final gerit Flashcards
risk factors for hep C
IVDU Hemophiliacs who received clotting factors before 1987 Received blood/organs before 1992 Hemodialysis Medical workers who had needle Sticks
sxs of hep c
MC symptom = asymptomatic Nausea, vomiting Fever, fatigue Dark urine Jaundice Fever Pruritus
sxs of CHRONIC hep c
Arthritis
Itching
Numbness
Leads to Hepatocellular carcinoma
what diarrhea is characteristic of C diff
3 watery bowel movements daily for 2 or
more days
other than diarrhea what sxs do we see associated with C Diff
Fever, nausea, abdominal pain
what are the three complciations associated with C diff
■ Colitis
■ Sepsis
■ Death
High risk patients for C. diff
hospitilized Nursing Homes Assisted Living RCFE (residential care for elderly) Community Care Facilities Less so in prisons The Elderly The Ill Immunocompromised → HIV, Chemo, Chronic steroid use, COPD...etc.
Recent ABX use puts you at risk for c.diff, especially if you’ve recently been on
{the drugs that treat oral, tooth UTI and PNA}
Ampicillin
amoxicillin
Cephalosporin (e.g. Keflex)
Fluoroquinolones (eg Levaquin)
sepsis criteria
T >39.4 degrees C (102.9 F), RR>30, P>120
WBC>11
Shaking chills, DM, Major comorbidities, AMS, abd pain, and vomiting
MEDS associated with UI
ETOH Adrenergic antagonists Antidepressants Antipsych CCB Loop Narcotics NSAIDS Sedative Thiazolidinediones
Neurological
Stroke Parkinson’s Normal pressure hydrocephalus Dementia Depression
detrusor activity can be
age related idiopathic secondary to a lesion due to local irritation stress related
causes of urge UI
interstitial cystitis
spinal cord injury –> impaired detrusor compliance
this type of incontinence occurs with increased intra abdominal pressure
stress
most common type of UI in older women
Urge and then stress
most common types of UI in older men
urge and then outlet obstruction
ULS definition of urge/stress UI
Residual volume: >50 urge/stress.
ULS definition of urinary retention
> 250 outlet obstruction ton or detrusor inactivity
overflow incontinence is the result of
detrusor under-activity bladder outlet obstruction or both
stress UI is due to
impaired pelvic supports
failure of urethral closer
which type of incontinence results from trauma
failure of urehtral closure or stress incontinence is due to trauma
can also see outlet obstruction in women who;’ve had surgery for UI
peripheral neuropathy can cause what type of incontinence
detrusor underactivity or overflow
Frailty for FTTT
what are they and how many do you need
Wt loss Exhaustion Weakness Slow Walking ↓ Physical Activity
(3 out of 5)
FTT Neuro
Parkinson, Stroke, MS, ALS
