Misc Flashcards

1
Q

Drowsy and falls asleep quickly, but alert when awakened

A

Lethargy

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2
Q

sleepy and drowsy even when awake

A

obtundation

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3
Q

responsive only to vigorous and repeated stimuli

A

stupor

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4
Q

unresponsive even to painful stimuli

A

coma

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5
Q

patient demonstrates unrealistic sense of persecution, jealousy, grandiose ideas, or
ideas of reference

A

Distorted thinking:

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6
Q

Umbilical cord drops of by…

A

1-2 weeks

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7
Q

5th vital sign

A

pain

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8
Q

a hard/discrete node is

A

most likely malignant

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9
Q

tender node

A

most likely inflammation

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10
Q

Slow nodal enlargement over weeks/mo

A

benign

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11
Q

rapid enlargement w/o inflammation

A

malignancy

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12
Q

PALS

A

the primary site, all associated nodes, liver, spleen

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13
Q

submandibular or cervical nodes may be normal if they are less than

A

1 cm

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14
Q

inguinal nodes may be normal if they are less than

A

2 cm

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15
Q

Aspirin, barbituates, penicillin, tetracycline, iodide, cephalosporin, sulfonamide, mesantoin

A

may cause node enlargement

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16
Q

present w/ cervical nodes usually post. rather than ant.

A

childhood diseases like rubella, varicella, rubeola or Hep A and B and infectious

17
Q

PAM List

A

Problems, allergies, medications

18
Q

DO not use list

A

U, IU, MS, MSO, MgSO, X.0, or .X, QD, QOD

19
Q

Lymph system development

A

20 weeks gestation

20
Q

antibody production

A

immature at birth

21
Q

Which lymph nodes are enlarged in infants?

A

postauricular and occipital

22
Q

Which lymph nodes are enlarged in children?

A

cervical and submandibular

23
Q

Which cervical lymph nodes are more consistent with cancer?

A

Posterior cervical nodes

24
Q

fast myelinated pain fibers

A

A-delta fibers

25
slow, diffuse, chronic fibers
C-polymodal fibers
26
pain in infants
mostly along C-polymodal fibers, less ability to modulate pain
27
Older adults pain perception
NOT diminished
28
Descriptive pain scale
none->worst pain ever
29
Numeric Pain Scale
0-10
30
PIPP uses what parameters in measure pain in infants
age, behavior, HR, O2%, brow bulge, eye squeeze, nasolabial furrow
31
Neonatal infant pain scale
facial expression, cry, breathing patterns, movement, state of arousal
32
CRIES infant pain scale
crying, O2%, HR, BP, expressions, and sleeplessness
33
Wong-Baker faces
pain scale for children
34
Oucher Scale
pain scale for children real pics
35
FLACC
pain scale for non-verbal children (F-facial, L-leg motion, A-activity, C-cry, C-consolability) each 0-2
36
Non-verbal pain scale for older adults
vocal complaints (sounds), verbal complaints (words), facial expressions, bracing, restlessness 0-5 each