click below
click below
Normal Size Small Size show me how
FNP~Upper Resp D/O
| Question | Answer |
|---|---|
| Is the common cold bacterial or viral? | viral |
| Approx how many days does the common cold last? | 5-10 days |
| s/sx's of common cold... | ~watery rhinorrhea ~erythematous nasal mucosa ~sneezing ~nasal and sinus blockage ~H/A ~sore throat ~cough ~malaise |
| Management of the common cold... | ~supportive care ~hydration ~fever & pain: Tylenol , Motrin ~warm salt water gargles |
| Pharyngitis/Tonsillitis may be caused by? | viruses or bacteria |
| Pharyngitis/Tonsillitis s/sx's... | ~erythematous pharynx ~rhinorrhea (viral) ~cough ~anterior cervical adenopathy ~fever (bacterial) ~painful throat |
| Clinical features of group A strep pharyngitis (FLEA)... | ~"F"EVER ^38' C ~"L"ACK of cough (NO cough with strep) ~Pharyngotonsillar "E"XUDATE ~"A"nterior cervical "A"denopathy |
| Pharyngitis/Tonsillitis tests... | ~rapid strep ~monospot ~CBC with diff. |
| Management of Pharyngitis/Tonsillitis... | ~fluids/hydration ~salt water gargles ~ASA/Tylenol ~abx for strep (PCN v. EES) ~cefrtiaxone for GC ~refer |
| What is "influenza"? | an acute "febrile" illness caused by infection with influenza "virus" |
| s/sx's of influenza... | acute onset...~fever 102-103'F ~H/A ~myalgias ~coryza ~anorexia ~malaise ~cough |
| Management of influenza... | ~supportive care ~Zanamivir (Relenza)-inhaler ~Oseltamivir (Tamiflu)-oral |
| What is mononucleosis? | symptomatic infection caused by Epstien-Barr "virus"; common in 15-24 yo; incubation 1-2 months; usually self-limited but malaise and fatigue may last for months |
| s/sx's of mono... | ~fever ~chills ~malaise ~anorexia ~pharyngitis (most severe sx) ~white "frothy" tonsilar exudates ~adenopathy/lymphadenopathy (posterior cervical region) ~splenomegaly (usually during 2nd wk of illness) |
| Testing for mono... | ~monospot (+) ~^WBC's |
| Management of mono... | ~supportive care ~prednisone steroid taper for severely enlarged tonsils ~avoid contact sports 3wks-3months |
| What are some causes of sinusitis? | ~H. influnzae ~S. pneumoniae ~various anaerobes |
| s/sx's of bacterial sinusitis are... | purulent nasal drainage and fever |