Mental Health/GI Flashcards Preview

NP course > Mental Health/GI > Flashcards

Flashcards in Mental Health/GI Deck (18)
Loading flashcards...
1

Geriatric Screening - 5 items

Are you basically satisfied with your life?
Do you often get bored?
Do you feel helpless?
Stay home rather than going out?
Feel pretty worthless?
2 or more yes is positive

2

Labs for depression

CBC. lytes, glucose, BUN, creat, lives, TSH, b12, folate

3

Major depression

5 or more of the following symptoms present most of the day nearly every day for 2 consecutive weeks. At least one symptom must be depressed mood or loss of interest or pleasure.

4

SIG: E CAPS

Sleep issues
Interest
Guilt
ENergy
Concentration Difficulties
Appetite
Psychomotor agitation or irritation
Suicidality

5

Examples of SSRIs

citalopram, escitalopram
Fluoxetine
Paroxetine
Sertaline
Fluvoxamine

6

Side effects TCAs

Can't see
Can't pee
Can't spit
Can't defecate

7

TIme frame for taking antidepressants

6-9 months

8

RUQ conditions

cholecystitis, right lower lobe pneumonia, acute hepatitis

9

RLQ conditions

appendicitis, ectopic pregnancy, ovarian cyst, diverticulitis, endometriosis, ureteral calculi

10

LLQ conditions

diverticulitis, RLQ diseases

11

LUQ conditions

gastritis, pancreatitis, MI, left lower lobe pneumonia

12

Murphy's sign

cholecystitis

13

Psoas sign/Obturator test

appendicitis test

14

Rome III croteria - IBS

Recurrent abdominal pain or discomfort at least 3 days/month in the last 3 months associated with 2 or more of the following:
Relief with defecation
Onset associated with a change in frequency of stool
Onset associated with change in form or appearance of stool

15

Sx inconsistent with IBS

rectal bleeding, nocturnal or progressive abd pain, weight loss, anemia, elevated inflammatory markers, lyte disturbances

16

If HCV test result is negative:

Anti HCV not needed, no infection

17

If HCV test is positive and RIBA is negative:

no HCV infection, no further action needed

18

If HCV test is positive, RIBA is positive:

No need for HV RNA test, past/current infection, evaluate for chronic infection and liver enzymes