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Acute Gero 3 > chapter 1- Acute care topics > Flashcards

chapter 1- Acute care topics Flashcards

1
Q

normal wbc count

A

4,000 -11,000

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2
Q

neutrophilia cells destroy

A

bacteria

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3
Q

lymphocytes destroy

A

viruses

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4
Q

monocytes clear

A

cellular debris

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5
Q

eosinophils combat

A

allergens/parasites

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6
Q

Post op fever etiology

A

Hypovolemia (asses volume)
Atelectasis ( Assess incentive spirometer)

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7
Q

HIV transmission

A
  • Sexual
  • Parenteral
  • Vertical
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8
Q

nucleic acid test

A

detects HIV RNA and its the earliest detection of HIV

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9
Q

Antigen/antibody tests detect

A

p24 antigen

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10
Q

CD4 measures

A

functional immunity

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11
Q

viral load measures

A

viral replication

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12
Q

When should antiviral therapy be started?

A

antiviral therapy be started
regardless of CD4 count

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13
Q

undetectable viral load =

A

< 200 copies/ml (non transmisable)

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14
Q

what should you educate your HIV patient about their antiviral medications?

A

take the medications at the same time everyday

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15
Q

First test to order for suspected HIV testing

A

HIV1/HIV2 antigen, antibody combo

NEG– no HIV
POS- order HIV1/HIV2 antibody differentiation

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16
Q

Positive HIV1/HIV2 antibody differentiation =

A

Either HIV 1 or HIV 2 or both

17
Q

Negative HIV1/HIV2 antibody differentiation =

A

more testing

HIV NAT
NEG- HIV negative
POS- active HIV infection

18
Q

s/s of UTI

A

dysuria, urgency, frequency

19
Q
A
20
Q

complicated UTI symptoms will include

A

CVA tenderness, fever, nausea, vomiting

21
Q

1st line antibiotics for uncomplicated UTI

A

Sulfamethoxazole-Trimethoprim (TMP-SMX) (Bactrim) DS BID for 3 days
- IF RESISTANCE IS < 20%
- Avoid with Sulfa allergy

Nitrofurantoin (Macrobid) 100 mg BID for 5 days

22
Q

1st line abx for Complicated UTI

A

Ciprofloxacin (Cipro) 500 mg PO BID or 400 mg IV BID 7-14 days

Levofloxacin (Levaquin) 750 mg PO or IV daily 7-14 days

23
Q

Complicated UTI with high risk of multi-drug resistance or systemic illness

A

Ertapenem (Invanz) 1g IV daily
Zosyn 3.375g IV Q6 hrs
Cefepime 2 IV BID

Acute Gero 3 (6 decks)

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