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Adult Health II - (Josh) COPY > Final Blueprint (Josh) > Flashcards

Final Blueprint (Josh) Flashcards

1
Q

Possible TNM cancer staging.

A

T0 - T4

N0 - N3

M0 - M1

***T4 N3 M1 is worst dx you can have

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2
Q

Burns:

We want to promote adequate nutrition because BMR can increase by —

A

40 - 100 percent

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3
Q

Brachytherapy:

Limit visitors to no more than — a day and they must stay – away.

A

30 mins

6 feet

***no preggos or kids below 16

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4
Q

Preventing MRSA

A

Hand hygiene

Avoid close contact with those with infectious wounds

Avoid large crowds

Avoid contaminated surfaces

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5
Q

When should an amputation be elevated on pillow?

A

only after first 24 hrs

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6
Q

Normal Lactate Levels

A

0.5 - 1

***lactate greater than 1 is a sign of shock

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7
Q

Which burn injury BLANCHES?

A

Superficial (1st Degree)

Partial Thickness (2nd Degree) - Deep Dermal

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8
Q

With sepsis, what happens to glucose?

A

goes up

***more than 140 is a symptom of SIRS

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9
Q

Skin:

— are small, waxy nodules with superficial blood vessels and well-defined borders. If oral, will be found on lips.

A

Basal Cell Carcinomas

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10
Q

Burns:

Daily protein requirements are —

Daily caloric requirements are —

A

2-4 x’s normal

8000 cal per day

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11
Q

Treating MRSA - What meds?

A

Vanco

Linezolid

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12
Q

Examples of Airborne Precautions?

Droplet?

Contact?

Standard?

A

Airborne:
- TB, Measles, Chickenpox, Smallpox

Droplet:
- Mumps, Flu, Pertussis, Meneingitis, Smallpox, Plague

Contact:
- MRSA, C.diff, Pediculosis, Scabies, RSV, Smallpox, Plague

Standard:
- Antrax, Botulism

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13
Q

Why do we need to watch for infections closely with TPN?

A

bacteria like glucose

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14
Q

Dx criteria for SIRS:

  • Temp
  • HR
  • RR
  • WBC
A

Temp - greater than 38 (101) or less than 36 (98.6)

HR - greater than 90

RR - greater than 20 or PaCO2 less than 32

WBC - greater than 12000 or less than 4000 or more than 10 percent bands

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15
Q

Education regarding an EMG

A

Electromyography is a procedure that gives electrical shocks to nerves to study nerve conduction

  • inspect needle insertion site for infectoin
  • may have discomfort when electrical current is passed through
  • doc may DC muscle relaxants several days prior to prevent drugs from affecting results
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16
Q

With the Parkland Formula, how much should the fluids be given within 24 hours?

A

50 percent in first 8 hrs

25 percent in next 8 hrs

25 percent in final 8 hrs

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17
Q

With Hypovolemic Shock, always — first.

A

replace volume

***NS or LR

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18
Q

Complication of Distributive Shock

A

DIC

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19
Q

UC vs Crohn’s:

— has bloody stools.

A

UC

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20
Q

– is the primary risk factor for Genital Warts.

A

HPV

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21
Q

In hypovolemic shock, elevate —

A

feet

***or keep HOB flat or less than 30 degrees

22
Q

Cholecystitis Risk Factors - 4 f’s

A

Female
Forty
Fat
Fertile

23
Q

Which topical ointment penetrates eschar and is used for electrical burns?

A

Mafenide Acetate

  • **it’s painful, though
  • **Silver Sulfadiazine is NOT painful but doesn’t penetrate
24
Q

Nutrition education for Gout

A

Avoid proteins (organ and red meats)

Avoid starvation diets

Avoid dehydration

Increase fluids

Increase pH with alkaline foods (citrus fruits and juices, milk and dairy)

Low purines (gravy, meats, etc.)

25
Q

What is the antifungal that can treat fungal infections of mouth?

A

Nystatin

26
Q

Which skin graft is from a Human Cadaver?

Pig?

Self?

A

Homograft (Allograft)

Heterograft (Xenograft)

Autograft

27
Q

Skin:

— is precancerous

A

Actinic Keratosis

28
Q

Radiation:

How long should they avoid direct sun exposure?

A

1 year

29
Q

With — shock, the actual volume of blood isn’t lost, but it isn’t going where it’s supposed to go.

A

Distributive

30
Q

What meds are for Hypovolemic Shock?

A

Vasopressors

- NE, DA, Phenyleprhine

31
Q

Which burn injury BLISTERS?

A

Partial Thickness (2nd Degree) – Superficial Dermal

32
Q

Rule of 9’s:

How much is head?

Torso?

Arms?

Legs?

A

Head - 9 percent (4.5 on each side)

Torso - 36 percent (18 on each side)

Arms - 9 percent (4.5 on each side)

Legs - 18 percent (9 on each side)

33
Q

Ewing’s Sarcoma is a cancer of the —. What will labs look like?

A

bone

Leukocytosis (WBC greater than 10000)

Anemia (RBC less than 4.2)

34
Q

Which type of cancers are Tumor Lysis Syndrome seen in?

A

Leukemia
Lymphoma
Multiple Metastatic Conditions

35
Q

PUD:

Epigastric pain that will radiate where?

A

back

**indicates perforation is imminent

36
Q

With Acute Pancreatitis, what labs are decreased?

A

Calcium

Mag

Potassium

***Albumin can go either way

37
Q

What is the progression with Sepsis?

A

Local infection leads to…

Systemic Infection (early Sepsis) leads to…

SIRS leads to…

Organ Failure (Severe Sepsis) leads to

MODS (Septic Shock) leads to….

DEATH

38
Q

Skin:

— has scaly lesions with central ulceration and, if oral, will be found on base of tongue or tonsilar area.

A

Squamous Cell Carcinomas

39
Q

What med to treat Syphillis?

A

Benzathine Penicillin-G IM

  • 2.4 million Unit dose ONE TIME
  • Late latent and Tertiary stage gets dose EACH WK FOR 3 WKS
40
Q

Chronic Kidney Disease:

What is GFR in Stages 1 - 5

A 
Stage 1 - GFR is 90 mL or more per min
Stage 2 - GFR is 60 - 89 per min
Stage 3 - GFR is 30 - 59 per min
Stage 4 - GFR is 15 - 29 per min
Stage 5 - GFR is less than 15
41
Q

Which coral snake is dangerous?

A

Red touches yellow, dangerous fellow

Red touches black, friend to Jack

42
Q

Burns:

What are the following during the first 24 hrs:

  • HCT and Hgb
  • Na
  • K

What about 48-72 hrs?

A

First 24:

  • H and H are elevated due to fluid loss and third spacing
  • Na is decreased due to third spacing
  • K is increased due to cell destruction

48-72 hrs:

  • H and H are decreased due to fluid shifting back into vascular space
  • Na remains decreased due to renal and would loss
  • K is decreased due to renal loss and movement back into cells
43
Q

— — — is a complication seen in after first cycle of chemo and is actually a sign that chemo is working.

A

Tumor Lysis Syndrome

44
Q

RIFLE Classification:

Risk has Cr increased by – or GFR decreased by — with UOP less than normal for – hrs

Injury has Cr increased by – or GFR decreased by — with UOP less than normal for – hrs

Failure has Cr increased by – or GFR decreased by — with UOP less than normal for – hrs

Loss has complete loss of kidney function for —

ESKD has complete loss of kidney function for —

A

Risk - Cr (1.5) GFR (25 percent) UOP (6 hrs)

Injury - Cr (2) GFR (50 percent) UOP (12 hrs)

Failure - Cr (3) GFR (75 percent) UOP (24 hrs) or Anuria

Loss - 4 wks

ESKD - 3 mths

45
Q

What do you do within 3 hrs of Severe Sepsis?

A

Draw lactate levels

Give antibiotics

Obtain blood cultures

46
Q

Osteoporosis:

Which medication can cause DVT?

A

Raloxifene

**it’s an Estogen Agonist Antagonist

47
Q

Vit D deficiency leads to —

Prevent with what?

A

Osteomalacia

  • fish, butter, cheese, whole grains, cereal and milk
  • sunlight
48
Q

Hypovolemic shock will have — SVR.

A

increased

***compensatory measure

49
Q

Cancer Complications:

Patient has SOB and persistent cough and noticable dilation of veins in upper chest as well as reddish face, palms, and mucous membranes.

What does she likely have?

A

Superior Vena Cava Syndrome

50
Q

What is the Parkland Formula?

A

4 mL x TBSA x weight in kg

51
Q

Which types of foods should a chemo client avoid?

A
  • fresh fruits and veggies
  • undercooked meats
  • paprika
  • Raw nuts
  • Yogurt
52
Q

Phantom Limb Pain:

Give — during first postop week to prevent PLP.

Give — for knifelike pain.

Give — for continuous, dull, burning pain.

A

Calcitonin IV

Gabapentin

Beta Blockers (Propanolol)

Adult Health II - (Josh) COPY (13 decks)

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