Exam (elaborations)
68w limited primary care 2023 exam
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68w limited primary care 2023 exam
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68w limited primary care 2023 examInjection sites - Answer- Instramuscular IM
Intradermal Subcutaneous SQ
When is medication verified - Answer- When obtained from place of storage.
When withdrawing the medication.
When placing the meds back.
Intradermal injections - Answer- Allergy, TB, and mumps testing.
1/4 to 1/2 needle length
25-27 gauge
Sites- inner forearm, back of upper arm, on back between shoulder blades.
Subcutaneous injection - Answer- Absorbs-15-30mins
Duration-hours to weeks
Length- 1/2 to 1 in
Gauge- 23 to 25
Sites- tricep not exceed .5ml Vastus lateralis- not exceed 2ml
Abdomen- usually insulin
45 degree angle
Intramuscular injection IM - Answer- Absorb- 10-20mins
Duration- hours to weeks
Large volume of medication needed
Gauge- 20 to 22
Length- depends on patient
Sites- deltoid- up to 2ml
Gluteus Maximus- up to 5ml
Vastus lateralis- up to 5ml
90 degrees
Anyibiotics - Answer- Compound that inhibits or kills the growth of micro organisms such as bacteria, Protozoa, and fungi.
Categories of antibiotics - Answer- Broad- effective against a wide range of microorganisms Narrow- effective against a specific type.
Topical abx - Answer- Absorbs via mucous membranes, rapid.
Easy to give. Safe, Oral abx - Answer- Pros: most economical, convenient, easy to give.
Cons: vomiting, requires cooperative patient, slow absorption rate.
Intravenous IV abx - Answer- Pros: fast absorption, for patients unconscious, Cons: harder to administer, fear of needles.
Tinea corporis - Answer- Ring worm
Tinea pedis - Answer- Athletes foot
Tinea capitas - Answer- Scalp infection
Tinea cruiris - Answer- Jock itch
Histamine - Answer- Active substance found on animals or plants, stimulates gastric secretion, cause dilation of capillaries, constriction of bronchial smooth muscle.
Antihistamine - Answer- Blocks the action of histamines on the tissue.
Benadryl, claritin, Allegra.
Analgesics - Answer- Pain killers
Fentanyl - Answer- For patients allergic to morphine.
800micro grams max.
Caution giving to patients who already took morphin
Morphine - Answer- Initial dose of 5mg slow IV push over 1-2mins diluted with 5ml of saline.
10-20mg max dose
Can cause respiratory depression
Meloxicam and acetaminophen - Answer- Mild pain relief to keep soldier in the fight, (Tylenol and mobic)
Ketamine - Answer- Very strong pain killer, severe pain. >50mg IM or intranasal 20mg IV/IO SLOW PUSH.
Cannot give to patients under 3 yrs or history of schizophrenia
Naloxone (narcan) - Answer- For over dose of analgesics
NSAIDS - Answer- Fever reducers, anti-inflammatory, pain killer.
Aspirin, ibuprofen, naproxen. Cons- prolonged clotting time, can cause ulcers
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