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| Question | Answer |
|---|---|
| what is FFP (plasma) used for? | prothrombin time (clotting factors) |
| what does a flattening t wave indicate | hypokalemia |
| what manifestations would you expect with pericarditis? | dyspnea and tachypnea, reluctant to take deep breaths d/t pain on inspiration |
| what are right sided heart failure s/s? | rest of body- peripheral edema |
| what are left sided heart failure s/s? | lungs- dyspnea |
| acute angina attack s/s | PMI- point of maximal impulse |
| correct positioning for vein ligation and stripping for varicose veins | elevate legs (15 degrees) |
| type II DM | cells resistant to insulin |
| type I DM | pancreas doesn't produce insulin |
| SIADH hypernatremia or hyponatremia? | hyponatremia, too much water, retain water |
| Somogyi effect interventions | check blood sugar at night d/t release of stress hormones while sleeping because of low blood sugar |
| early manifestations of hypoglycemia | drowsiness, fatigue, h/a, shaking, nausea |
| manifestations of hyperglycemia | dry mouth, anorexia, polyuria |
| DKA- lab work negative urine acetone or HCO3 level 12? | HCO3 less than 15 mEq/L indicates metabolic acidosis |
| pathophysiology of acromegaly, result of excessive production of what hormone? | somatotropin |
| thyroidectomy s/s to report to MD | tachycardia and htn- unexpected POSITIVE chvostek & trousseau's sign is hypocalcaemia stridor and hoarse voice |
| symptoms of graves dx | difficulty sleeping and anxiety, diarrhea, heat intolerance, increased appetite |
| what is graves dx | hyperthyroidism (bulging eyes-exophthalmos) |
| thyroid storm s/s | fever, htn, tachycardia, abd pain |
| skin manifestations of Addison's | bronze pigmentation, exposed and unexposed skin |
| skin manifestations of SLE | butterfly rash across bridge of nose |
| Addison's disease affects what gland | adrenal gland (deficiency) too little |
| skin manifestations of Cushing's disease | purple striae on chest and abd |
| what should a DM pt have on them during exercise | medical alert bracelet and don't exercise if BS over 250 |
| s/s of DI | polyuria |
| glucocorticoids have a urine retention or diuretic properties? | retention |
| glucocorticoids are administered after adrenalectomy why | to compensate for the decrease after surgery to replace the cortisol |
| s/s hyperglycemia | increased osmotic diuresis and increased urination |
| risk for what condition when taking corticosteroids | osteoporosis |
| what is aplastic anemia | a reduction in all the blood components ( WBC, RBC, platelets) |
| what does creatinine clearance evaluate? | renal function- 24 hour urine test |
| what is phenochromocytoma | tumor of adrenal gland |
| what is the appropriate test for phenochromocytoma | VMA 24 hour urine test |
| removal parathyroid glands shows a decrease in the serum | calcium hyperparathyroidism- increase in calcium levels |
| Addison's disease requires a diet high in what? | salt, carbohydrates, and protein |
| Addison's disease requires a diet low in what? | potassium |
| open angle glaucoma interventions | no decongestants- increase pressure impaired night vision- loss of peripheral vision- laser surgery |
| sore throat, pressure in the ear, decreased hearing, and mild dizziness alternation to which structure in ears | middle- URI |
| mannitol desired effect | increased urine output |
| ICP vital signs expectations | widening pulse pressure, decreased HR, increased Temp ex 160/65, HR 68 |
| myasthenia gravis are at risk for what? | aspiration- need suction equipment |
| LASIK | halos and glaring when driving |
| autonomic dysreflexia | (spinal cord injury) SEVERE HEADACHE BLADDER RETENTION |
| swimmer's ear prevention intervention | instill diluted alcohol into ear after swimming |
| extreme polyuria, what lab test | specific gravity |
| guillian- barre syndrome s/s | ascending weakness and paralysis acute inflammatory response |
| mastoiditis | palpation to assess for tenderness |
| lumbar puncture and bacterial meningitis lab findings | elevated protein in CSF |
| decerebrate positioning | rigid extend of all extremities |
| left side CVA | language deficits |
| right side CVA | impulse control |
| signs of detached retina | floaters, flashes of light |
| signs of angle closure glaucoma | eye pain and blurred vision |