LP1 Flashcards

(91 cards)

1
Q

medications for anxiety

A

-SSRI antidepressants
-antianxiety
-behavioral therapies

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2
Q

example of SSRI antidepressant

A

-sertraline (Zoloft)
-citalopram (Celexa)
-fluoxetine (Prozac)

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3
Q

example of antianxiety

A

diazepam (Valium)

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4
Q

example of behavioral therapy

A

*relaxation training
*modeling

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5
Q

medications for depression

A

-SSRI’s
-tricyclic antidepressants
-monoamine oxidase inhibitors
-atypical antidepressants

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6
Q

example of tricyclic antidepressants

A

amitriptyline (Elavil)

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7
Q

example of monoamine oxidase inhibitors

A

phenelzine (Nardil)

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8
Q

example of atypical antidepressant

A

buproprion (Wellbutrin)

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9
Q

Complementary Therapies

A

Light therapy-inhibits nocturnal secretion of melatonin

Electroconvulsive therapy-can be used for clients who have a depressive disorder and are unresponsive to other treatments

Psychotherapy

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10
Q

Schizophrenia is:

A

Psychotic disorder that affects thinking, behavior, emotions, and perception of reality. Occurs late teens/early twenties

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11
Q

Schizophrenia: positive symptoms

A

hallucinations, delusions, bizarre behavior

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12
Q

Schizophrenia: negative symptoms

A

flat affect, lack of motivation, lack of joy

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13
Q

Schizophrenia: cognitive symptoms

A

impaired judgment, illogical thinking, extreme agitation

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14
Q

Schizophrenia: Comorbidities

A

substance abuse, nicotine dependence, depression, anxiety

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15
Q

Medications for Schizophrenia:
First-generation/conventional antipsychotics

A

-haloperidol (Haldol)
-chlorpromazine (Thorzine)

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16
Q

Medications for Schizophrenia: Second-generation/atypical antipsychotics

A

risperidone (Risperdal)
clozapine (Clozaril)
olanzapine (Zyprexa)

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17
Q

Medications for Schizophrenia: Third-generation/antipsychotics

A

aripiprazole (Abilify)

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18
Q

what are Delirium and Dementia (Cognitive Disorders)?

A

Illness or disease of brain that is progressive and chronic.

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19
Q

Delirium and Dementia (Cognitive Disorders): risk factors

A

physiological changes, nutrition deficiencies, substance abuse, genetics, Parkinson’s

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20
Q

What is delirium?

A

rapid onset, LOC changes, reversible, unstable vital signs

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21
Q

What is dementia?

A

chronic, LOC unchanged, not reversible, stable vital signs

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22
Q

Delirium and Dementia (Cognitive Disorders): safety

A

good lighting, no clutter, door locks, hand rails, monitor adequate nutrition, supervise meds

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23
Q

Alzheimer’s Disease: stage 1

A

Mild-memory lapses, misplacing items, difficulty concentrating and organizing, still able to perform ADLs

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24
Q

Alzheimer’s Disease: stage 2

A

Moderate-forgetting events of one’s own history, difficulty performing tasks that require planning, can wander and get lost

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25
Alzheimer’s Disease: stage 3
Severe-losing ability to converse with others, assistance required with ADLs, losing awareness of one’s environment
26
What is depression?
a mood disorder that is wide spread, ranking high among causes of disabilities
27
depression: symptoms
include depressed mood, difficulty sleeping or excessive sleeping, indecisiveness, ↓ ability to concentrate, suicidal ideation, lack of ability to feel pleasure
28
depression: Co-existing disorders:
Anxiety, schizophrenia, substance abuse, eating disorder
29
depression: Risk factors
family/personal HX, postpartum, poor social support, > 65 yr old
30
Substance Abuse/Chemical Dependency : what is abuse?
repeated use of substance despite negative consequences
31
Substance Abuse/Chemical Dependency : what is chemical dependency?
addiction, physical or emotional, tolerance to the drug, withdrawal syndrome, or lack of success at controlling use
32
Substance Abuse/Chemical Dependency : risk factors
↓self-esteem, few meaningful relationships, risk-taking tendencies, few life successes
33
Substance Abuse/Chemical Dependency : intended effects?
relax, ↓anxiety, relief from pain
34
what is IPV?
-Intimate Partner Violence -Often begins with pregnancy -Affects women across all ethnic, educational, religious, socioeconomic backgrounds
35
plan of care for IPV
Language: survivor vs victim—be direct, honest, and professional, don’t display horror, anger, or shock Provide resources of nearest shelter Plan of action – restraining order
36
what is economic abuse?
withholding of financial support or illegal use of funds for one’s personal gain
37
Primary infertility (AKA subfertility) is?
Woman has never been pregnant
38
secondary infertility (AKA subfertility) is?
Occurs when a woman has been pregnant in past
39
Factors associated with infertility (AKA subfertility)?
-Delaying pregnancy -STI
40
What is infertility (AKA subfertility)?
Inability to conceive despite engaging in unprotected sexual intercourse for a prolonged period of time or at least 12 months
41
Common factors associated with infertility (AKA subfertility)?
-Decreased sperm production -Endometriosis -Ovulation disorders -Tubal occlusions
42
Reproductive Alternatives AKA: Assisted Reproductive Therapies (ART)
-In Vitro Fertilization (IVF) -Gamete Intrafallopian Transfer (GIFT) -Intra-uterine Insemination (IUI) -Ovulation Induction (hyperstimulation) -Adoption -Surrogate mothers
43
Birth Control Methods: Permanent sterilization
Bilateral tubal ligation, vasectomy
44
Birth Control Methods: Rhythm method
Develop “fertile awareness” by noting: cervical mucus changes, menstrual cycle pattern, basal temperature
45
Birth Control Methods: Oral contraceptives
-Pill is taken daily -Adverse effects: breast tenderness, spotting, nausea -Patient needs to avoid smoking
46
Birth Control Methods: Ethinyl estradiol and norelgestromin (Ortho Evra)
-contraception patch -Replace patch each week for 3 weeks -Period will begin on week 4 (no patch)
47
Birth Control Methods: Medroxyprogesterone
-(DepoProvera) -Injection admin'ed q3mos -Back up form of birth control needed for 7 days after first injection -Fertility return approx 1 year after stopping -Can breast feed while on Depoprovera
48
Birth control methods: Emergency contraception
-Larger-than-normal dose of oral contraceptive taken no later than 72 hr after unprotected sex -second dose repeated 12 hr later -Not used as primary method of birth control
49
birth control methods: Condom
-Use with spermicide -Protects against STDs
50
birth control methods:
51
birth control methods: Etonogestrel, ethinyl estradiol vaginal ring
-(NuvaRing) -Placed deep into the vagina once every 3 weeks -Removed during week 4; menses should begin
52
birth control methods: Intrauterine device
- (IUD) -Contraindicated for women with diabetes or hx of PID -High risk of infection, may have heavy periods
53
birth control methods: Cervical diaphragm
-Use with spermicide -Fit by prescriber -Leave in place 6 hr after intercourse -refit with weight loss/gain
54
menarche
Menarche is the first menstrual cycle, or first menstrual bleeding, in female humans
55
Menopause
complete cessation of menstruation for 1 year
56
Over age 65 need pap smear?
no screening if pap tests normal in past 10 yr and no h/o cervical cancer
57
Women of any age w/ hysterectomy need pap smear?
do not need screening
58
what is Chlamydia?
-common STI that may not cause symptoms -affects ppl of all ages but is most common in young women. -Symptoms may include genital pain and discharge from the vagina or penis. -Antibiotic therapy is recommended -can cause infertility -increased risk of ectopic pregnancy -increased risk of acquiring HIV
59
how to treat newborns whose mothers were positive for chlamydia?
erythromycin ointment in eyes after birth
60
Chlamydia: who needs to be screened?
-all sexually active women ˂ 24 Y.O. (including pregnant women) -all women screened at 1st OB appt
61
do men get screened for chlamydia?
only if they're sexually active & have risk factors
62
STI tests for ALL pregnant women:
-Hep B -syphilis -HIV (w/consent)
63
STI tests for pregnant women if risk factors are present:
chlamydia and gonorrhea, if risk factors
64
HIV what is it?
-a retrovirus that causes destruction of T lymphocytes, resulting in immunsuppression.
65
how is HIV transmitted to a neonate?
-perinatally through the placenta and postnatally through breast milk -Perinatal transmission ↓ significantly with treatment
66
when should newborn injections and blood testing take place, post birth?
not until after the 1st bath is given
67
if the client is HIV positive & taking antiviral meds, can they pass HIV to their neonate?
yes
68
what are risk factors for HIV?
-IV drug use -multiple sexual partners -maternal hx of multiple STI's
69
expected findings with HIV
-fatigue -influenza like -fever -diarrhea & weight loss -lymphadenopathy & rash -anemia
70
treatment for HIV
-ART OR HAART -given PO & should be taken ASAP throughout pregnancy & before onset of labor or c-section
71
HIV education
-use protection during sex to prevent further exposure to HIV, which would increase the viral load -do not breastfeed -provider must report the disease
72
TORCH infections
-Toxoplasmosis -Other (hepatitis) -Rubella -Cytomegalovirus -Herpes simplex
73
what are TORCH infections?
can cross placenta and produce teratogenic effects on fetus
74
risk factors for toxoplasmosis & manifestations
-handling cat feces or consumption of raw or undercooked meat -s/s similar to flu lymphadenopathy
75
what are the "other" TORCH infections
-hep A & B -syphilis -mumps -parvovirus B19 -varicella-zoster (shingles)
76
expected findings of toxoplasmosis
-often none, but can experience flu-like s/s or lymphadenopathy (malaise, muscle aches, & flu-like s/s) -fever & tender lymph nodes
77
expected findings of rubella
joint and muscle pain, rash, fever, and mild lymphadema
78
expected findings of cytomegalovirus (CMV)
no manifestations or mononucleosis-like s/s
79
expected findings of herpes simplex infection
painful blisters and tender lymph nodes & lesions
80
how to treat gonorrhea
anti-viral med
81
s/s of gonorrhea
-Often asymptomatic -Premature rupture of membranes (PROM) -Preterm birth -Chorioamnionitis (infection in the amniotic fluid) -Neonatal sepsis -IUGR-intrauterine growth restriction (small baby) -Maternal postpartum infection -grey/yellowish vaginal discharge
82
what is syphilis?
-a bacterial infection, an STI -1st stage: a painless sore on genitals, rectum, or mouth. -2nd stage: after initial sore heals a rash develops. -Then, no symptoms until the final stage which may occur years later. -final stage can result in damage to the brain, nerves, eyes, or heart (death if untreated)
83
test for syphilis?
Determined through a blood test (RPR, VDRL)
84
what pregnant women would be screened for syphilis?
all women screened at 1st OB visit
85
possible result of syphilis during pregnancy
-Can be passed to neonate during pregnancy -Late miscarriage, stillbirth if untreated
86
possible result of syphilis to neonate
By end of 1st week of life, rash appears
87
HPV
-genital/venereal warts -may increase/decrease w/ pregnancy -if prolific lesions may need a c-section
88
HSV
-herpes simplex virus -primary infection during 1st trimester associated w/ miscarriage -lots of lesions present during labor = have to have a c-section -tx: antiviral med
89
Hep A/B/C
-Hep b most threatening to fetus and neonate -screened HBsAg 1st prenatal visit
90
vaginal infections (not sexually transmitted)
-Bacterial vaginosis (BV): overgrowth of bacteria Assoc with preterm labor and birth -Candidiasis (yeast): thrush in NB -Group B streptococcus (GBS): Normal flora in non-pregnant women/assoc'ed with neonatal morbidity and mortality/All women screened 35 – 37 wks (to rec'v antiobiotic if +)
91
vaginal infections (sexually transmitted)
Trichomoniasis: Premature rupture of membranes (PROM), postpartum endometritis (infection)