Galen 265 Exam 4 part 1
Acute Graft Rejection Dx - ANS-based on clinical manifestations, labs & results of biopsy
Acute Graft Rejection occurs - ANS-w/i the first 3 mo after transplant
Acute graft rejection s/s - ANS-Fever, Graft tenderness, Fatigue, irregular heartbeats, swelling
ankles, tachycardia, flank pain, diminished bile drainage, change in bile color, jaundice. high
glucose levels ( sign of kidney problems)
Acute graft rejection tx - ANS-Rescue Therapy: high dose steroids, Murmonab, Antilymphocyte
globulin, includes 2-3 antirejection meds ( to immunosupress) high risk for infection
Acute rejection of a Kidney - ANS-onset:1 week post op
oliguria or anuria, temp above 100, increased bp, lethargic, enlarged tender kidney, elevated
creatinine , BUN, K+, fluid retention,
TX:increased dose of immunosuppressive drugs
AIDS complications - ANS-AIDs dementia
Wasting syndrome
small purplish raised leisions that are open and weeping (makeup is okay when lesions are
closed)
AIDS criteria - ANS-HIV-positie w/ CD4 T cell count <200 cells/mm3 and/or an AIDS-defining
condition
AIDS defining illnesses - ANS-Mycobacterium avium, Pneumocystis jirovecii pneumonia,
Kaposi's sarcoma (cancer), Candida
AIDS management - ANS-Antiretrovirals - stop viral growth. can cause a buffalo hump. large
abdominal fat accumulation.
HAART- antiviral to reduce viral load, improves CD4, slows disease process
MUST follow meds regime or viral regeneration will occur.
allergic rhinitis - ANS-runny nose, watery nose, itchy/ watery eyes,clear or white nasal drainage.
HA or sinus pressure
Anaphylaxis can occur - ANS-can occur 5-30 min after encountering trigger or an hour after
Anaphylaxis common causes - ANS-Food, drugs, Bugs( stings/ bites), latex
Anaphylaxis Meds - ANS-Identify allergy if possible
, Antihistamines -Diphenhydramine -2nd line drug (angioedema & urticaria)
Decongestants- most OTC
Steroids- 2nd line drugs -
Topical creams
Oral
Inhaler
Anaphylaxis symptoms - ANS-Wheezing,Hives, Angioedema,Dyspnea
N/V/D (ab pain)
Flushing, Rhinitis, Itching, H/A
Shock, Resp obstruction,
CV collapse ( loss of cerebral blood flow)
Anaphylaxis tx & management - ANS-1st immediately stop IV drug, change tubing and start NS
Prepare to administer Epi ( IV or pen)
Elevate HOB 45 degreess ( only 10 degrees if low bp)
Assess resp status, airway, O2
Call a RAPID
reassure pt frequently
atopic dermatitis - ANS-lesions red,itchy, contain exudates ( drier in elderly)
Lesion typically found on cheeks, scalp & forhead
atopic dermatits tx - ANS-No cure but goal is to control symptoms w/ antihistamine and steroids
Belimumab - ANS-DO NOT receive live vaccines for 30 days before tx
Bone cancer health promotion and maintenance - ANS-elevated serum alkaline phosphate
(ALP) increased osteoblastic activity and elevated ESR
Bone Cancer Risk Factors - ANS-big risk factor is pervious radiation exposure, is is not a factor,
Men , genetic disorder, previous BMT, primary tumor( breast, prostate, kidney,thyroid, and lung
or bone cancers
Bone cancer s/s - ANS-pain swelling, palpable mass, impaired mobility, low rade fever, Anemia,
Leukocytosis,
Breast Cancer health promotion and maintenance - ANS-self breast exam monthly & annual
mammograms when over 40yr
NOTE: no single use method is effective when used alone : mammogram, exam self awareness
Breast cancer risk factors - ANS-Genetic factors BRCA1 orBRCA2
Jewish women
Early menses, late menopause, no children or first child after 30yrs
