Medically complex patients
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| Lovonordefrin should be avoided in what type of patients? Why? | show 🗑
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| What is the concern with epi and beta blockers? | show 🗑
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| show | 8 For example level walking at 4mph or climbing a flight of stairs each equal 4 METS
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| show | <6wks
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| show | Epi should be avoided. Limit use to 2 carpules of 1:100,000 epi or 1:20,000 levo ok. Avoid epi in retraction cord.
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| show | 1 no problem 2 moderate sx with normal activity 3 activity limited 4 sx at rest
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| show | Yes
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| show | Long lasting local without epi in high risk arrhythmias
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| What classes of NYHA should avoid epi? | show 🗑
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| What is the concern with digoxin with vasoconstrictor use | show 🗑
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| show | 3x's normal
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| What treatment can be done on patients with active hepatitis? Why? What meds can be used? | show 🗑
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| What % of patients don't know they are positive for hepatitis? What % of patients are wrong about the type of hepatitis they have? | show 🗑
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| Name two typical features of alcoholic cirrhosis? | show 🗑
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| Name three distinct clinical features of alcoholic hepatitis | show 🗑
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| Name two key features of cirrhosis | show 🗑
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| show | coagulopathy
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| show | glossitis
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| What oral problems can a patient with liver disease expect after treatment? | show 🗑
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| How does acquired coagulopathy affect liver function? | show 🗑
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| Cirrhosis inhibits all clotting factors except? | show 🗑
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| show | 3,7,9,10
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| Name the local that isn't metabolized in the liver? | show 🗑
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| Which analgesics are not metabolized in the liver; tylenol, codeine, motrin, hydrocodone, oxycodone? | show 🗑
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| Where is diazepam metabolized | show 🗑
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| show | tetracycline, metronidazole (disulfuram rxn causes nausea in alcoholics, erythromycin
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| show | aminotransferase >4x's normal, bilirubin >2mg/dL, albumin <35mg/L. signs of acites, encephalopathy or prolonged bleeding time.
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| What bug is the most common cause of peptic ulcer disease? | show 🗑
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| What are cimetidine, ranitidine and famotidine used for? What are their generic names? | show 🗑
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| What are side effects of proton pump inhibitors and H2 blockers in the treatment of peptic ulcer disease? | show 🗑
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| What meds should be avoided in peptic ulcer disease? | show 🗑
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| What meds should be used to decrease the risk of GI bleed if NSAIDS are used with peptic ulcer disease? | show 🗑
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| What effects do antiacids (H2 blockers) have on lidocaine, valium, codeine, hydrocodone, oxycodone, tetracycline and erythromycine? | show 🗑
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| show | amoxicillin 1g bid, clarithromycin (biaxin) 500mg bid, metronidazole 500mg bid.
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| What's the primary difference between Crohn's and Ulcerative colitis? | show 🗑
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| show | colitis is a inflammatory, mucosal disease. Crohn's is a idiopathic disease with transmural ulcerations. Each has a different location
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| 5 aminosalicylates (5-ASA) steroids, antibiotics,immunosuppressants and biological therapy are all used to treat? | show 🗑
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| show | Irritable bowel disease. S/E include low wbc,rbc and platelets
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| What medication is used for moderate to severe relapses IBD? | show 🗑
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| Suspect suppression of hypothalamus, pituitary adrenal axis if? | show 🗑
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| What A/B's are used in IBD? | show 🗑
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| diarrhea, nausea, thrombophlebitis, hypersensitivity reaction, metallic taste and candidiasis are all S/E's of what two A/B's? | show 🗑
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| show | Irritable bowel disease. S/E include low wbc,rbc and platelets
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| show | glucocorticoids
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| show | >20mg cortisol daily (5mg prednisone) for more than two weeks in the last two years
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| What A/B's are used in IBD? | show 🗑
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| diarrhea, nausea, thrombophlebitis, hypersensitivity reaction, metallic taste and candidiasis are all S/E's of what two A/B's? | show 🗑
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| show | immunosuppressants, IUD
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| show | gingival hyperplasia. Can also cause renal impairment, tremor, paresthesia, malaise and H/A.
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| show | hepatic fibrosis
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| What meds should be avoided in IBD patients? | show 🗑
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| What lab test should be checked with IBD patints? | show 🗑
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| What treatment can be done with at patient who has a IBD exacerbation? | show 🗑
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| Pyostomatitis vegetans can be found in what type of patient and has what clinical appearance? | show 🗑
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| are benzo's safe in asthma patients? What about narcotics and barbiturates? | show 🗑
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| What antibiotics should be avoided in asthmatics? | show 🗑
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| What type medications are albuteral and terbutaline? | show 🗑
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| show | Increase caries - reduce saliva, increase lactobacillus and strep mutans. some meds have sugar.
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| show | COPD epi Macrophage CD8 neutophil, Asthma epi and mast CD4 eosinophil
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| show | COPD small airway narrowing and alveoli destroyed. Asthma bronchoconstriction
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| What time frame indicated chronic bronchitis? | show 🗑
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| Emphysema definition? | show 🗑
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| A blue bloater and pink puffer describe? | show 🗑
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| show | elevated pCO2 and decreased pO2, normal pCO2 and decreased pO2
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| show | tongue and laryngopharynx
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| show | 5-20mg/dl, 30-50 in moderate renal failure, >50 in severe renal failure.
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