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Pt Care Test 2 > From Mentor > Flashcards

From Mentor Flashcards

1
Q

What is chornic, has a sudden onset and primary seen in childern?

A

Asthma

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2
Q

If someone presented with this what might they have?

A

Lupus

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3
Q

If someone presents with this what might be the cause?

A

Alcohol

spider angioma

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4
Q

What type of Asthma is allergic Asthma?

A

Extrinsic

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5
Q

What type of Athsma can be caused be psychological and phiosological stress?

A

Intrisnic

non- allergic

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6
Q

What is the Triad asthmaticus?

A
  • Asthma
  • nasla polyps that recur
  • sesnitivy to aspirin and NSAIDS
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7
Q

What are the symptoms of Asthma?

A

Wheezing and coughing
Cyanosis
Chest congestion
Increased blood pressure
Anxiety and agitation
Dyspnea and tachypnea

WCCIAD

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8
Q

Asthma Managment

A

end procedure
postion upright
calm pt
give bronchodilator (ventolin)
give Oxygen if that doesnt work
summon medical help

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9
Q

If you give a pt who has asthma bronchodilator and it does not work what would you do next?

A

give O2

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10
Q

What is the leading cause of blindness?

A

Diabetes

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11
Q

Which type of diabetes is seen more in chlidren?

A

Type 1

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12
Q

Which type of diabetes has a sudden onset?

A

Type 1

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13
Q

Which type of diabetes is insulin dependent?

A

Type 1

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14
Q

What type of diabetes has a slow onset?

A

Type 2

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15
Q

What type of diabetes is non-insulin dependent?

A

Type 2

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16
Q

When are glucose level most stable?

A

the morning

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17
Q

Kussamual’s Repistaions are seen in

A

Diabetic Ketoacidosis
(and hyperglycimia)

type 1 is more common

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18
Q

Diabetic Ketoacidosis often is seen with

A

Kussamual’s Repistaions

type 1 diabetes more common

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19
Q

Polyuria, polydipsia, and polyhagia are seen in

A

Hyperglycimia

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20
Q

Sign and Symptoms of Hyperglycimia

A

3 poly
dry warm skin
dry mouth
fruity breathe
rapid weak pulse
confusion

3P 2D FRC

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21
Q

Sign and Symptoms of Hypoglycimia

A

hypertension
nausea

changes in mood
anxiety
lethargy
tachycardia
Sweating (full body)

HN MALTS

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22
Q

What has a sudden onset

A

Hypoglycemia

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23
Q

Where would you place somthing sugary fi someone was unconsious due to hypoglycemia?

A

under the tongue

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24
Q

What is the ideal HBA1c?

A

6.5 of below

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25
Q

What is the clinic cut of for HBA1c?

A

8%

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26
Q

What is the main concer with moderate insulin shock?

A

that they will injure themselves or someone else

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27
Q

Oral complications with Diabetes

A

xerostomia
poor wound healing
increase caries
candidasis

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28
Q

What is the progression of anaphylactic rxns?

A

skin
eyes
nose
GI
Respiratory
Cardiovascular

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29
Q

What do you do if a pt has a RAPID allergic reaction?

A

place them supine
BCLS
oxygen
monitor vitals

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30
Q

What are the DELAYED signs and symptoms of Allergic reactions?

A

Rash
Pruritis (itching)
Uricaria
Edema

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31
Q

If you have an delayed allergic reaction when should you continue benadryl?

A

untill 24 hours after symptoms disappear

don’t stop taking it right away

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32
Q

If your family member is allergic to a drug does that mean you will be too?

A

NO

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33
Q

What is a symptom seen in men for cardiovasuclar diease?

A

cheat pain

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34
Q

What is a symptom seen in women for cardiovasuclar diease?

A

shortness of breath

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35
Q

Which is more strongly related to CVD systolic or dystolic?

A

systolic

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36
Q
A
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37
Q

Minor Risk Factors CVD

A

Excessive alcohol use
Stress
Age

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38
Q

What is Orthopnea?

A

difficult breathing when lying down

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39
Q

What are general symptoms of CVD?

A

extreme fatigue
chest pain
nausea
difficulty breathing

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40
Q

What are the ABCs

A

A1c
Blood Pressure
Cholestrol
STOP SMOKING

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41
Q

Chest pain can casue

A

Hyperventalation

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42
Q

What is the most important symtom in Angina Pectoris?

A

chest pain

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43
Q

What is stable Angina Pectoris?

A

pain is predictable
symptoms are relived

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44
Q

What is unstable Angina Pectoris?

A

new-onset
increasing frequency
can’tbe relieved

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45
Q

Which type of Angina Pectoris can be relieved by nitroglycerin?

A

STABLE

46
Q

What are the side effects of nitroglycerin?

A

pounding head
flushing
tachycardia
possible hypotension

47
Q

Where do you place nitroglycerin for angina pectoris?

A

sublingual

48
Q

When do you give someone with angina pectoris aspirin?

A

After you are done giving the nitroglycerin

49
Q

When should you check BP after giving nitroglycerin?

A

After each dose

to prevent hypotension and tachycardia

50
Q

What are the signs and symptoms of Myocardial infraction?

A

cyanotic
cold sweats
chest pain
weakness
pale

3C WP

51
Q

Can a MI be relieved by nitroglycerin?

A

NO

52
Q

Post MI when can a pt be treated?

A

Must be over 8 weeks and will need a Med Consult

53
Q

What is range of INR for someone on anticoagulants?

A

2-3

54
Q

What is the normal range for INR?

A

1.1 or below

55
Q

What has pitting edema, fatigue, weakness clubbing of digits, syncope, breathing problems, and increased urination?

A

Congestive heart failure

56
Q

What are things associated with Congestive heart failure?

A

breathing problems
clubbing of digits
pitting edema
fatigue

weakness
increased urination
syncope

B(CD)EF WIS

57
Q

What two disease encompass COPD?

A

Chronic Bronchitis
Emphysema

58
Q

What is Blue Bloaters related to?

A

Chronic Bronchitis

59
Q

What is pink puffer related to?

A

Emphysema

60
Q

Chronic Bronchitis symptoms

A

sedentary
overweight
cyanotic
breathless

61
Q

Emphysema signs

A

weight loss
dyspnea
pursing lips

lack of cyanosis

62
Q

COPD needs ________

A

LOW FLOW O2

63
Q

What diease develops from strep throat?

A

Rheumatic Fever

64
Q

What is primary Adrenal insufficiency?

A

Addison’s

destuction of adrenal cortex (noramlly autoimmune)

65
Q

Addison’s Disease

A

Decreased cortisol

66
Q

What might you see pigmentation in the lips and gums?

A

Addison’s

67
Q

What is secondary Adrenal insufficiency?

A

due to pituitary disease or critical illness

68
Q

What is tertiary Adrenal insufficiency?

A

cause by process that impair the function of the hypothalamus

69
Q

What is the most common cause of tertiary Adrenal insufficiency?

A

chronic use of corticosteroids

70
Q

Crushing Sydrome is caused by

A

excess of cortisol

71
Q

Crushing Disease is

A

caused by a tumor to the pituitary gland or adrenal gland

72
Q

What is moon face associated with?

A

Crushing’s

73
Q

What is spider angiomas associated with?

A

Alcohol Abuse

74
Q

What is classifed as binge drinking?

A

5oz in 4 hours

75
Q

What combination causes an increase in oral cancer?

A

Drinking and Smoking

76
Q

In what would you see a smooth, burning, red tongue?

A

anemia

77
Q

What are the symptons of anemia?

A

pale
fatigue
low BP
SOB
rapid heart rate

one of the only times you see these together

78
Q

What is pagophagia?

A

chewing ice

79
Q

If someone was iron deficent they may

A

chew ice

pagophagia

80
Q

Somone who has thin brittle hair may have

A

anorexia

81
Q

Somone who has neck swelling may have

A

anorexia

82
Q

If someones amalgams are raised they may have

A

bulimia

83
Q

What is peromylolysis?

A

loss of enamel and dentin on the lingual surface from acid

84
Q

what is loss of enamel and dentin on the lingual surface from acid?

A

peromylolysis

85
Q

When someone is on blood thinner what test would you want to use?

A

INR

not PT

86
Q

Is osteoarthritis an autoimmune diesease?

A

NO!!!!!

87
Q

What are 3 autoimmune conditions?

A

Hyperthyroidism
Sjogren
Rheumatoid Arthritis

88
Q

If you see a butterfly shaped rash what might the person have?

A

Lupus

89
Q

dry mouth and eyes, as well as candidiasis are most prevalent in

A

Sjogrens

90
Q

When someone starts to have a seizures you may hear

A

epileptic cry

91
Q

What percent of people with epilepsey are able to have complete control within 5 years?

A

60-80%

92
Q

epilepsey management

A

protect pt
DO NOT move to floor
put in supine
remove instruments
O2 if needed
4444

93
Q

What are causes of GERD?

A

pregnancy, bad sphincter, obesity, alcohol, and smoking

94
Q

What are the two things you see lingual erosion on the teeth?

A

GERD and Bulimia

95
Q

What do you use to treat GERD?

A

Erythromycin

96
Q

What is Tic Douloureux?

A

Trigeminal Neralgia

stabbing pain in side of cheek of jaw

97
Q

Who would need a med consult?

A
  • Rheumatic Fever
  • MI in last 6 months
  • Hypertension
  • Congential Heart Defect
  • Chemo
    *** 5 of more meds **
  • organ transplant
  • joint replacement
98
Q

What are true allergies?

A

itching
rash
hives
swelling
wheezing

99
Q

What are drug intolerances?

A

Nausea
Vomiting
Palpitations

aviod drug anyway (not true allergy)

100
Q

If someone presented with this what might be the cause?

A

GERD or Bulimia

peromylolysis!!!!

101
Q

What are medications you would not want to give to someone with GERD?

A

codeine
erythromycin

102
Q

What insulin shock is characterized by hunger, weakness, tachycardia, and pallor?

A

mild

103
Q

What 2 things that are characterized by poorly controlled urination

A

congestive heart failure
Diabetes

104
Q

What are two things you would see an enlarged parotid gland?

A

Excess alcohol use
Sjorgen syndrome

105
Q

If you administer bronchodilators (Ventolin) to a patient during an asthma attack and there is no improvement despite administering it 3 times already. What should you administer next?

A

Epinephrine

106
Q

what are the 3 polys related to Hyperglycemia?

A

-uria
-dipsia
-phagia

107
Q

Hyperglycemia symtoms (?)

A

warm skin, fruity-smelling breath, and Kussmaul’s breathing

108
Q

What is SLE?

A

Lupus

109
Q

What is not a symptom of Anorexia?

A

Tachycardia!!!!!

110
Q

Which of the following is not a side effect of nitroglycerin?

A

being tired

111
Q

What would be an ideal HbA1c level if you are pre-diabetic?

A

6 or less

Pt Care Test 2 (1 decks)

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