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What is tiotropium? -ANSWER (Spiriva) Tiotropium bromide (INN) is a long-standing, 24 hour, anticholinergic bronchodilator used in the management of chronic obstructive pulmonary disease, (COPD). What is tiotropium used for maintenance treatment of? -ANSWER COPD, which includes chronic bronchitis and emphysema. Tiotropium -ANSWER is not used in the treatment for acute exacerbations of COPD and bronchitis Tiotropium -ANSWER is a muscarinic receptor antagonist, often referred to as an ant...

PPI long term consequences -ANSWER osteoporosis, B 12 and iron deficiency How would you treat peptic ulcer disease and H-pylori (H-pylori being the leading cause of peptic ulcer with NSAIDS and aspirin being second leading causes) -ANSWER Triple therapy: PPI twice a day Amoxicillin 1gm BID or metronidazole Clarithromycin 500mg daily for 7-14 days (10 days to 2 weeks recommended) Then continue with PPI for 8-12 weeks Step down with GERD -ANSWER Standard dose PPI x 8 weeks. If not resolv...

Tiotropium -ANSWER long acting 24-hour anticholinergic bronchodilator. Act on m3 receptor located in smooth muscle cells that leads to reduction of smooth muscle contraction = bronchodilation Tiotropium treats: -ANSWER COPD montelukast -ANSWER non-steroid preventer adverse action of montelukast (singular) -ANSWER anxiety, aggression, depression, and SI Pt teaching for montelukast -ANSWER watch for signs of anxiety, depression, and SI and report immediately Patient teaching for inh...

Autosomal Dominant - ANSWER1 parent has, 50% change of child having Autosomal Recessive - ANSWERBoth parents are carriers, 25% change of child having, 50% chance child is a carrier. Cystic Fibrosis - ANSWERaffects pancreas causing secretions in lungs 21st Trisomy - ANSWERDown Syndrome Klinefelter Syndrome (XXY) - ANSWERmale has extra X, female like qualities Turner Syndrome - ANSWERMissing X in females Alpha Thalassemia - ANSWERinherited blood disorder; mild to severe anemia ...

What organ does cystic fibrosis affect? - ANSWERAffects the pancreas causing secretions into the lungs What is Klinefelter syndrome? - ANSWERAn extra X chromosome for males so example XXY causing female-like qualities What is Turner Syndrome? - ANSWERfemales. missing or deformed x chromosome. right hemisphere dysfunction, hearing loss, ear infection, language and articulation disorders, visual spatial and attentional problems What is beta thalassemia? - ANSWERa condition in which the sy...

What is the gold standard for the suspected diagnosis of Celiac Disease? -ANSWER Endoscopy with small intestine biopsy A 44-year-old woman has recently been diagnosed with advanced metastatic non-small-cell lung cancer. Genetic testing is ordered to determine if the patient's tumor has any genomic alterations and to guide treatment decisions. A few weeks later, the patient's test results come back positive for a genetic mutation. The APN starts osimertinib (Tagrisso). Based on this informat...

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PRNs for anxiety -ANSWER f*cking benzos baby - alprazolam, chlordiazepoxide, clonazepam, diazepam, lorazepam How are multi-factorial diseases affected by genetics? -ANSWER risk for a multifactorial trait or condition depends on how close you are to a family member with the trait or condition. (ex: if sibling has it=higher risk) Describe Hutchinson-Gilford Progeria Syndrome. Explain the signs and symptoms. How is it diagnosed and treated? -ANSWER -progressive genetic disorder - children ag...

Describe Celiac Disease and which testing is appropriate to diagnosis? 1 2 3 -ANSWER Lining of the small intestine and intolerant of gluten. More pronounced in the duodenum and jejunum. i. Serologic measurements of IgA antibodies and HLA-DQ2 or HLA-DQ8 ii. Endoscopy with small intestine biopsy iii. Duodenal biopsy IgA-tTG test has the advantages of being simple, inexpensive, widely available (Total IgA IgA-tTG IgA-EMA) What is Sjorgens Syndrome and what testing is appropriate ...

As an advanced practice nurse, you want to learn more about the CDC's initiatives relative to asthma care and management in order to advocate for asthma sufferers at the state legislative level. Your goal is to reduce medications costs to patients. Which CDC recommendation supports your goal? a. The CDC recommends that payers and employers promote healthy workspaces to decrease environmental trigger exposures. b. The CDC recommends that providers prescribe the most cost-efficient long-actin...