8.29 Systems Review

Question 1

Difference between signs and symptoms

Answer 1

• Signs are objective

- Symptoms are patient reported

Question 2

When is fatigue considered a red flag?

Answer 2

• interferes with daily activities

- persists for 2-4 weeks or longer

Question 3

How might fatigue present?

Answer 3

• psychological
• endocrine/metabolic
• infection
• neoplasms
• sleep disturbances
• connective tissue disease

Question 4

Definition of fever: range

Answer 4

99.5-101

Question 5

If temperature reaches 103, the pt will no longer:

Answer 5

feel chilled or hot

Question 6

a substance typically produced by a bacterium, that produces fever when introduced or released into the blood

Answer 6

pyrogen

Question 7

Other s/s that may occur with fever

Answer 7

• malaise
• fatigue
• myalgias
• chills
• sweats
• tachycardia
• confusion
• delirium

Question 8

What is a huge red flag with fever, especially in the geriatric population?

Answer 8

change in mentation

Question 9

Refer pt with fever to PCP when:

Answer 9

• fever lasts longer than 2-3 weeks without being seen by physician
• fever is 102 or higher (immediate!)

Question 10

What part of the brain is the thermostat?

Answer 10

hypothalamus

Question 11

cycle of fever and chills

Answer 11

1. vasoconstriction
2. piloerection
3. epinephrine secretion
4. shivering

Question 12

feeling like you are spinning is likely

Answer 12

vestibular

Question 13

feeling like the room is spinning around you is likely

Answer 13

ocular

Question 14

spinning is indicative of

Answer 14

vestibular issues

Question 15

Key terms to look for with dizziness and lightheadedness

Answer 15

• spinning
• lightheadness
• faint
• nausea/vomiting

Question 16

Key FUPs for dizziness/lightheadness?

Answer 16

• What brins on your symptoms?
• Which positions make your s/s worse?
• Any hearing loss/visual disturbances?
• Have you fallen because of your dizziness?

Question 17

If laying down alleviates dizziness/lightheadedness, you should think (generally)

Answer 17

vascular (i.e. orthostatic hypotension, vertebral artery insufficiency)

Question 18

If laying down makes the dizziness/lightheadedness worse, you should think (generally)

Answer 18

vestibular (i.e. BPPV)

Question 19

Top 3 questions for dizziness/lightheadedness?

Answer 19

• What makes your s/s worse?
• Assess safety (walking, driving, falls)
• Assess severity