Grief and Loss

Question 1

grief

Answer 1

refers to the personal feelings
that accompany an anticipated or
actual loss

Question 2

mourning

Answer 2

refers to individual, family,
group, and cultural expressions of grief
and associated behaviors

Question 3

bereavment

Answer 3

refers to the period of
time during which mourning for a loss
takes place

Question 4

kubler ross

Answer 4

Denial
* Anger
* Bargaining
* Depression
* Acceptance

Question 5

anticipatory grief

Answer 5

unconsciously preparing for what might happen

Question 6

uncomplicated greif

Answer 6

rnage of emotions experience after a olss moving toward adjustment
breif periods of relapse common

Question 7

complicated or prolonged grief

Answer 7

intense response after loss where profound emotions persist usually >1yr

Question 8

disenfranchised grief

Answer 8

grievingperson feels socilety does not acknowledge or support person’s right to greive

Question 9

unresolved grief

Answer 9

traumatic or unexpected loss

Question 10

parkinsons’s disease

Answer 10

Progressive
Neurodegenerative
Disease of the basal
ganglia
decreased dopamine
involuntary mvmts while still: pill rolling, shuffling gait, drooling, stooped over, bradykinesia

Question 11

manifestations of parkinsons

Answer 11

Tremor
* Rigidity
* Bradykinesia
* Postural Instability

Question 12

added manifestations of parkinsons

Answer 12

Autonomic
Dysphagia
Psychiatric
Cognitive
Hypokinesia

Question 13

complications of parkinsons

Answer 13

Respiratory infections
* UTI
* Skin breakdown
* Falls

Question 14

what do antiparkinsons drugs do

Answer 14

Enhance or
release supply
of Dopamine
Decrease
cholinergic
effects
Act on
neurotransmitt
er pathways

Question 15

levodopa side effects

Answer 15

dyskinesias
on-off

Question 16

on-off phenomenon

Answer 16

when meds wear off, pt appears worse
when patient takes meds, appears much better

Question 17

L sided hf

Answer 17

dysfxn of L ventricle
decreased co
pulm congestion from increased pulm vessels

Question 18

systolic L sided hf

Answer 18

decreased L ventricle contraction dt myocardial stretching
reduced ejection fraction
less blood pumped systemically

Question 19

diastolic L sided hf

Answer 19

heart muscle is hypertrophied
usually caused by htn
prevents aquedate co
preserved ejection fraction
cant get enoug in

Question 20

decreased co clinical manifestations

Answer 20

Fatigue/weakness
* Oliguria
* Angina
* Confusion, restlessness
* Dizziness
* Tachycardia, palpitations
* Pallor
* Weak peripheral pulses
* Cool extremities

Question 21

clinical manifestations pulmonary congestions

Answer 21

Hacking cough
* Dyspnea
* Crackles or wheezes in lung
sounds
* Frothy, pink tinged sputum
* Tachypnea
* S3/S4 heart sounds

Question 22

R sided hf

Answer 22

Caused by left ventricular
failure, right ventricular
MI, or pulmonary
hypertension
* Right ventricle cannot
completely empty

Question 23

clincial manifestations r sided hf

Answer 23

Jugular Venous Distension
*Enlarged Liver and Spleen
*Anorexia and nausea
*Dependent edema
*Distended abdomen
*Polyuria at night
*Weight gain

Question 24

labs for hf

Answer 24

BNP- elevates when fluid is present
CMP
CBC

Question 25

aces

Answer 25

pril suppress raas vasodilation nagging cough watch renal labs

Question 26

arbs

Answer 26

sartan

Question 27

furosedmide

Answer 27

loop diruectic ivp acute episodes monitor hypokalemia

Question 28

bb

Answer 28

metoprolol blocks sympathetic comensatory resp monitor low hr and bp cant use if they have asthma or copd

Question 29

nitro

Answer 29

isosorbide HA-tylenol vasodilators decreases preload decreases o2 demands of heart can decreased affterload monitor bp

Question 30

morphine

Answer 30

reduces preload and afterload decreases o2 demands of heart manages anxiety and dyspnea

Question 31

dig

Answer 31

cardiac glycoside trats chronic hf increases contractility decreases hr apical hr dig toxicity-hypokalemia and halos

Question 32

increasing perfusion

Answer 32

med ed sodium/fluid resctriction no salt substitues strict io dw

Question 33

emergency treatment pul edema

Answer 33

diruetics nitro vent morphine

Question 34

MAWDS

Answer 34

meds activity wt diet symptoms

Question 35

cardiac diet

Answer 35

limit sodium 2-3 g limit fuid 2l

Question 36

med teaching hf

Answer 36

avoid nsaids

Question 37

a line

Answer 37

alarm must be on hold pressure if comes out continueous bp monitoring clots common hourly: color, pulse, temp, cap refill distal infarct

Question 38

central venous monitoring

Answer 38

about volume status sits in r atrium 0-5 normal in negatives- hypovolemia over 20- need diuretics

Question 39

swan ganz

Answer 39

measures both cvp and pulm pressures

Question 40

parkinsons risk

Answer 40

aspiration speech therapy post op b4 eating or drinking

Question 41

side effect of levodopa

Answer 41

tardive dyskinseia lip smacking tics

Question 42

what does 30% ef indicate

Answer 42

pt is in hf needs pacemaker or icd