AGACNP Barkley Review- Common Problems in Acute Care latest solution
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Course
AGACNP
Institution
AGACNP
AGACNP Barkley Review- Common Problems in Acute Care/AGACNP Barkley Review- Common Problems in Acute Care/AGACNP Barkley Review- Common Problems in Acute Care
AGACNP Barkley Review- Common
Problems in Acute Care
Acute Pain - correct answer Pain caused by tissue damage, usually < 6 months
Chronic Pain - correct answer Continual or episodic pain of longer duration (> 6
months); combination therapy usually needed
Cutaneous Pain - correct answer Localized on skin or surface of body. Herpes or
sunburn.
Visceral Pain - correct answer Poorly localized such as with internal organs.
Gallbladder.
Somatic Pain - correct answer Non localized; originates in muscle, bone, nerves,
blood vessels and supporting tissue.
Neuropathic Pain - correct answer Frequently caused by a tumor; involves nerve
pathway injury or compression. Sciatica
Step 1 of WHO's Ladder of Pain Management - correct answer -ASA
-APAP
-NSAIDS
+/- adjuvants
Step 2 of WHO's Ladder of Pain Management - correct answer -APAP or ASA
-Codeine
-Hydrocodone
-Oxycodone
-Dihidrocodeine
-Tramadol (not available with APAP or ASA)
+/- Adjuvants
Step 3 of WHO's Ladder of Pain Management - correct answer -Morphine
-Dilaudid
-Methadone
,AGACNP Barkley Review- Common
Problems in Acute Care
-Levorphanol
-Fentanyl
-Oxycodone
+- nonopioid analgesics
+- Adjuvants
Recommendation for breakthrough cancer pain - correct answer Fentanyl
patches for sustained release
Normal body temperature in C - correct answer 37
101.5 degrees F - correct answer 38.6 degrees C
Causes of Fever - correct answer -Bacterial, viral, rickettsial, fungal or parasitic
infection
-Autoimmune disease (SLE, arteritis)
-CNS disease (cerebral hemorrhage, brain tumor, MS) interference with
thermoregulatory process rather than fever
- Malignant neoplastic disease (primary liver metastasis of cancer)
-Hematologic disease (lymphoma/leukemia)
- CV disease (MI, phlebitis, PE)
- GI disease (IBD, alcoholic hepatitis)
- Endocrine disease (hyperthyroidism, pheochromocytoma)
-Misc causes (Familial Mediterranean fever, hematoma)
- Neuroleptic malignant syndrome-->caused by antipsychotics causing a serotonin
like response
Treatment of Fever - correct answer -Antimicrobials only when microbe is
present
-Antipyretics
, AGACNP Barkley Review- Common
Problems in Acute Care
-Treat underlying condition
NON INFECTIOUS causes of post-operative fever - correct answer 1. Atelectasis
2. Increased basal metabolic rate
3. Dehydration (can spike temp)
4. Drug reactions:
-Amphotericin B
-TMP-SMZ - often persistent, not a spike
-Beta Lactams
-Antibiotics
-Procainamide
-Isonazid
-Alpha Methyldopa
-Quinidine
INFECTIOUS causes of post-operative fever - correct answer 1. Usually w/
subjective complaints, WBC elevation and left shift (bandemia)
2. WBC > 30,000 not usually from infection
3. Surgical incisions
4. IV sites
5. Point of entry for any catheter: culture?
6. UTI
7. Lungs
8. Sinusitis
9. Abscess (ie: intra-abdominal)
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