Mark Klimek- Yellow Book PDF
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University of Florida
Mark Klimek
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These notes provide a practice examination on medical topics such as acid-base balances and blood gases. The material includes questions to test understanding of the concepts.
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Mark Klimek Yellow Book Return to deck 1. Rule of the ': If the ____ and the _____ are ______ in the ame direction then it i meta_____ pH, icar, oth, olic 2. pH 7.30_______ HCO3 20_______ ↓= acidoi; ↓= meta...
Mark Klimek Yellow Book Return to deck 1. Rule of the ': If the ____ and the _____ are ______ in the ame direction then it i meta_____ pH, icar, oth, olic 2. pH 7.30_______ HCO3 20_______ ↓= acidoi; ↓= metaolic 3. pH 7.58_______ HCO3 32_______ ↑= alkaloi; ↑= metaolic 4. pH 7.22_______ HCO3 30_______ ↓= acidoi; ↑= repirator 5. You are providing care to a client with the following lood ga reult: pH 7.32, CO2 49, HCO3 29, PO2 80, and SaO2 90%. aed on thee reult, the client i experiencing: ↓= acidoi; ↑= repirator 6. MacKumaul The onl acid ae to caue Kumaul repiration i Metaolic ACidoi 7. A the _______ goe, o goe _______ except for _______ pH, m patient, Potaium 8. Up hokalemia, alkaloi, HTN, Tachcardia, Tachpnea, Seizure, Irritailit, Spatic, Diarrhea, ororgme, hperreflexia, etc 9. Down hperkalemia, acidoi, htn, radcardia, contipation, aent owel ound, flacid, radpnea 10. Caue of acidae imalance: Firt ak ourelf, "I it _______?" If e, then it' _______. Then ak ourelf: "Are the _______ or _______. If _______, pick _______. If _______, pick _______ lung, repirator, overventilating, underventilating, overventilating, alkaloi, underventilating, acidoi 11. Caue of acidae imalance: If it' not lung, then it' _______. If the patient ha _______ _______ vomiting or uction, pick _______. For everthing ele that in't lung, pick _______ _______. When ou don't know what to pick, chooe _______ metaolic, prolonged gatric, alkaloi, metaolic acidoi, metaolic acidoi 12. High preure alarm are triggered _______ reitance to air flow. increaed 13. High preure alarm are triggered increaed reitance to airflow and can e caued otruction of three tpe: _______ action, _______ action, _______ action (kinked tue) unkink, (water in tue) empt, (mucu in airwa) cough and deep reathe 14. Low preure alarm are triggered _______ reitance to airflow. decreaed 15. Low preure alarm are triggered decreaed reitance to airflow and can e caued diconnection of the _______ or _______ tuing (reconnect it), oxgen enor tue (reconnect it UNLSS tue i on the floor ag them and call RT if thi happen) 16. Repirator alkaloi mean ventilator etting ma e too _______ high 17. Repirator acidoi mean ventilator etting ma e too _______ low 18. What doe "wean" mean? graduall decreae with the goal of getting off altogether 19. What i Malow' highet priorit to lowet priorit? 1. Phiological 2. Safet 3. Comfort 4. Pchological (prolem within the peron) 5. Social (prolem with other people) 6. Spiritual 20. Arrange from highet to lowet priorit uing Malow': Denial Spiritual Ditre Pain in low Fall Rik Pathological Famil Dnamic lectrolte Imalance lectrolte Imalance (Phiological) Fall Rik (Safet) Pain in low (Comfort) Denial (Pchological) Pathological Famil Dnamic (Social) Spiritual Ditre (Spiritual) 21. What are the 5 tage of grief? Denial Anger argain Depreion Acceptance 22. The #1 prolem in aue i _______ denial 23. Denial i the _______ to accept the _______ of their prolem refual, realit 24. Treating denial: _______ it pointing out to the peron the difference etween what the _______ and what the _______. In contrat, _______ the denial of lo and grief confront, a, do, upport 25. Dependenc: When the _______ get the Significant Other to do thing for them or make deciion for them auer 26. Codependenc: When the _______ _______ derive poitive _______ from doing thing for or making deciion for the _______ Significant Other, elfeteem, auer 27. When treating dependenc/codependenc: Set _______ and _______ them. Agree in advance on what requet are allowed, then enforce the agreement limit, enforce 28. When treating dependenc/codependenc: Work on the _______ of the codependent peron elfeteem 29. Manipulation: when the _______ get the _______ _______ to do thing for him/her that are not in the _______ _______ of the _______ _______. The nature of the act i _______ or _______ to the _______ _______ auer, ignificant other, interet, ignificant other, harmful, dangerou, ignificant other 30. Treating manipulation: et _______ and _______ limit, enforce 31. Wernicke' (Korakoff') Sndrome: _______ induced Vitamin _______(thiamine) deficienc Pchoi, 1 32. Primar mptom of Wernicke' (Korakoff') Sndrome: _______ with _______ amneia (memor lo), confaulation (make up tuff) 33. Characteritic of Wernicke' (Korakoff') Sndrome: 1. _______ 2. _______ 3. _______ preventale (take vitamin) arretale (take vitamin) irreverile (kill rain cell) 34. Antaue/Revia i aka _______ Therap Averion 35. Onet and duration of effectivene of Antaue/Revia: _______ 2 week 36. Patient teaching with Antaue/Revia: Avoid _______ form of _______ to avoid _______, _______, _______ all, alcohol, nauea, vomiting, death 37. What are example of product that contain alcohol? mouth wah, cologne, perfume, afterhave, elixir, mot OTC liquid medicine, inect repellant, vanilla extract, vinagerette, hand anitizer 38. ver alcoholic goe through _______. Onl a minorit get _______ Alcohol Withdrawal Sndrome, Delirium Tremen 39. _______ i not lifethreatening. _______ can kill ou Alcohol Withdrawal Sndrome, Delirium Tremen 40. Patient with _______ are not a danger to themelve or other. Patient with ________ are dangerou to elf and other Alcohol Withdrawal Sndrome, Delirium Tremen 41. AWS or DT: emiprivate room, an location AWS 42. AWS or DT: private room near the nure' tation DT 43. AWS or DT: Regular diet AWS 44. AWS or DT: Clear liquid or NPO diet (rik for apiration) DT 45. AWS or DT: Up at liert AWS 46. AWS or DT: Retricted to edret with no athroom privilege DT 47. AWS or DT: No retraint AWS 48. AWS or DT: Uuall retrained with either vet or 2 point (1 arm and 1 leg) DT 49. AWS or DT: Give antiHTN medication oth 50. AWS or DT: Give tranquilizer oth 51. AWS or DT: Give multivitamin to prevent Wernicke' oth 52. For Aminoglcoide, think " __ ____ ___ _____" a mean old mcin 53. When are antiiotic/aminoglcoide ued? to treat eriou, lifethreatening, reitant infection 54. All aminoglcoide end in _______, ut not all drug that end in _______ are aminoglcoide. mcin, mcin 55. What are ome example of wannae mcin? Azithromcin, Clarithromcin, rthromcin 56. What are ome example of aminoglcoide? Streptomcin, Cleomcin, Toramcin, Toramcin, Gentamcin, Vancomcin, Clindamcin 57. When rememering toxic effect of mcin' think _______ mice= ear 58. What i the toxic effect of aminoglcoide and what mut ou monitor? ototoxicit; monitor hearing, alance, and tinitu 59. The human ear i haped like a _______ o another toxic effect of aminoglcoide i _______ o monitor _______ kidne, nephrotoxicit, creatinine 60. The numer "___" drawn inide the ear remind ou of cranial nerve ___ and frequenc of adminitration ___ 8, 8, Q8H 61. Do not give aminoglcoide PO expect in thee 2 cae: 1. _______ _______ (due to high _______ level) 2. Preop _______ urger hepatic encephalopath (liver coma, ammoniainduce encephalopath), ammonia, owel 62. Who can terilize m owel? Neo Kan 63. What i the reaon for drawing Trough and Peak level? Narrow therapeutic level 64. When do ou ALWAYS draw the Trough? 30 minute efore next doe 65. When do ou draw the Peak level of Sulingual medication? 510 minute after drug diolve 66. When do ou draw the Peak level of IV medication? 1530 minute after medication i finihed 67. When do ou draw the Peak level of IM medication? 3060 minute after injecting it 68. When do ou draw the Peak level of SQ medication? Depend on tpe of inulin 69. When do ou draw the Peak level of PO medication? Not necear 70. What are iological Agent in Categor A? STAPH Small Pox Tularemia Anthrax Plague Hemorrhagic illne otulim 71. What are iological Agent in Categor ? All other 72. What are iological Agent in Categor C? Nipeh Viru Hanta Viru 73. When it come to iological Agent: Categor __ i _______, Then Categor __, Then Categor __ A, the wort, , C 74. Small Pox Inhaled tranmiion/ on airorne precaution die from epticemia no treatment rah tart around mouth firt Categor A 75. Tularemia chet mptom die from repirator failure treat with treptomcin Categor A 76. Anthrax pread inhalation look like the flu die from repirator failure treat with upro, PCN, and treptomcin Categor A 77. Plague pread inhalation ha the 3 H': Hemopti (coughing up lood), Hematemei (vomiting up lood), Hematochezia (lood in tool) dei from repirator failure and DIC (leed to death) treat with Doxccline and Mcin no longer communicale after 48 hour of treatment Categor A 78. Hemorrhagic illnee primar mptom are petechiae (pinpoint pot) and ecchmoe (ruiing) high % fatal Categor A 79. otulim it i ingeted ha 3 major mptom: decending parali, fever, ut i alert die from repirator arret Categor A 80. What are ome example of chemical agent that caue ioterrorim? Mutard ga Canide Phogine chlorine Sarin 81. What i the primar mptom of Mutard Ga? liter (veicant) 82. What i the primar mptom of Canide and how do ou treat it? Repirator arret. Treat with Sodium Thioulfate IV 83. What i the primar mptom of Phogine Chlorine? Choking 84. What are the mptom of Sarin (hint it' a nerve agent)? SLUDG jut rememer ever ecretion in our od i eing excreted exceivel ronchopam ronchorrhea Salivating Lacrimating (tear) Urination Diaphorei/ Diarrhea G.I upet mei 85. What do ou ue when cleaning patient expoed to chemical agent? All chemical agent require onl oap and water cleaning except Sarin, which require leach. 86. Which agent do ou iolate the patient for? iological Agent 87. Which agent do ou decontaminate for? Chemical Agent 88. How doe decontamination work? Gather expoed people Take to decontamination center where people remove clothing, hower, dre in noncontaminated clothe, then releae to other ervice Put contaminated clothing in pecial ag and throw awa (e ure not to touch it) 89. Calcium Channel locker: the are like ________ for our heart. What doe that mean? Valium. It relaxe the heart 90. Calcium Channel locker: _______ inotropoic, chronotropic, dromotropic Negative 91. Inotropic trength of heart 92. Poitive Inotropic trong hearteat 93. Negative Inotropic weak hearteat 94. Chronotropic rate of hearteat 95. Poitive Chronotropic fat hearteat 96. Negative Chronotropic low hearteat 97. Dromotropic conductivit of heart 98. Poitive Dromotropic excitale heart 99. Negative Dromotropic lock/low conduction 100. Poitive Inotropic, Chronotropic, and Dromotropic i een with which medication? atropine, epinephrine, and norepinephrine 101. Negative Inotropic, Chronotropic, and Dromotropic i een with which medication? Calcium Channel locker and eta locker 102. What do Calcium Channel locker treat? (indication) Antihpertenive (decreae P) Anti Angina (imalance etween O2 uppl and demand) Anti Atrial Arrhthmic (Atrial flutter and Atrial firillation) 103. What are ome of the ide effect of Calcium Channel locker? Headache Hpotenion 104. Name of Calcium Channel locker can e rememered aing.... I op zem dipine in the Calcium Channel ("zem", "dipine", "verapamil/ioptin") 105. "QRS depolarization" alwa refer to __________ Ventricular (not atrial, junctional or nodal). 106. "P wave" refer to _________ Atrial 107. Atole a lack of QRS depolarization (flat line) 108. Atrial Flutter rapid Pwave depolarization in a awtooth pattern (flutter) 109. Atrial Firillation chaotic Pwave depolarization 110. Ventricular Tachcardia wide izarre QRS' 111. Premature Ventricular Contraction (PVC) Periodic wide, izarre QRS' 112. e concerned aout PVC' if: More than 6 per minute 6 in a row PVC fall on Twave of previou eat 113. What are the lethal arrhthmia? atole and ventricular firillation 114. What i the potentiall lifethreatening arrhthmia? 1. vtach, 2. afi, 3. aflutter 115. When dealing with an IV puh drug if ou don't know go ____ except ________! low, adenocard 116. What i the treatment for PVC'? lidocaine and amiodarone 117. What i the treatment for V Tach? lidocaine and amiodarone 118. What are the treatment for upraventricular arrhthmia? ACD Adenocard/adenoine etalocker (end in lol) Calcium Channel locker Digitali/Digoxin (lanoxin) 119. What i the treatment for Vfi? ou defi 120. What i the treatment for Atol? Give pi firt then Atropine 121. atole 122. atrial firillation 123. atrial flutter 124. Normal Sinu Rhthm 125. Supraventricular tachcardia 126. ventricular firillation 127. The purpoe for chet tue i to reetalih _______ preure in the pleural pace negative 128. In the pneumothorax, the chet tue remove ___ air 129. In the hemothorax, the chet tue remove _____ lood 130. In the pneumohemothorax, the chet tue remove ___ and _____ air and lood 131. when the chet tue i ______ (____) for ___. aka ____ Apical (high), air, apex 132. When the chet tue i ______ (___) for _____ aka ____ ailar (low), lood, ae (ottom of lung) 133. How man chet tue and where for unilateral pneumohemothorax? 2; apical and ailar on ide of pneumo 134. How man chet tue and where for ilateral pneumothorax? 2; apical for oth 135. How man chet tue and where for potop chet urger/chet trauma? aume unilateral pneumohemothorax 2; apical and ailar on ide of pneumo 136. In routine _____ clamp chet tue. In emergenc _____ the chet tue NVR; CLAMP 137. What do ou do if ou kick over the collection ottle? Set it ack up (not an emergenc) 138. What do ou do if the water eal reak? Firt clamp it, cut tue awa from device et umerge the tue under water, then unclamp 139. What do ou do if the chet tue come out? Firt cover with a gloved hand et cover the hole with vaeline gauze, put a dr terile dreing on top, tape on 3 ide 140. If there' uling in the water eal intermittentl it i... good 141. If there' uling in the water eal and it' continuou it i... ad 142. If there' uling in the uction control chamer intermittentl it i... ad 143. If there' uling in the uction control chamer continuoul it i... good 144. Rule for clamping the tue: never clamp longer than __________ without Dr' order ue _____________________________ 15 econd, ruer tipped doule clamp 145. ver congenital heart defect i either ___________ or ____ ___________ TRouLe, No TRouLe 146. RL Right to Left hunt 147. lue 148. T tart with the letter "T" 149. What are ome example of "TRouLe" congenital heart defect? Trunku arterioi, Tran. poition of great veel, Tetrolog of Fallot, Tricupid tenoi, TAPZ, Left ventricular hperplamic ndrome 150. What are ome example of "No TRouLe" congenital heart defect? Patent fore. ov., ventricular eptal defect, pulmonar tenoi 151. Akk CHD kid will have 2 thing, whether TRouLe or No TRouLe... 1. Murmur 2. chocardiogram 152. Four defect preent in Tetralog of Fallot are... VarieD PictureS Of A RancH Ventricular Defect Pulmonar Stenoi Overriding Aorta Right Hpertroph 153. How do ou meaure crutche for a peron? 23 fingerwidth elow anterior axillar fold to a point lateral and lightl in front of foot 154. When the handgrip i properl placed, the angle of elow flexion will e ____ degree 30 155. 2 point gait tep one move one crutch and oppoite foot together tep two move other crutch and other foot together (rememer 2 point together for a 2 point gait) Ued for minor weakne on oth leg 156. 3 point gait tep one move two crutche and ad leg together tep two move good foot (Rememer 3 point i called 3 point ecaue 3 point touch down at once) 157. 4 point gait tep one one crutch tep two oppoite foot tep three other crutch tep four other foot nothing move together and everthing i reall weak 158. Swing through for two raced extremitie (Amputee) 159. Ue the _____ numered gait when weakne i _______ ditriuted. ___ point for mild prolem and ___ point for evere even, evenl, 2, 4 160. Ue the ___ numered gait when one leg i ______ odd, effected 161. Stair: which foot lead when going up and down tair on crutche? ______ with the _______ and _______ with the _____. The crutche alwa move with the ____ leg up, good, down, ad, ad 162. Cane: Hold cane on the __________ _______ ide. Advance cane with the _________ ide for a wide ae of upport uneffected ide, oppoite 163. What i the correct wa to ue a walker? pick it up, et it down, and walk to it 164. What i a ig NO when it come to walker? Do not tie elonging to the front of the walker 165. What i the correct wa to get up from a chair uing a walker? Hold on to chair, tand up, then gra walker 166. What i the difference etween a nonpchotic peron and a pchotic peron? a nonpchotic peron ha inight (know the're ick and that it' meing them up) and i realit aed (the ee realit the ame wa a ou) and a pchotic peron ha no inight and i not realitaed. 167. Deluion a fale, fixed elief or idea or thought. There i no enor component 168. What are the 3 tpe of deluion? Paranoid/Perecutor, Grandioe, & Somatic 169. Paranoid or Perecutor Deluion fale, fixed elief that people are out to harm ou 170. Grandioe deluion Fale, fixed elief that ou are uperior 171. Somatic deluion Fale, fixed elief aout a od part 172. Hallucination a fale, fixed enor exerience 173. What are the 5 tpe of hallucination? auditor (hearing), tactile (feeling), viual (eeing), gutator (tating), and olofactor (melling) 174. Illuion a miinterpretation of realit. It i a enor experience 175. What i the difference etween illuion and hallucination? With illuion there i a referent in realit (omething to which the can refer to) 176. When dealing with a patient experiencing deluion, hallucination or illuion, firt ak ourelf, "What i their prolem?" (what are the different prolem that could e going on?) functional pchoi, pchoi of dementia, and pchotic delirium 177. What are the different tpe of functional pchoi? chziophrenia, chzioaffected (mood diorder thought proce), major depreion, and mania 178. With a functional pchoi the patient ha the potential to learn realit. How can ou teach realit to a functional pchotic? 1. acknowledge feeling 2. preent realit a. poitive what i realit . negative what i not realit 3. et a limit 4. enforce the limit 179. Pchoi of dementia People with Alzheimer', Wernicke', Organic rain Sndrome, and dementia. Thi patient ha a rain detruction prolem and cannot learn realit 180. How do ou deal with a peron with Pchoi of Dementia? 1. Acknowledge feeling 2. Redirect get them to expre the fixation that the are expreing inappropriatel to appropriatel 181. Pchotic Delirium Temporar epiodic econdar dramatic udden onet of lo of realit due to chemical imalance (UTI, throid imalance, electrolte imalance) 182. How do ou deal with a patient with Pchotic Delirium? 1. Acknowledge feeling 2. Reaure them of afet and temporarne 183. What are the different tpe of looening of aociation? Flight of idea, word alad, neologim 184. Flight of idea Stringing phrae together (looel aociated phrae; tangentialit) 185. Word alad Throw word together 186. Neologim Making up new word 187. Narrowed elfconcept When a PSYCHOTIC refue to change their clothe or leave the room. *don't make a pchotic do omething the don't want to do 188. Idea of reference You think everone i taking aout ou 189. Dementia hallmark Memor lo, inailit to learn. *Functional can teach, dementia cannot 190. Alwa acknowledge ______________ Feeling 191. What are the 3 "Re'"? Reaure Redirect Realit 192. Diaete mellitu An error of glucoe metaolim 193. Diaete inipidu Dehdration, polurethane, poldipia 194. Tpe I Diaete Mellitu Inulin dependent (not producing inukin) Juvenile onet Ketoi prone 195. Tpe II Diaete Mellitu Non inulin dependent (od reiting inulin) Adult onet Non ketoi prone 196. Sign and mptom of diaete mellitu Poluria (pee a lot) Poldipia (drink a lot) Polphagia (eat/wallow a lot) 197. Treatment for Tpe I Diaete Mellitu 3. Diet (calorie from car) 1. Inulin 2. xercie 198. Treatment for Tpe II Diaete Mellitu 1. Diet 3. Oral hpoglcemic 2. Activit 199. Diet of Diaetic Calorie (car) retriction Need to eat 6x per da> maller more frequent meal 200. Inulin act to _____________ lood ugar Lower 201. Inulin Tpe: R R= Regular, Rapid, Run (IV) Onet: 1hr Peak: 2hr Duration: 4hr 202. Inulin Tpe: N N= NPH, Not in the ag, Not o fat, Not clear (cloud) Onet: 6hr Peak: 810hr Duration: 12 hr 203. Inulin Tpe: Humalog Inulin Lipro Fatet Onet: 15min Peak: 30min Duration: 3hr 204. Inulin Tpe: Lantu Long acting Slow aorption No peak Duration: 1224hr 205. With inulin rememer: Check expiration date Refrigerate ut once open no refrigeration 206. xercie ________ inulin: if more exercie, need _________ inulin. If le exercie, need __________ inulin Potentiate, le, more 207. Sick da rule for inulin Take inulin Take ip of water Sta active a poile 208. Low lood ugar in Tpe I Diaete Mellitu (inulin hock) i caued : Not enough food Too much inulin Too much exercie 209. Wh i low lood ugar in Tpe I Diaete Mellitu (inulin hock) dangerou? Permanent rain damage 210. Sign and mptom of low lood ugar in Tpe I Diaete Mellitu (inulin hock): Cereral impairment, vaomotor collape, cold, clamm, low reaction time, "drink hock" 211. Treatment for low lood ugar in Tpe I Diaete Mellitu (inulin hock): Adminiter rapidl metaolizale carohdrate (cand, hone) Ideal comination: ugar and protein If unconciou IV D50 IM glucagon 212. High lood Sugar in Tpe I Diaete Mellitu/ DKA/ Diaetic Coma i caued : Too much food Not enough inulin Not enough exercie #1 caue i acute viral upper repirator infection within the lat 10 da 213. Sign and mptom of High lood Sugar in Tpe I Diaete Mellitu/ DKA/ Diaetic Coma Dehdration Ketone, Kumaul reathing, high K+ Acidoi, Acetone reath, Anorexia 214. Treatment for High lood Sugar in Tpe I Diaete Mellitu/ DKA/ Diaetic Coma Inulin IV (R) IV rate flow 200mg/hr 215. Treatment for low lood ugar in Tpe II Diaete Mellitu: Adminiter rapidl metaolizale carohdrate (cand, hone) Ideal comination: ugar and protein If unconciou IV D50 IM glucagon 216. High lood Sugar in Tpe II Diaete Mellitu Called HHNK or HHNC Hperomolar, Hperglcemic, NonKetotic Coma Thi i evere dehdration 217. Sign and mptom of High lood Sugar in Tpe II Diaete Mellitu Hit, dr, increaed HR, decreaed kin turgor 218. Treatment for High lood Sugar in Tpe II Diaete Mellitu Rehdration 219. Long term complication of HHNC are related to Poor tiue perfuion Peripheral neuropath 220. Which la tet i the et indicator of longterm lood glucoe control (compliance/effectivene/adherence)? Ha1c (average lood ugar over lat 90 da) 221. Cold and clamm _____________________________ Hot and dr ____________________________ Get ome cand Sugar' high 222. What i the therapeutic and toxic level for Lithium? therapeutic level: 0.61.2 toxic level: ≥ 2 223. What i the therapeutic and toxic level for Lanoxin (Digoxin)? therapeutic level: 12 toxic level: >2 224. What i the therapeutic and toxic level for Aminophlline? therapeutic level: 1020 toxic level: ≥ 20 225. What i the therapeutic and toxic level for iliruin? therapeutic level (elevated level): 1020 toxic level: >20 226. Kernicteru iliruin in the CSF 227. Opithotono poition of light extenion in neck een in patient' with Kernicteru. (ad ign) 228. Dumping Sndrome PotOp gatric urger complication in which gatric content dump too quickl into the duodenum 229. Hiatal Hernia Regurgitation of acid into eophagu, ecaue upper tomach herniate upward through the diaphragm 230. Hiatal Hernia or Dumping Sndrome: Gatric content move in the right direction at the wrong rate Dumping Sndrome 231. Hiatal Hernia or Dumping Sndrome: Gatric content move in the wrong direction at the right rate Hiatal Hernia 232. Hiatal Hernia or Dumping Sndrome: GRD like mptom when upine and after eating Hiatal Hernia 233. ADS S&S Acute Dumping Sndrome Adominal ditre (cramping, N/V, hperactive S(ororgmi)) Drunk cereral impairment Shock (vaomotor collape, rapid thread HR) 234. Treatment for Hiatal Hernia HO during & 1hr after meal high Amount of fluid with meal high Carohdrate content of meal high goal: get an empt tomach 235. Treatment for Dumping Sndrome HO during & 1hr after meal low Amount of fluid with meal low Carohdrate content of meal low goal: get a full tomach 236. Kalemia do the ______ a the prefix except for ___________ and __________ Hperkalemia= Hpokalemia= ame; heart rate; urine output Hper= ↑; HR ↓, Urine Output ↓ Hpo= ↓; HR ↑, Urine Output ↑ 237. Calcemia do the _______ of the prefix. No exception. Hpercalcemia= Hpocalcemia= oppoite Hper=↓ Hpo= ↑ 238. Two ign of neuromucular irritailit aociated with _____________: 1. 2.. hpocalcemia 1. Chvotek' Sign= cheek tap→ facial pam 2. Troueau' Sign= P cuff→ carpal pam 239. Magneemia do the ____________ of the prefix. Hpermagneemia= Hpomagneemia= oppoite Hper= ↓ Hpo= ↑ 240. If mptom involve nerve or keletal mucle, pick ________. For an other mptom, pick __________ ( generall anthing effecting ____________) Calcium, Potaium, lood preure 241. Hprnatermia dhdration (dr kin, thread pule, rapid HR) 242. hpOnatremia= Overload (crackle, ditended neck vein) 243. The earliet ign of an electrolte diorder i _________ & __________ numne, tingling (paretheia) 244. The univeral ignmptom of electrolte imalance i ________________ mucle weakne (parei) 245. Never puh ____________ IV Potaium 246. Not more than ______ of K+ per liter of IV fluid 40mq 247. Give _____ & ______ to decreae K+ D5W, inulin (not permanent) 248. Kaexalate: K+ exit late (not a quick, more of a permanent olution) 249. In a patient with hpercalcemia, which monitor pattern would e the mot likel threat? A. Paroxmal atrial tachcardia with decreaed ST egment . radcardia with 2nd degree Moitz Tpe II lock & elevated ST egment C. Frequent PAC' with multifocal coupling of PVC' and tall Twave D. Firt degree heart lock with decreaed ST egment and inverted Twave D. Firt degree heart lock with decreaed ST egment and inverted T wave 250. Hperthroidim= Hper metaolim (high metaolic rate) 251. Sign and Smptom of Hperthroidim weight lo, diarrhea, ↑HR, hot, heat intolerance, HTN, exopthalmo (ulging ee Don Knopp) 252. Hperthroidim i alo known a ____________________. So rememer _____ ourelf into the ______ Grave' Dieae; Run; Grave 253. The prolem i hperthroidim. Treatment option: Radioactive iodine, proplthroid utiil, urgical removal 254. What i the ig rik with radioactive iodine? radiation rik in urine doule fluh, need private athroom 255. What doe PTU do? proplthroid utinil knock out WC 256. What i the mot common treatment for hperthroidim? urgical removal 257. Total throidectom need lifelong ________ replacement. at rik for ___________ hormone; hpocalcemia (difficult to pare parathroid) 258. What are ou at rik for with a utotal throidectom? throid torm 259. What are ign and mptom of throid torm? extremel high vital ign, extremel high fever, pchoticall deliriou. Thi i a medical emergenc 260. What i the treatment for throid torm? oxgen and lower od temperature 261. Total= T_____ Sutotal= S______ Tetan Storm 262. Pot operation rik for total and utotal throidectom in firt 12 hr airwa/reathing, leeding 263. Pot operation rik for total throidectom in 1248 hr tetan (r/t ↓Ca) 264. Pot operation rik for utotal throidectom in 1248 hr throid torm 265. Hpothroidim = hpo_________ metaolim 266. ign and mptom of hpothroidim weight gain, htn, contipation, letharg, coldintolerance, "low" 267. Hpothroidim i alo known a _______________ mxedema 268. What are the 3 reaon for accucheck? diaete, TPN, teroid 269. Treatment for hpothroidim throid replacement (/e: hperthroidim) 270. Caution: with hpothroidim treatment DO NOT ________ edate (the are alread edated) 271. Surgical implication for the hpothroid patient Anetheia i ver high rik and do not hold throid pill when NPO 272. Adrenal Cortex Dieae tart with letter ___ or ____ A, C 273. Addion' Dieae i _______________ of the adrenal cortex underecretion 274. Sign and Smptom of Addion' Dieae hperpigmented (darker), doen't repond to tre well (JFK) 275. Treatment for Addion' Dieae teroid (need to wear a med alert racelet) 276. Addion'= addaone 277. Cuhing' Sndrome i ___________ of the adrenal cortex overecretion (cuh= more) 278. Sign and Smptom of Cuhing' Sndrome (ame a teroid) moon face, hirutim (↑ od hair), water retention, gnecomatia (man oo), uffalo hump, central oeit (mall kinn lim),↓ one denit, ea ruiing, irritailit, immunouppreion 279. Treatment for Cuhing' Sndrome adrenalectom→ replacement therap→ teroid) 280. What i CONTACT precaution ued for? Herpe, nteric (Rotaviru, Shigellou), Staph (MRSA), RSV (tranmitted via droplet ut contact ecaue kid put mouth on everthing) 281. CONTACT PRCAUTIONS: Select all that appl: ___ Private Room ___ e/Face Shield ___ Mak ___ Dipoale Supplie ___ Glove ___ Negative Air Flow ___ Special Filter Repirator Mak ___ Handwahing ___ Gown ___ Pt wear mak when leaving room Private Room (mot important) Glove Gown Handwahing Dipoale upplie (P cuff) Stethocope can e taken from room to room a long a terilized after ue 282. What i droplet precaution ued for? influenza (H1N1), meningiti, diphtheria, pertui, mump 283. DROPLT PRCAUTIONS: Select all that appl: ___ Private Room ___ e/Face Shield ___ Mak ___ Dipoale Supplie ___ Glove ___ Negative Air Flow ___ Special Filter Repirator Mak ___ Handwahing ___ Gown ___ Pt wear mak when leaving room Private Room Mak (mot important) Glove Handwahing Pt wear mak when leaving room Dipoale upplie 284. What i airorne precaution ued for? Meale, T (pread via droplet), Chicken POx (Varicella), SARS 285. AIRORN PRCAUTIONS: Select all that appl: ___ Private Room ___ e/Face Shield ___ Mak ___ Dipoale Supplie ___ Glove ___ Negative Air Flow ___ Special Filter Repirator Mak ___ Handwahing ___ Gown ___ Pt wear mak when leaving room Private room (door cloed Mak Glove Gown Handwahing Special FIlter Repirator Mak (for T onl and not uppoed to leave room unle the have to) Pt wear mak when leaving room Dipoale upplie Negative air flow (mot important) verone that enter the room mut wear a mak 286. Unle otherwie pecified, aume that PP include: glove, gown, goggle, and mak 287. The proper place for donning PP i ________ the room and doffing PP i _________ the room outide, inide 288. The proper order for donning PP i 1. ___________ 2. ___________ 3. ___________ 4. ___________ 1. Gown 2. Mak 3. Goggle 4. Glove (tart low and go high) 289. The proper order for removing PP i: 1. ________ 2. ________ 3. ________ 4. ________ 1. Glove 2. Goggle (from ehind) 3. Gown (from ehind) 4. Mak (from ehind outide room) (alphaetical order) 290. In airorne and droplet precaution onl, the mak i removed _______ the room and the patient remove mak ________ the room. outide, inide 291. Handwahing or Scruing: poition hand elow elow handwahing 292. Handwahing or Scruing: poition elow elow hand cruing 293. Handwahing or Scruing: length econd handwahing 294. Handwahing or Scruing: length minute cruing 295. Handwahing or Scruing: can touch handle handwahing 296. Handwahing or Scruing: not allowed to touch handle cruing 297. Handwahing or Scruing: ue when entering/leaving room, efore/after glove ue, whenever hand get oiled handwahing 298. Handwahing or Scruing: ue when patient i immunouppreed (eginning of tuff) cruing 299. Handwahing or Scruing: oap and water handwahing 300. Handwahing or Scruing: ue "chlor" cruing 301. When can ou ue an Alcoholaed olution? Onl utitute for handwahing, enter/leave room, efore/after glove, NVR utitute after oiling hand 302. Can ou ue an alcoholaed olution after uing the retroom? No! (oiling hand) 303. Dr hand from ________ to _________. Turn water off with _____ paper towel cleanet, dirtiet, new 304. Sterile Gloving: glove ________ hand firt grap ________ of cuff touch onl the _______ of glove urface do not _______ cuff finger _______ econd glove cuff keep thum _______ onl touch _______ urface of glove dominant outide inide roll inide aducted outide 305. SkIN touche _______ of glove INide 306. OUTide of glove onl touche _______ of glove OUTide 307. Remove ______ to _______; _______ to _______ glove, glove, kin, kin 308. What patient do NOT need interdiciplinar care? People who have multiple prolem in the ame diviion of care x: COPD, arthriti, cancer of owel (all medical prolem) 309. What i the major criteria for interdiciplinar care? 1. Patient with multidimenional need (phical, intellectual, emotional, ocial, piritual) x COPD, homelene, & chizophrenia (need medical, SW, and pchiatrit) 2. Patient who need rehailitation (PT, SW, OT, Speech will e effected) 310. What i the minor criteria for interdiciplinar care? a patient whoe current treatment i ineffective a patient who i preparing for dicharge 311. What are the 3 principle to conider when chooing appropriate to for kid? 1. i it afe 2. i it ageappropriate 3. i it feaile (can ou actuall do it? pecific to child' ituation) 312. What are ome afet conideration when it come to kid to? 1. ize of to (no mall to for children under 4) 2. no metal to if oxgen i in ue (park thing) 3. eware of fomite (non living oject that haror microorganim) wort: pluh to/ tuffed animal; leat platic to that can e diinfected 313. What i the ST to for 06 month old (enorimotor)? mucial moile 314. What i the 2nd ST to for 06 month old (enorimotor)? large and oft 315. What i the ST to for 69 month old (oject permanence)? cover/uncover to (jack in the ox) 316. What i the 2nd ST to for 69 month old (oject permanence)? firm ut large (wood/ hard platic allowed) 317. What i the ST to for 912 month old? veral to (tickle me elmo) 318. Rememer with 912 month old ___________ activit with _________ purpoeful, oject 319. Avoid anwer with the following word in them for children 9 month and ounger: uild, ort, tack, make, & contruct 320. What i the et to for toddler (13 ear)? puh/pull to (wagon) 321. What kill i eing worked on when toddler pla? gro motor kill 322. What tpe of pla do toddler do? parallel pla (pla alongide ut not with) 323. What tpe of to hould e avoided with toddler? to that require good finger control/dexterit 324. Prechooler need to that work on: fine motor kill (finger) and alance (dance, ice kating and tumling) 325. Prechooler pla i characterized cooperative pla (pla with each other) 326. Prechooler like to pla ________. pretend 327. School age (711 ear) aka _________ are characterized the 3 C': 1. 2. 3. Concrete 1. created/creative (give lank paper; get them involved) 2. competitive (winner and loer) 3. collective (aeall card and arie) 328. Adolecent (1218 ear) their "pla" i _______ _______ _____________. Allow adolecent to e in each other' room unle one of them i : 1. 2. 3. peer group aociation (hang out in group) 1. freh potop (le than 12 hour) 2. immunouppreed 3. contagiou 329. When given a variet of age to chooe from alwa go __________ ecaue children ________ when ick and ou want to give them __________________________________ ounger, regre, a much time to grow 330. Creatinine et indicator of kidne function 331. Creatinine la value 0.61.2 If elevated it' anormal ut not too worriome (jut mean kidne are failing) 332. INR (International Normalized ratio) Monitor Coumadin (Warfarin) therap (Coumadin and War Fare make ou leed) 333. What i the therapeutic range for INR? 23 ↑INR= leed rik ≥4 i critical 334. What do ou do when INR i ≥ 4? Hold all Coumadin Ae leeding Prepare to give Vitamin K Call the Dr 335. What i the therapeutic range for Potaium (K+)? 3.55.0 336. What do ou do if Potaium i low? Critical Ae heart Prepare to give Potaium Call the Dr 337. What do ou do if Potaium i 5.45.9? Critical (high ut till in the 5') Hold all Potaium Ae heart Prepare Kaexalate/D5W Call the Dr 338. What do ou do if Potaium i ≥6? Deadl Dangerou Do all of the following at once: Hold Potaium, ae heart, prepare Kaexalate/D5W, Call Dr (will need a team to addre thi) 339. What i the therapeutic range of pH? 7.357.45 340. What do ou do if pH i in the 6'? Deadl Dangerou get vital and call Dr (mot important when aked in quetion) 341. What i the therapeutic range for UN (lood urea nitrogen)? 830 (8 un in a pack) 342. What do ou do when a patient ha an elevated UN? e concerned Check for dehdration 343. What i the therapeutic range for Hg (hemogloin)? 1218 (teenage ear) 344. What do ou do when a patient ha a 811 hg? e concerned monitor the patient 345. What do ou do if a patient ha a hg of
