If a patient has GERD and htn, what antihypertensive do you avoid and why?
~ calcium channel blockers because they relax the lower esophageal sphincter (LES)
If a patient has BPH and HTN, what can you give?
~ alpha blockers like terazosin
What antihypertensive do you avoid if the patient has me...
NUR 652 Quiz 3 study
Questions And Answers
4 risk factors for peptic ulcer disease
✓✓✓✓~ H. pylori, smoking, NSAID long term use, men
Gastric peptic ulcer has pain when
✓✓✓✓~ stomach is full
Duodenal ulcer has pain when
✓✓✓✓~ stomach is empty
when there is a peptic ulcer 50% get relief when?
✓✓✓✓~ food or antacid but pain returns in 2-4 hours
H pylori management
✓✓✓✓~ 2 antibiotics, PPI or bismuth (tetracycline & metronidazole/tinidazole X14 days)
H. Pylori when and how do you verify cure
,✓✓✓✓~ 4 weeks after therapy, 2 full weeks no PPI, use breath or stool test
risk factors for colic
✓✓✓✓~ prenatal smoking, stress in home per lecture and COP (p103 Burns - normal early
behavioral development)
Colic presentation
✓✓✓✓~ peak of crying 2 months, unexpected, resists soothing, pain like face even without
pain, long lasting (5 hours or more) evening
if gaining weight well and normal physical exam, and a child with colic appears
normal, what do you do?
✓✓✓✓~ No labs, no radiology
How do you manage colic
✓✓✓✓~ If mother is breastfeeding change her diet to low allergen per COP. According to
Burns acknowledge how difficult it is , ask parents how they are handling it. No
evidence changing formulas or trying medications will help
risk factors for appendicitis
, ✓✓✓✓~ 5-50 years old (Burns), more males
family history
Appendicitis presentation
✓✓✓✓~ -Periumbilical pain that moves to RLQ
-Fever, anorexia, vomiting, occasionally diarrhea
-Pt may have peritoneal signs
What happens to presentation of appendicitis if it perforates
✓✓✓✓~ pain is intense, then no pain when it perforates. Over time will become rigid
abdomen with pain again as peritonitis progresses
What is the name of the RLQ appendix point of tenderness
✓✓✓✓~ McBurney's point
What is Rovsing Sign
✓✓✓✓~ RLQ pain elicited by palpating LLQ
What is the obturator sign?
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