Home Care Flashcards

1
Q

Typical sleep apnea patients

A

Smoker, larger weight, men(older)

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2
Q

Symptoms of sleep apnea

A

Not breathing when sleeping
Gasping for air during sleep
Awakening with dry mouth
Difficulty staying asleep
Tired during the day

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3
Q

Treatment for sleep apnea

A

CPAP (continuous positive airway pressure)

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4
Q

MOA of CPAP

A

Adds partial pressure in the breathing tissues to maintain an open airway

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5
Q

Are OTC products for sleep apnea helpful?

A

No

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6
Q

Indication of support hosiery

A

Varicose veins or DVT prevention
Some blood is not pumped back to the heart in the legs

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7
Q

Normal socks

A

Gives pressure below <20mmHg
No gradation

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8
Q

20-30mmHg socks

A

MD now involved
For tired aching legs
Mild varicose veins

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9
Q

30-40mmHg socks

A

To control edema
More severe varicose veins

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10
Q

40+mmHg socks

A

Situations get more serious

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11
Q

OTC products involving support hosiery

A

Sigvaris - great stuff
Liv relief - scam
Antistax tablets - scam
Venixxa - scam (indicated for hemorrhoids and venous disease)
Flight socks - moving legs during flight is just as good

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12
Q

Etiology of urinary incontinence

A

Most common types = stress, urge, and mixed type

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13
Q

Etiology / symptoms of stress incontinence for women

A

Via bladder weakness
OR sudden increase in abdominal pressure
Factors: coughing, laughing, sneezing, lifting

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14
Q

Treatment options for women with stress incontinence

A

Pelvic floor muscle exercises (Kegel)
Bio feedback
Intra-vaginal devices
Surgical options

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15
Q

OTC products for stress incontinence

A

Poise - put in vaginally to add some pressure to the urethra

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16
Q

Factor leading to stress incontinence in men

A

Post-prostate surgery

17
Q

Etiology / causes of urge incontinence

A

Overactive destructor muscle -> muscle contracts before it should
Causes: most commonly no cause found
Can be UTIs, stroke, Parkinson’s, diabetes

18
Q

Treatment for urge incontinence (overactive bladder)

A

Bladder training / kegel
Anti-spasmodic (anti-cholinergic)

19
Q

Etiology / cause of overflow incontinence (urinary retention)

A

Bladder is always full
Leakage seen without urge to urinate
Men&raquo_space; women
Cause: prostate enlargement, diabetic neuropathy

20
Q

Treatment for overflow incontinence

A

BPH therapies (benign prostatic hyperplasia)
Finasteride
Tamsulosin
Surgical

21
Q

Etiology of drug induced urinary incontinence

A

Anti-cholinergic action -> helps overactive bladder
Anti-cholinergic SE -> worsens overflow incontinence by decreasing bladder contractions
Ditropan -> used for urge incontinence

22
Q

What is ileostomy stoma treatment?

A

Large intestine is removed and collecting device is used to collect fecal material
A bag can be used that can be drained out throughout the day

23
Q

What is a bulb syringe?

A

Nasal aspirator
Can help remove some mucous from the nose