Medically complex patients
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| Lovonordefrin should be avoided in what type of patients? Why? | show 🗑
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| show | Epi with non selective beta blockers can cause an excessive rise in BP
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| What is the average metabolic equivalent level? Give examples. | show 🗑
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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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| What type of local should I use with arrhythmia patients? | show 🗑
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| show | Avoid in class 3 or 4.
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| What is the concern with digoxin with vasoconstrictor use | show 🗑
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| How high is the bilirubin when a patient is jaundiced? | show 🗑
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| show | Urgent care only because they have marked liver disfunction. Avoid any drugs metabolized in liver (lido, carbo). Get doc consult.
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| show | 80% don't know and 50% wrong
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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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| How do nutritional deficiencies present in the mouth? | show 🗑
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| show | Bruising and slower healing
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| show | abnormal clotting and fibrin. low platelets
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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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| show | All are metabolized in the liver
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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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| dental treatment should be avoided or diminished doses of analgesics should be given if aminotransferase levels are? Serum bilirubin levels are? serum albumin levels are? or if the patient has clinical signs of? | show 🗑
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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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| show | NSAIDS. If need to use NSAID choose celebrex due to selective inhibitor of Cox-2
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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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| What antibiotics are commonly used with peptic ulcer disease? | show 🗑
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| What's the primary difference between Crohn's and Ulcerative colitis? | show 🗑
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| name three ways ulcerative colitis and Crohn's differ. | show 🗑
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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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| 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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| show | flagyl and cipro
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| show | flagyl and cipro
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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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| 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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| show | flagyl and cipro
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| thiopurines (azathioprine and 6-mercaptopurine), cyclosporin and methotrexate are what class of meds? and are used to treat? | show 🗑
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| show | gingival hyperplasia. Can also cause renal impairment, tremor, paresthesia, malaise and H/A.
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| Name a complication of methotrexate? | show 🗑
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| show | NSAIDS. In currently taking opioids; adjust dose.
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| show | CBC
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| show | urgent care only.
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| show | IBD. raised yellow on red base with snail track lesions
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| show | Yes. No because they may release histamine
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| What antibiotics should be avoided in asthmatics? | show 🗑
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| show | beta 2 adrenergic agents
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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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| What parts of the airway are affected in COPD and asthma? | show 🗑
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| show | cough for 3 months in each of 2 conseutive years
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| Emphysema definition? | show 🗑
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| A blue bloater and pink puffer describe? | show 🗑
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| How is pCO2 and pO2 affected in bronchitis? emphysema? | show 🗑
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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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