Leik Flashcards
Which of the following antihypertensive medications should the nurse practitioner avoid when treating patients with emphysema?
A)Calcium channel blockers
B)Angiotensin-converting enzyme (ACE) inhibitors
C)Beta-blockers
D)Diuretics
Beta-blockers Beta-blockers should be avoided in patients with a history of emphysema. Studies have shown evidence of a reduction in forced expiratory volume in 1 second (FEV1), increased airway hyperresponsiveness, and inhibition of bronchodilator response to beta agonists in patients receiving beta-blockers.
L.
murphy’s sign is not applicable for ______ to diagnose cholecystitis
Elderly
How is murphys sign done?
Hold the breathe, deep breathe, diaphragm moves downward, and gall bladder is in contact, if inflammed- more pain is elicited.
Key word- hold breathe or deep breathe
hesimoto disease
enlarged thyroid
hesimoto is more common?
in women
middle age to older age
vaginal atrophy occur begining or end of menopaus?
end of menopause
target organ damage in hypertension?
AV nickling
stroke
Left ventricular hypertrophy
S2 heart sound is caused by
semilunar valve closure
heberden’s sign mean
osteoarthritis
distal interphalnageal joint
Bouchard’s joint
middle interphalangeal joint
Classic sign of osteoarthritis?
Stiffness in the joint in morning and prolong rest
sensitive lab test to check renal function?
Glomerular filtration rate
Why chronic use of NSAID cause gastritis?
It blocks cox1, gastric mucosa uses cox1. When barrier is broken, it causes damage
Which NSAIDS medication can be used for gastritis
Celebrax ( Celecoxib); helps to block COX2, instead of COX 1
Toddle with CHF sign
S1, S2 and s3 sound
fatigue, shortness of breathe with activities, and edema in lower extremities.
