Podcast
Questions and Answers
What is the recommended dosage and administration method for sublingual Nitroglycerin?
What is the recommended dosage and administration method for sublingual Nitroglycerin?
- 1 tablet ingested orally every 5 minutes, maximum of 3 doses.
- 1 tablet under the tongue every 5 minutes, call 911 after the first dose. (correct)
- 1 tablet every 10 minutes until chest pain resolves.
- 2 tablets under the tongue every 5 minutes as needed.
Which medication is indicated for the treatment of unstable angina?
Which medication is indicated for the treatment of unstable angina?
- Beta blockers. (correct)
- Calcium channel blockers.
- Aspirin.
- Thrombolytics.
What is a critical sign of hypovolemic shock that should be monitored?
What is a critical sign of hypovolemic shock that should be monitored?
- Increased heart rate. (correct)
- Increased temperature.
- Increased respiration rates.
- Increased urine output.
Which wave in the PQRST complex represents atrial contraction?
Which wave in the PQRST complex represents atrial contraction?
What is the appropriate response if a fever over one degree is detected post blood transfusion?
What is the appropriate response if a fever over one degree is detected post blood transfusion?
What is the primary effect of diuretics on the body?
What is the primary effect of diuretics on the body?
What happens to urine if it becomes too acidic?
What happens to urine if it becomes too acidic?
What is a consequence of kidney failure on red blood cell production?
What is a consequence of kidney failure on red blood cell production?
What is the normal range for glomerular filtration rate (GFR) in healthy individuals?
What is the normal range for glomerular filtration rate (GFR) in healthy individuals?
At which stage of kidney disease do patients typically require transplantation or dialysis?
At which stage of kidney disease do patients typically require transplantation or dialysis?
What should not be done around a fistula in a dialysis patient?
What should not be done around a fistula in a dialysis patient?
Which of the following terms describes the progression of chronic renal failure?
Which of the following terms describes the progression of chronic renal failure?
Acute kidney injury can typically be described as:
Acute kidney injury can typically be described as:
What can be a consequence of hypokalemia?
What can be a consequence of hypokalemia?
Which of the following diuretics is potassium-sparing?
Which of the following diuretics is potassium-sparing?
What is a common cause of coronary artery disease (CAD)?
What is a common cause of coronary artery disease (CAD)?
What is the significance of cranberry in urinary health?
What is the significance of cranberry in urinary health?
What is indicated by the presence of ventricular fibrillation?
What is indicated by the presence of ventricular fibrillation?
What is a key side effect of Amiodarone?
What is a key side effect of Amiodarone?
What is a primary function of calcium channel blockers such as Verapamil?
What is a primary function of calcium channel blockers such as Verapamil?
In a medical emergency, which condition is classified as shock?
In a medical emergency, which condition is classified as shock?
What is the role of packed red blood cells in treatment?
What is the role of packed red blood cells in treatment?
What should be avoided while taking Verapamil?
What should be avoided while taking Verapamil?
Which condition is primarily indicated by low urine output and shrinking kidneys?
Which condition is primarily indicated by low urine output and shrinking kidneys?
What is the primary action of erythropoietin in kidney function?
What is the primary action of erythropoietin in kidney function?
Which blood type is known as the universal donor?
Which blood type is known as the universal donor?
In the context of coronary artery disease, what characterizes myocardial ischemia?
In the context of coronary artery disease, what characterizes myocardial ischemia?
Which diuretic is known to be potassium-sparing?
Which diuretic is known to be potassium-sparing?
Which medication is commonly used in the management of unstable angina?
Which medication is commonly used in the management of unstable angina?
What should be carefully monitored when administering loop diuretics such as furosemide?
What should be carefully monitored when administering loop diuretics such as furosemide?
What is the recommended action before administering blood products?
What is the recommended action before administering blood products?
Which of the following angina types usually subsides with rest?
Which of the following angina types usually subsides with rest?
What is a common cause of hyperkalemia in patients with kidney damage?
What is a common cause of hyperkalemia in patients with kidney damage?
What is the primary mechanism of action of nitrates in the treatment of angina?
What is the primary mechanism of action of nitrates in the treatment of angina?
Which type of angina is characterized by predictable patterns of chest pain?
Which type of angina is characterized by predictable patterns of chest pain?
What is a common adverse effect of calcium channel blockers?
What is a common adverse effect of calcium channel blockers?
Which medication is contraindicated due to its interaction with nitrates?
Which medication is contraindicated due to its interaction with nitrates?
Which statement about beta-adrenergic blockers is correct?
Which statement about beta-adrenergic blockers is correct?
What symptom is commonly associated with iron deficiency anemia?
What symptom is commonly associated with iron deficiency anemia?
In treating chronic kidney disease (CKD), what is a significant goal for GFR?
In treating chronic kidney disease (CKD), what is a significant goal for GFR?
What is the primary role of ferrous sulfate in treatment?
What is the primary role of ferrous sulfate in treatment?
Which medication is most likely to cause bradycardia as a side effect?
Which medication is most likely to cause bradycardia as a side effect?
What should be monitored in patients receiving treatment with spiralactone?
What should be monitored in patients receiving treatment with spiralactone?
What is the primary electrolyte that diuretics primarily affect in the body?
What is the primary electrolyte that diuretics primarily affect in the body?
In case of urine becoming too acidic, which substance do the kidneys retain to help neutralize it?
In case of urine becoming too acidic, which substance do the kidneys retain to help neutralize it?
What is a significant consequence of kidney failure related to blood cell production?
What is a significant consequence of kidney failure related to blood cell production?
What GFR value indicates kidney impairment that requires close monitoring?
What GFR value indicates kidney impairment that requires close monitoring?
What is the final stage of chronic renal failure progression before transplantation or dialysis is necessary?
What is the final stage of chronic renal failure progression before transplantation or dialysis is necessary?
What should be avoided around a fistula in a dialysis patient to prevent complications?
What should be avoided around a fistula in a dialysis patient to prevent complications?
Which of the following correctly describes the mechanism of action of beta-adrenergic blockers?
Which of the following correctly describes the mechanism of action of beta-adrenergic blockers?
What is a common adverse effect associated with the use of nitrates for angina management?
What is a common adverse effect associated with the use of nitrates for angina management?
Which condition is least likely to be effectively treated with calcium channel blockers?
Which condition is least likely to be effectively treated with calcium channel blockers?
Which of the following interventions should be monitored carefully in patients receiving furosemide?
Which of the following interventions should be monitored carefully in patients receiving furosemide?
Which adverse effect is specifically associated with nitrates through administration of topical or patch forms?
Which adverse effect is specifically associated with nitrates through administration of topical or patch forms?
What is a key characteristic of Prinzmetal's angina?
What is a key characteristic of Prinzmetal's angina?
What is a common side effect of furosemide that healthcare providers should monitor?
What is a common side effect of furosemide that healthcare providers should monitor?
Which of the following characteristics is NOT associated with hypokalemia?
Which of the following characteristics is NOT associated with hypokalemia?
Which medication can lead to pulmonary toxicity as an adverse effect?
Which medication can lead to pulmonary toxicity as an adverse effect?
What is a significant consequence of untreated chronic pyelonephritis?
What is a significant consequence of untreated chronic pyelonephritis?
In the management of angina pectoris, which of the following statements is true?
In the management of angina pectoris, which of the following statements is true?
What should be monitored in patients receiving treatment with beta-blockers?
What should be monitored in patients receiving treatment with beta-blockers?
Which electrolyte must be corrected before starting Amiodarone therapy?
Which electrolyte must be corrected before starting Amiodarone therapy?
What physiological change occurs during depolarization in cardiac action potentials?
What physiological change occurs during depolarization in cardiac action potentials?
Which of the following medications is primarily used to treat stable angina by decreasing heart rate?
Which of the following medications is primarily used to treat stable angina by decreasing heart rate?
Which condition is most likely to lead to increased levels of potassium in a patient with chronic kidney disease?
Which condition is most likely to lead to increased levels of potassium in a patient with chronic kidney disease?
What is the primary rationale for using thrombolytics in acute coronary syndrome?
What is the primary rationale for using thrombolytics in acute coronary syndrome?
Which one of the following is a critical intervention for managing severe kidney damage due to hypovolemia?
Which one of the following is a critical intervention for managing severe kidney damage due to hypovolemia?
Which is a primary effect of administering furosemide to patients?
Which is a primary effect of administering furosemide to patients?
What is a common adverse effect associated with long-term use of procainamide?
What is a common adverse effect associated with long-term use of procainamide?
Which dietary modification should patients on spironolactone adhere to in order to prevent significant adverse effects?
Which dietary modification should patients on spironolactone adhere to in order to prevent significant adverse effects?
In assessing a patient with acute coronary syndrome, which medication is critical for pain management?
In assessing a patient with acute coronary syndrome, which medication is critical for pain management?
Which blood product is typically administered to patients experiencing massive hemorrhage?
Which blood product is typically administered to patients experiencing massive hemorrhage?
What is the recommended action regarding potassium levels before administering any form of diuretics?
What is the recommended action regarding potassium levels before administering any form of diuretics?
Flashcards
Diuretic effect on electrolytes
Diuretic effect on electrolytes
Diuretics primarily affect sodium and potassium levels.
Acidic urine compensation
Acidic urine compensation
If urine becomes too acidic, the kidneys retain bicarbonate to neutralize it.
Kidney failure & erythropoietin
Kidney failure & erythropoietin
Kidney failure reduces erythropoietin, leading to lower red blood cell (RBC) and platelet counts.
Glomerular Filtration Rate (GFR)
Glomerular Filtration Rate (GFR)
GFR is a measure of kidney function; higher is better, ideally above 90.
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Kidney failure stages
Kidney failure stages
Kidney failure stages (1-5) show increasing impairment, with stage 5 requiring dialysis or transplant.
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Filtrate composition
Filtrate composition
Filtrate in Bowman's capsule initially resembles plasma, but its composition progressively changes.
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Tubular reabsorption
Tubular reabsorption
Essential substances are reabsorbed from the filtrate back into the blood within the nephron.
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Dialysis access precautions
Dialysis access precautions
Avoid drawing blood, IVs, blood pressure checks, and tourniquets near dialysis fistulas.
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BPH (Benign Prostatic Hypertrophy)
BPH (Benign Prostatic Hypertrophy)
An enlargement of the prostate gland, often causing difficulty urinating.
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Furosemide
Furosemide
Loop diuretic; it reduces fluid volume by increasing urine output, but it does not save potassium.
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Hypokalemia
Hypokalemia
Low potassium levels in the blood.
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Normal Potassium Levels
Normal Potassium Levels
3.5-5.0 mEq/L.
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Thiazide Diuretics
Thiazide Diuretics
Diuretics that reduce fluid volume, similar to loop diuretics but less potent, also not potassium-sparing
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Spironolactone
Spironolactone
Potassium-sparing diuretic that can cause tumors.
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Pyelonephritis
Pyelonephritis
Kidney infection affecting collecting ducts, renal parenchyma, and pelvis.
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Coronary Artery Disease (CAD)
Coronary Artery Disease (CAD)
Narrowing of the arteries supplying blood to the heart.
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Angina Pectoris
Angina Pectoris
Chest pain due to reduced blood flow to the heart, goes away with rest or stopping exertion
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Shock
Shock
Medical emergency where organs aren't getting enough blood flow.
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Massive Hemorrhage
Massive Hemorrhage
Severe bleeding requiring immediate intervention, often requiring blood transfusions.
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Universal Blood Donor
Universal Blood Donor
Blood type O negative (O-). It can be transfused to any blood type in an emergency.
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Universal Blood Receiver
Universal Blood Receiver
Blood type AB positive (AB+). It can receive blood from any type.
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Kidney damage (Pre-renal)
Kidney damage (Pre-renal)
Kidney damage caused by reduced blood flow to the kidneys.
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GFR
GFR
Glomerular Filtration Rate. A measure of how well the kidneys filter blood; a high number means healthy function.
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Stable Angina
Stable Angina
Chest pain that subsides with rest and is triggered by exertion.
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Troponin
Troponin
A protein released into the blood after a heart attack.
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Myocardial Infarction (MI)
Myocardial Infarction (MI)
A heart attack; blockage of blood flow to the heart, causing cell damage.
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Thrombolytic
Thrombolytic
Medication to break up blood clots.
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Loop Diuretics
Loop Diuretics
Drugs that increase urine output by blocking the reabsorption of sodium and chloride in the kidneys; watch for electrolyte imbalance.
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Stable Angina
Stable Angina
Predictable chest pain, often triggered by exertion, resolving with rest or stopping the activity, managed with beta-blockers like atenolol.
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Unstable Angina
Unstable Angina
Sudden, unpredictable chest pain that does not resolve with rest. Serious and requires urgent medical attention, treated with sublingual Nitroglycerin.
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STEMI
STEMI
A severe heart attack requiring prompt treatment with MONA (Morphine, Oxygen, Nitroglycerin, Aspirin).
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Blood Administration
Blood Administration
Procedure requiring priming with normal saline solution, double-checking ABO/RH compatibility, and monitoring vital signs throughout for adverse reactions
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Norepinephrine/Vasopressin in Shock
Norepinephrine/Vasopressin in Shock
Hormones used to treat shock by constricting blood vessels to maintain adequate blood pressure. This is often a part of the treatment for Hypovolemic Shock (low blood volume).
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Angina Types
Angina Types
Angina is categorized as stable (predictable) or unstable (unpredictable) or Prinzmetal (coronary artery spasms).
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Nitroglycerin MOA
Nitroglycerin MOA
Nitroglycerin (Nitro) dilates both veins and arteries, significantly and rapidly.
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Nitroglycerin Precautions
Nitroglycerin Precautions
Administer Nitro up to every 5 minutes, maximum 3 doses, screen for concomitant use of ED meds.,antihypertensives and/or alcohol.
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Beta-blocker MOA
Beta-blocker MOA
Beta-blockers decrease heart rate and contractility by influencing the sympathetic nervous system.
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Beta-blocker use in angina
Beta-blocker use in angina
Beta-blockers are often used to prevent stable angina, but not for vasospastic angina.
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Calcium Channel Blocker MOA
Calcium Channel Blocker MOA
Calcium channel blockers relax smooth muscles, dilate coronary arteries and treat atrial dysrhythmias.
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Unstable Angina/MI Differentiation
Unstable Angina/MI Differentiation
Unstable angina and a possible MI are differentiated based on Troponin 1 and/or T levels, if increased, confirms a MI. If not, it is Unstable, and MONA is the treatment.
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Anemia Classification
Anemia Classification
Anemia can be categorized as macrocytic (large cells), microcytic (small cells), or normocytic (normal cells) based on RBC morphology.
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Pernicious Anemia Cause
Pernicious Anemia Cause
Pernicious anemia arises from the body's inability to absorb vitamin B12 due to a lack of intrinsic factor, often associated with stomach surgeries.
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Iron Deficiency Anemia Cause
Iron Deficiency Anemia Cause
Iron deficiency anaemia is frequently linked to blood loss (GI bleeds, menstruation, pregnancy), inadequate iron intake and absorption.
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Diuretic effect
Diuretic effect
Diuretics primarily affect sodium and potassium electrolytes.
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Acidic urine compensation
Acidic urine compensation
Kidneys hold bicarbonate to neutralize overly acidic urine.
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Kidney failure & RBCs
Kidney failure & RBCs
Kidney failure reduces erythropoietin, impacting red blood cell and platelet production.
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GFR & Kidney health
GFR & Kidney health
Glomerular Filtration Rate (GFR) measures kidney function; a higher number (above 90) is ideal.
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Fistula precautions
Fistula precautions
Avoid drawing blood, IVs, blood pressure checks, and tourniquets near dialysis fistulas.
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Acute kidney recovery
Acute kidney recovery
Acute kidney disease or injury can sometimes be reversed.
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BPH
BPH
Enlarged prostate causing urination difficulty.
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Furosemide
Furosemide
Loop diuretic. Increases urine output, but LOSES potassium.
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Hypokalemia
Hypokalemia
Low potassium levels.
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Normal Potassium
Normal Potassium
3.5-5.0 mEq/L.
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Pyelonephritis
Pyelonephritis
Kidney infection in collecting ducts, renal tissue, & pelvis.
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Coronary Artery Disease
Coronary Artery Disease
Narrowing of coronary arteries.
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Angina Pectoris
Angina Pectoris
Chest pain from reduced blood flow. Stops with rest.
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Shock
Shock
Medical emergency; organs don't get enough blood.
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Stable Angina
Stable Angina
Predictable chest pain triggered by exertion, relieved by rest.
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Unstable Angina
Unstable Angina
Sudden, unpredictable chest pain not relieved by rest, serious, urgent care needed.
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Prinzmetal Angina
Prinzmetal Angina
Angina caused by coronary artery spasms, cyclical pain.
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Nitroglycerin MOA
Nitroglycerin MOA
Dilates both veins and arteries, rapidly.
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Beta-blocker MOA
Beta-blocker MOA
Slows heart rate and reduces contractility, affecting sympathetic nervous system.
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Troponin levels and MI
Troponin levels and MI
Elevated Troponin levels indicate a heart attack (MI).
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Massive Hemorrhage
Massive Hemorrhage
Severe bleeding requiring immediate intervention, often needing blood transfusions.
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Universal Donor
Universal Donor
Blood type O negative (O-). Can be transfused to anyone.
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Universal Receiver
Universal Receiver
Blood type AB positive (AB+). Can receive from any blood type.
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Pre-renal Kidney Damage
Pre-renal Kidney Damage
Kidney damage caused by reduced blood flow to the kidneys.
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GFR (Glomerular Filtration Rate)
GFR (Glomerular Filtration Rate)
A measure of kidney function; higher is better, ideally above 90.
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Stable Angina
Stable Angina
Chest pain triggered by exertion, subsides with rest.
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Troponin
Troponin
Protein released into blood after a heart attack.
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Myocardial Infarction (MI)
Myocardial Infarction (MI)
Heart attack; blockage of blood flow results in cell damage.
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Thrombolytic
Thrombolytic
Medications that dissolve blood clots.
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Loop Diuretics
Loop Diuretics
Drugs increasing urine output by blocking sodium and chloride reabsorption.
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