- Study guides, Class notes & Summaries

epi: Rx use - -catecholamine; effects ALL receptors (norepi=A1/2, B1; less selective than epi) -use: anaphylaxis, local anesthetic/control bleeding, asthma, cardiac arrest, hypotension -admin: IV/IM/SUBQ; NO PO -interactions: MAO & tricylcic antidepressants, alpha & beta adrenergic antagonists (reverses effects of epi/norepi) norepi: Rx use - -catecholamine; effects A1/2, B1 receptors -use: hypotension, cardiac arrest -admin: NO PO; IV/IM/SUBQ -same interactions as epi/isoproterenol is...

allergic rhinitis: definition, s/s, rx - -IgE mediated inflammatory disorder effecting upper airway -s/s: rhinorrhea, sneezing, pruritis, nasal congestion (d/t dilated + increased permeability of nasal blood vessels via H1) -seasonal/hay fever=spring/fall; pollen + fungi -perennial/nonseasonal=indoor allergens; dust mites, pet dander -rx: glucocorticoids, antihistamines, decongestants/sympathomimetics allergic rhinitis: intranasal glucocorticoids - -MOA: prevent inflammatory response to ...

Antithrombotic drug - Medication used to prevent blood clots Dalteparin - Antithrombotic drug Warfarin - Antithrombotic drug Alteplase - Antithrombotic drug Dabigatran - Antithrombotic drug INR value - Measurement of blood clotting time Prescribe an additional dose of warfarin - Action to take when INR value is 1.5 Warfarin - Anticoagulant medication

Number of refills - Required element of a written prescription Route of administration - Required element of a written prescription Otitis externa - Infection of the outer ear canal Fluoroquinolone/glucocorticoid combination medication - Medication used to treat otitis externa Glucocorticoid - Component of the medication that reduces swelling and pain NSAIDs - Nonsteroidal anti-inflammatory drugs Cardiovascular system - Organ system affected by chronic use of NSAIDs Aging - Process of ge...

Thyroidectomy risk - hypoparathyroidism - causes hypocalcemia laryngeal nerve damage - vocal cord paralysis Toxic nodular goiter treatment - Meds - propranolol and thioureas Surgical removal RAI Cardiac Treatments - ST - Propranolol unless cardiomyopathy Afib - Dig, BB (not in HF), Anticoags (low dose) HF Apathetic hyperthyroidism - angina meds Thyroid crisis treatment - Thiourea Ipodate sodium 1 hour later Potassium iodide 1 hour alter Propranolol Hydrocortisone no ASA

If a patient with hypothyroidism has positive TPO antibody levels, consider the diagnosis of: - Hashimoto's thyroiditis Treatment of hypothyroidism - levothyroxine (synthetic T4) -Consider further imagine if a thyroid nodule is suspected on physical examination Hypoalodsteronism - Results in type 4 renal tubular acidosis Decreased aldosterone leads to an increased production of H+ ions, causing plasma acidosis Characterized by hyperkalemia Common causes of hypoaldosteronism - Chronic ...

CNL teaching PICOT success support group renal failure. What is the C component - Comparison What does PICOT stand for - P--Patient/Problem --Intervention C--Comparison O—Outcome T- TimeI Consider use of new instruments for satisfaction, the CNO is questioning reliability and validity - Is the tool consistent- reliable? Does the tool accurately measure what it intends to- validity? Research evaluated effects of medications over seniors. Their sample included senior men and women aged 6...

Common triggers of thyroid storm - Surgery Infection Pregnancy Myocardial Infarction Radioactive iodine treatment Symptoms of a patient in thyroid storm - Increased body temperature Tachycardia + atrial fibrillation Nausea/vomiting/diarrhea Jaundice Agitation/pyschosis/paranoia Coma Treatment for thyroid storm - Thionamides Beta blockers Iodine drops High dose glucocorticoids

central hypothyroidism Ans: 1. pituitary problem, resulting in low TSH and T4 2. ACTH also decrease resulting low cortisol 3. treatment with T4 Sheehan syndrome Ans: postpartum necrosis of anterior pituitary due to hypovolemic shock during and after childbirth Low lactation, Amenorrhea diabetus insipidus 2 | Page Ans: decreased ADH (vasopressin) Hypernatremia occurs if fluid intake isn't adequate Treatment: Desmopressin Thyroiditis Types Ans: Has...

OUTCOME MEASURES Ans: reflect the impact on a patient and demonstrate the end result of doing things, including making changes that you predict will be improvements. A CNL on a cardiac med unit was looking at heart failure and saw and increased 30 day readmission rate, they implemented a post admission 48hr call as a QI to decrease 30 day readmissions: What is the CNLs outcome measure? Ans: percent of patient readmissions Process measures 2 | Page Ans: reflect t...