Exam 5 Flashcards

Question

Betaxolol

Answer 1

Beta blocker Tx: glaucoma Most potent ⬇️ aqueous humor

Answer 2

Beta blocker Tx: glaucoma ⬇️ aqueous humor ⬆️ outflow of aqueous humor

Answer 3

Used for 👁️ exams Numbing b4 dilation Can be mixed W dilation med

Answer 4

Used for 👁️ exam Dilates pupil Paralyze ciliary muscle Stops accommodation= can't see for 6-8 hrs Wear protective shades

Answer 5

Used for 👁️ exam Dilates pupil Paralyze ciliary muscle Stops accommodation= can't see for 6-8 hrs Wear protective shades

Answer 6

Build up of protein and fiber with the lens

Answer 7

Fogged up "window" Blocks light 💡 Vision difficulty Poor night vision Halos around lights

Answer 8

Post op pain & inflammation Eyes Inflammatory disorders Use 3-6 wks post - op ⬇️ immunity Contact physician for signs of infection

Answer 9

Murine, tears plus Lubricate eyes Used for several months post op

Answer 10

⬇️ infection Used post operatively

Answer 11

Gentamyain Erythromycin Bacitracin Ciprofloxacin Sulfacetamide🚨 sulfa allergy

Answer 12

visine visine extra Clear eyes

Answer 13

visine extra Clear eyes Artificial tears (murine) Cyclosporine eye drops (restasis)

Answer 14

l. Wash hands 2. Gloves on 🧤 3. Expose conjunctival sac (press on lower lid) 4. Do not touch 👁️ W bottle tip 5. Pressure on tearducts ( inner corner of eye )

Answer 15

1. Wash hands 2, gloves on 🧤 3. Expose conjunctival sac (press on lower lid) 4. half inch 🎀 Ribbon

Answer 16

Immune bodies actively formed Have had disease Bulk of immunizations

Answer 17

Temporary immunity by immunoglobulins IVIG Antitoxins from mother to fetus via placenta

Answer 18

Majority of community is vaccinated

Answer 19

Painful Runs along nerve ending Within 24 hrs, and repeats 1. Pappule 2. Vesicle 3. Crusting

Answer 20

Live attenuated vaccine Around 50 yrs old Stored in freezer Don't get if you get shingles in the last 3-6 m prior Contraindications Neomycin allergy Gelatin allergy

Answer 21

Protect against: streptococcus pneumonia bacterial meningitis

Answer 22

Prevnar 13 IM Works against multiple strains

Answer 23

Pneumovax 23 IM or SC Works against multiple strains

Answer 24

1-3 day incubation period Large droplets This is the most contagious time period

Answer 25

Yearly Top 3 strains

Answer 26

Fluzone Fluvirin

Answer 27

Flumist Do not give to asthmatics, cancer pt, those constantly sick be they may actually get the Hu

Answer 28

Just a rash = get vaccine Anaphylaxis = don't get vaccine

Answer 29

Nervous system infection Fatal brain destruction Carries on saliva (dead or alive) Don't get bite or scratch

Answer 30

Inactivated Rabies vaccine Death in 1 week of exposure Immunize b4 onset of symptoms Needs to be taken: day 0, 3, 7,14,28 booster every 2-3 yrs

Answer 31

ABO blood type

Answer 32

On red blood cells

Answer 33

IM or IV At 28 wks and within 72 hours postpartum

Answer 34

Fever Site reaction Redness Swelling Warm Localized pain Can use cold compress for these

Answer 35

Hives Anaphylaxis Redness up & passed a joint Allergic to: Eggs Horse Neomycin

Answer 36

Strategic National stockpile

Answer 37

Antibiotics Chemical antidotes Antitoxins Antiviral agents Life support medication IV admin equipment Airway maintenance supplies Surgical material

Answer 38

Used during declared biological or terrorism incident Free to the population affected Push packages available in 12 hrs Vendor managed inventory available is 24-36 hrs

Answer 39

White powder Not person-to-person Vaccine available Cutaneous, GI, inhalation

Answer 40

Contact w wild or domestic animals, leather, wool And having a skin opening

Answer 41

Fatal bacteremia cause: Hemorrhagic meningitis Edema of airway Dysphasia Fever Shock Death Black lesions

Answer 42

Ciprofloxacin

Answer 43

Doxycycline

Answer 44

" Rabbit fever " "deer fly fever" MOST infectious bacteria Not person-to-person Transmitted aerosol through: skin mucous membranes GI tract lungs

Answer 45

Hemorrhagic inflammation of airway Headache Rigors Sore throat Pneumonia Pleuritis Resp failure Shock DEATH

Answer 46

streptomycin & gentamicin

Answer 47

Transmitted by: plaque infected flea NOT person-to-person Tender, enlarged inflamed lymph nodes

Answer 48

Pneumonic plague. Aerosol Transmitted person-to-person S/s: Fever Cough Dyspnea Hemoptysis Resp failure DEATH

Answer 49

Streptomycin Gentamycin Doxycycline (skin) WITHIN 24 HRS OF SYMPTOMS!!

Answer 50

Person -to-person Summer disease Mucus membranes of resp tract Cough Fever Backache Red spots in mouth Skin rash leaving pitted scars Death bc of toxemia

Answer 51

Live Vaccination Cover site Notable scar in 3 wks

Answer 52

You can't! Just supportive care

Answer 53

Botulinum toxic Aerosol Put in food or water Blocks release of acetylcholine affects autonomic nervous system

Answer 54

Descending flaccid paralysis Death from paralysis of resp system

Answer 55

Botulinum antitoxin Supportive care for lungs & GI

Answer 56

Cell death due to protein production disruption Found in castor bean mash

Answer 57

Severe inflamed & edematous airway Resp failure Bleeding

Answer 58

GI hemorrhage Liver & kidney failure Resp failure Bleeding

Answer 59

No antidote Supportive care Rivax vaccine but still dangerous

Answer 60

Chemical blistering agent Vaporized at high temp ⬇️ Fatality rate

Answer 61

Soap & cool water shower x 3 Intubate for airway damage

Answer 62

IV or inhaled Internal contamination of plutonium, americium or curium Forms chelate to excrete through urine Treat in first 24 hrs Take daily for months

Answer 63

TX for radioactive cesium and thallium Forms chelate Excrete through GI 🚨 constipation🚨 need fiber laxatives and enemas to remove ASAP

Answer 64

Blast = threat, not radiation Small area Limited radiation exposure

Answer 65

Remove clothes and shower NO potassium iodide

Answer 66

Ionizing radiation Shock wave from explosion Intense heat, fires Intense light Permanent eye damage

Answer 67

Nausea Vomiting Diarrhea Fatigue Inflammation Skin burns Hair loss Ulcers in mouth, esophagus & GI Thyroid or leukemia cancer

Answer 68

Potassium iodide

Answer 69

Block uptake of radioactive iodine Take within 48 hrs of exposure Single dose Only protective to thyroid gland No rx needed

Answer 70

Wash hands Warm wash cloth on rash for a few min Softly rub off scabbing Apply topical

Answer 71

Bacitracin (gram➕ skin infections) Neomycin/ polymyxin B (most widely used OTC topical)

Answer 72

Mupiracin Can apply to nasal mucosa& skin

Answer 73

Tx: burns Antibacterial Application: thin layer covering entire burn with sterile gloves Adverse effect: Leukopenia in 2-3 days 🚨 call physician it it burns🚨

Answer 74

Tx: acne vulgaris Liberates oxygen on skin Drying action / peeling Used BID 4-6 wks for improvement

Answer 75

Tx: acne vulgaris, T zone

Answer 76

Tx: acne rosacea Adverse effects: Hypopigmentation of dark complicated people

Answer 77

Tx: repairs uv radiation damage & fine wrinkles Vitamin A derivative light peeling/cell turn over 2-3 wks for improvement Application: completely dry skin 🚨 can cause birth defect, don't use while prego🚨

Answer 78

Tx: cystic acne Slows sebaceous gland activity TX for 4-5 months Skin spells after a few days Adverse effects: ⬆️ triglycerides Skin/eye dryness and burning Birth defects

Answer 79

Computed based risk management program Goals: female pt not pregnant or risk being pregnant Monthly appt, check suicide risk BC 1 month prior to 1 month after 🚨 category X🚨 2 forms of birth control Pregnancy tests

Answer 80

Thymus gland abnormality Parathyroid hormone deficiency Cardiovascular abnormalities Wide set eyes Ear abnormalities Depressed bridge of nose Enlarge head Small chin

Answer 81

Tubal sterilization Partner's vasectomy IUD Hormonal - combo pills - skin patches - shots - under skin implant - vag ring

Answer 82

TX: eczema Immunosuppressant ⬇️ inflammation by⬇️ local T cells release Not asteroid su wont cause skin atrophy

Answer 83

Tx: psoriasis Antiseptic, antibacterial, antiseborrheic suppress DNA synthesis&cell proliferation Topical creams, shampoo&soaps have a bad odor Adverse effects Photosensitivity Staining to skin, clothes and other surfaces

Answer 84

Organic & inorganic

Answer 85

Chemical screen UVB

Answer 86

Physical screen UVB & UVA Reflects light Titanium dioxide& zinc oxide

Answer 87

30 min - 2 hrs b4 going outside Reapply every 2 hrs Reapply water/sweat resistant every 40 - 80 min

Answer 88

> 1 month Recommended for after 6 Mon

Answer 89

Protection against UVB not UVA >15 reduces cancer Min. 30

Answer 90

Topical Wash off 8-12 hrs Don't use on kids unless absolutely necessary 🚨Neurotoxic

Answer 91

Shampoo . Wash off after 10 - 15 min Repeat 9 days later No conditioner

Answer 92

Lice (also scabies) Wash out after 10 - 15 min Reapply after 9 days Rinse w water for 48 hrs No cream rinse or conditioner for 2 wks Treat bed mates Nix= damp hair Rid= dry hair

Answer 93

Cream for lice Use if permethrin doesn't work Rub through all of hair Dry naturally Leave on for 8-12 hrs Rinse

Answer 94

Scabies Not as neurotic 2 applications 24 hrs apart Bathe 48 hrs after 2nd application

Answer 95

Smaller the person, ⬆️ risk for toxicity Type of med toxicity Thin layer covering affected area completely Side effects: burning 🚨Not normal: blistering, large peeling

Answer 96

Pin worms - 1 dose, repeat 2 wks later Round worm, some tape worms - I dose for 3 days Adverse effects - diarrhea - Abd pain - visual disturbances

Answer 97

Pinworm, round worm

Answer 98

Flukes, some tapeworms

Answer 99

When pt is vomiting When worms are coming out of mouth, nose or esophagus

Answer 100

Know when its an emergency Stool cultures Wash hands Bleach items Cook meat and fish thoroughly

Answer 101

Opportunistic infection Cats are host & eggs in cat feces Pregnancy & immune suppressed no cat litter S/s Cyst Blindness Toxicity Swollen head of infant if pregnant

Answer 102

Transmit in contaminated food & water Resides in intestines Can migrate to brain Nettie pots held distilled or boiled water

Answer 103

STD Resides in urethra raging, prostate Men = asymptomatic Women= vaginitis, soul fish smelling discharge, water drainge

Answer 104

Opportunistic infection Cause of PJP ( pneumocystis jirovecii pneumonia) Fatal it left untreated Risk for cancer & immunocompromised. pt

Answer 105

Most common parasitic pathogen Transmits oral fecal route Colonize duodenum Daycare, pools w diapered infants, uncooked or left over food, puppies Resolves spontaneously in 4 -6 wKs Problematic recontamination Symptoms Bloody diarrhea vomiting Abd pain greasy stools horrible smell Needs cultures done

Answer 106

Tx: amebiasis, trichumoniasis, giardiasis eat and drink water Adverse effects: headache dizziness blurred vision diarrhea vomiting nausea 🚨 No etoh 24hrs b4 and 48hrs after (dehydration&liver damage)🚨

Answer 107

TX: PJP IV, IM , inhalation Adverse effects metallic taste NVD bronchospasm (via inhalation, given Albuterol) leukopenia severe hypotension (lay down flat)

Answer 108

TX: PJP IV, IM , inhalation Adverse effects metallic taste NVD bronchospasm (via inhalation, given Albuterol) leukopenia severe hypotension (lay down flat)

Answer 109

Antiprotozoal PJP

Answer 110

Antiprotozoal Chloroquine resistant malaria Toxoplasmosis

Answer 111

Antiprotozoal Specifically Giardia trichomonas amebiasis

Answer 112

Antiprotozoal Specifically Giardia trichomonas amebiasis