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comp Flashcards

1
Q

type of prevention that prevent the initial occurence of the disease

educaion
prenatial
imunizations

A

primary prevention

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2
Q

type of prevention where early detection of the disease

screening
diseasre surveilence

A

secondary prevention

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3
Q

maximizes a patients recovery after a disease, injury or illness has occured

OT
rehabilitation
physical therapy
support groups

A

tertiary prevention

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4
Q

end of life care

symptom management
comfort care

A

hospice

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5
Q

symptom management while recieving treatment of disease

A

pallative care

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6
Q

sever dyspnea
fever
shock
muscle aches

can be a bioterrorism manifestations of

A

anthrax

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7
Q

anthrax treatment

A

IV ciprofloxacin exposed or high risk of exposure

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8
Q

facial rash that moves downward
high fever
headache
vomiting

can be a bioterrorism manifestations of

A

smallpox

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9
Q

with judiasm what 2 things can not be eaten together

A

meat and dairy

pork and shellfish prohibited

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10
Q

in muslim culture what two foods cannot be eaten

A

pork
shellfish
alcohol

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11
Q

in huduism what two foods cannot be eaten

A

beef

pork

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12
Q

therapeutic drug monitoring that reflects a drugs highest concentration

A

peak

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13
Q

therapeutic drug monitoring that reflects the lowest concentration or residual level and are usually obtained 15 minutes prior to administration of next dose

A

trough

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14
Q

4 interventions for IV infiltration

  • sweling around site
  • edema
  • coolness
  • damp feeling
A

stop the infusion
apply cold compress
elevate extremity
insert new catheter into opposite extremity

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15
Q

4 interventions for IV extravasation

A

stop the infusion
aspirate drug if possble
apply cold compress
document condition

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16
Q

4 interventions for IV phlebitis

  • redness
  • pain
  • warmth
A

stop infusion
remove IV
apply warm compress
insert new catherter in opposite exrtremity

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17
Q

antidote / reversal agent for acetaminophen

A

acetylcysteine

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18
Q

antidote / reversal agent for benzodiazapines

A

flumazenil

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19
Q

antidote / reversal agent for cyanide poisoning

A

methylene blue

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20
Q

antidote / reversal agent for digitalis

A

digoxin immune FAB

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21
Q

antidote / reversal agent for heparin & enoxaparin

A

protamine sulfate

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22
Q

antidote / reversal agent for IRON

A

defroxamine

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23
Q

antidote / reversal agent for lead

A

succimer

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24
Q

antidote / reversal agent for narcotics

A

naloxone

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25
Q

antidote / reversal agent for warfarin

A

phytonadione (vitamin K)

26
Q

therapeutic drug levels for lithium

A

0.4 - 1.4

27
Q

therapeutic drug levels for mag sulfate

A

4-8

28
Q

therapeutic drug levels for phenytoin

A

10-20

29
Q

therapeutic drug levels for digoxin

A

0.8-2

30
Q

vancomycin trough levels

A

15-20

31
Q

3 things to remeber with TPN

A

verify with 2nd RN
no meds through TPN
change tubing every 24 hours

32
Q

if you run out of TPN or is delayed use _____

A

10%- 20% dextrose in water

33
Q

ace inhibitors & ARBS can be used for what 4 things

A

hypertension
heart failure
MI
diabetic neuropathy

34
Q

Angioedema
Cough - persistant
Elevated K

hypotension

are all common adverse effects with what type of drugs

A

ace inhibitors

35
Q

(PRILL )

captopril
lisinoprol

are examples of

A

ace inhibitors

36
Q

take zem pine to the mill

ZEM PINE MIL

diltiazem
amlodipine
verapanmil

are all examples of

A

calcium channel blockers

37
Q

calcium channel blockers can be used for what 2 things

A

angina

hypertension

38
Q

with calcium channel blockers do no consume

A

grapefruit juice

39
Q

3 common adverse effects with calcium channel blockers

A

peripheral edema
consitpation
dysrthymias

40
Q

do not administer nonselective beta blokers to clients who have

1.
2.
3.

(propranolol, nadolol, labetalol)

A

asthma
bronchospasms
heart failure

41
Q

vasodilators are used for

A

hypertensive crisis

42
Q

nitroprusside
hydralazine
enalaprilat

are all xamples of

A

vasodilators

43
Q 
hypotension
cyanide toxicity 
thiocyanate poisoning 
dizziness 
headache

are all side effects of

A

vasodilators

44
Q

(green, yellow or white halos )
blurred vision
nausea
vomiging

are all side effects of

A

digoxin

45
Q

hold digoxin if heart rate is less than ___ bpm

assess apical pulse for ___ min prior to administration

A

bpm

1 min

46
Q

digoxin is used to treat what 2 things

A

heart failure

a fib

47
Q

with digoxin encourage foods high in

A

potassium

48
Q

nitroglycerin is used to treat

A

angina

chest pain

49
Q

with nitroglycerin, do not give to clients if

they are taking _______ meds
they have a _____ injury

A

erectile dysfunction med

head injury

50
Q

with nitroglycerin

rest and take tablet, if pain is not relieved in ___ mins call 911 and take a second tablet

may use up to ___ tabs taken _____ mins apart

A

5 mins

3 tabs , 5 min apart

51
Q

used to convert SVT to sinus rhythm

may cause:

  • flushing
  • nausea
  • bronchospasms
A

adenosine

52
Q

used for:

v fib
unstable vtach

may cause:

  • bradycardia
  • cardiogenic shock
  • pulmonary disorders
A

amiodarone

53
Q

used for :

bradycardia
known exposure to chemical nerve agent

may cause:

  • dry mouth
  • blurred vision
  • urinary retention
  • constipation
A

atropine

54
Q

do not administer statin medications with

A

grapefruit juice

55
Q

3 common adverse effects with statin medications

atorvastatin, lovastatin, etc.

A

hepatotoxiciy
muscle aches
rhabdomyolysis

56
Q

patients should take statin medication _____

low ____ , high ____ diet

A

in the evening

low fat / high fiber diet

57
Q

type of beta 2 adrenergic medication that

short acting: onset 5-15 min

treatment: acute bronchospasm

A

albuterol

58
Q

type of beta 2 adrenergic medication that

long acting: onset 10-20 min, duration: 12 hours

long term conrrol of asthma

A

salmeterol

59
Q

what are 3 expected side effecs of beta 2 adrenergics such as albuterol

A

tachycardia
tremors
palpitations

60
Q

when mixing beta 2 adrenergic (albuterol) with a glucocorticoid (beclomethasone) which shoujld be taken first

A

beta 2

wait 5 min

glucococorticoid

collab (2 decks)

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