gout

-decrease libido, caution DM, monitor K

Question 19

kid fail labs

Answer 19

H and H drop

Question 20

chronic pyelonephritis

Answer 20

inf urine reflux, use of NSAIDS, inability to conserve Na

Question 21

glomerulonephritis

Answer 21

Grp A strep, cola urine, restrict protein and Na

Question 22

chronic glomerulonephritis

Answer 22

fixed sp gravity 1.010, flase normal Na

Question 23

nephrotic syndrome

Answer 23

massive loss albumin, low albumin

Question 24

diabetic neuropathy

Answer 24

leading cause of ESKD, r/t hypergly, high GFR

Question 25

heparin antidote

Answer 25

protamine sulfate, PTT

Question 26

venous disease

Answer 26

no pain, +pulse, elevate

Question 27

aterial disease

Answer 27

pain, - pulse, don’t elevate, no edema

Question 28

Ca channel blockers

Answer 28

no grapefruit

Question 29

ACE inhibitor

Answer 29

nagging dry cough, “pril”, hypo ortho, don’t stop

Question 30

beta block

Answer 30

not usual s/s hypogly, sex dys, “olol”, don’t stop

Question 31

OA drug biophosphates

Answer 31

no Ca and Vit D

Question 32

bone CA

Answer 32

Paget’s ewings sarcoma

Question 33

leukemia

Answer 33

WBC blast cells, neutropenic precautions, bone pain

Question 34

hodgekins

Answer 34

lymph node, painless

Question 35

nonhodgekins

Answer 35

lymph CA, no reed-sternberg cells

Question 36

sickle cell

Answer 36

hem A replaced by hem S, high bili, vaso occlusive crisis

Question 37

morphine

Answer 37

constipation

-antidote naloxone

Question 38

fluoroquinolons

Answer 38

“floxacin”, cipro, bacterialcidal, photosensitivity, avoid Ca and Mg
-toxic- diarrhea, rash

Question 39

loop diuretics

Answer 39

lasix, acute renal fail, increase K intake, ototoxic, SIADH

Question 40

K sparing

Answer 40

K retention and Na excretion, avoid K supplements

Question 41

statins

Answer 41

rhabdo, hepatotoxic

Question 42

coumadin

Answer 42

INR, vit K antidote

Question 43

aplastic anemia

Answer 43

pancytopenia

Question 44

pernicious anemia

Answer 44

B12