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CNSC > Last minute study > Flashcards

Last minute study Flashcards

1
Q

what is preferred salt to add to TPN mixtures

A

sodium phosphate

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2
Q

what trace elements are possible aluminum contaminants

A

arsenic, aluminum, chromium, zinc, manganese, coppe

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3
Q

What product sources are primary concern for aluminum toxicity

A

potassium phosphate
calcium gluconate
heparin
albumin

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4
Q

What two additives are not a major source of aluminum contamination

A

Regular insulin
ILE

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5
Q

Only 2 medications compatible with TPN

A

famotidine (H2 receptor antagonist)
insulin

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6
Q

What central line access is preserved for renal pts who may need HD

A

subclavian

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7
Q

most common skin anti-sepsis cleaning agent for CVAD

A

chlorhexidine

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8
Q

What two infections are recommended to remove central access

A

fungal infections
S. Aureus

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9
Q

If a pt with central access has purulence, what kind of infection is it usually?

A

exit site infection

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10
Q

What is used for a catheter exit site if there is not purulence?

A

topical antimicronial agent

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11
Q

What disease state is high risk for thrombus formation

A

ovarian cancer

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12
Q

HCl best used to clearing occlusions from acidic precipitations of

A

calcium-phosphate
vancomycin

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13
Q

Bicarb or NaOH best used to clearing occlusions from basic precipitations of

A

oxacillin
phenytoin

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14
Q

what is the etiology of a thrombotic catheter occlusion

A

fibrin sheath formation

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15
Q

where should you obtain blood glucose level 30-1hr after discontinuing PN

A

capillary

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16
Q

what trace element deficiency can cause cardiomyopathy if not included on long term PN

A

selenium

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17
Q

what is max GIR for diabetic pts with hyperglycemia

A

4mg/kg/min

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18
Q

increase urine Ca excretion is seen with

A

high protein administration
cyclic TPN infusion
low PHOS
chronic metabolic acidosis

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19
Q

decreased Ca can contribute to deficiency of what micronutrient

A

magnesium

20
Q

catheter related thrombosis caused by fibrin build up within blood vessels adhering to CVC is called:

A

mural thrombus

21
Q

If pt presents with cyanosis of the face, neck, shoulders, and arm; what complication is this characterized by?

A

superior vena cava syndrome

22
Q

What type of device complication is characterized by pain, swelling, erythema

A

tunnel infection

23
Q

What type of device complication is characterized by chest pain, earache, jaw pain, swelling of the arm, shoulder, neck, or face or leaking at the exit or insertion site

A

thrombus

24
Q

which drugs interfere with folate metabolism?

A

methotrexate
sulfasalazine

25
Q

what vitamin is lost in DEHP-containing plastics

A

Vitamin A

26
Q

What drug binds to polyurethane feeding tubes

A

warfarin

27
Q

what are the 3 divalent and trivalent minerals

A

calcium, magnesium, iron

28
Q

what micronutrients/minerals form complexes with tetracycline and ciprofloxacin

A

calcium, magnesium, iron

29
Q

what immunosuppressive drug often causes hyperglycemia, hypermagnesemia

A

tacrolimus

30
Q

what immunosuppressive drug often causes hypertriglyceridemia

A

sirolimus

31
Q

what immunosuppressive drug often causes hypomagnesemia, hyperglycemia, hyperkalemia

A

cyclosporine

32
Q

Decreased stomach acid secretion leads to decreases in what micronutrient

A

iron
B12
zinc
magnesium

33
Q

what micronutrient is lost in thiazide diuretics

A

sodium

34
Q

loop diuretics cause wasting of what two micronutrients

A

potassium and Magnesium

35
Q

what GI disorder can present with symptoms of bullous skin rash (intestinal and skin lesions) & intestinal mosaic pattern

A

Celiac

35
Q

vitamin K deficiency can lead to what bone disorder

A

osteoporosis

36
Q

chronic zinc supplementation can lead to what trace element deficiency

A

copper

37
Q

high copper foods

A

liver, chocolate, shellfish, mushrooms, nuts

38
Q

prognostic biomarker of intestinal function

A

citrulline (>15-20mcmol/L)

39
Q

infant iron requirements

A

2-4mg/kg/d`

40
Q

adult Calcium daily requirement

A

10-15mEq

41
Q

adult phosphorus daily requirement

A

20-40mmol

42
Q

adult magnesium daily requirement

A

8-20mEq

43
Q

adult zinc daily requirement

A

3-5mg

44
Q

infant/children sodium requirements

A

2-5mEq/kg

45
Q

infant/children potassium requirements

A

2-4 mEq/kg

CNSC (1 decks)

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