Lesson 1 Flashcards
Bad news best provided by
primary care doctor
citalopram side effect
QTc prolongation
NSAID with longest half life
oxaprozin
emancipated minor
married
pregnant
self-supporting not living in parents home
military
first line narcolepsy drug
modafinil
most common cause of pericardial effusion
lung carcinoma
most common mets to heart
melanoma
Law that made physician self-referrals illegal
Stark Law
Melanoma lab for prognosis
LDH
medication to treat vasomotor symptoms like hot flashes
clonidine
GBM poor prognosis finding
thrombocytopenia
anemia
complicated grief
grief disabling
present for at least six months after loss
stage 3 adenoCa
can be cured w/ surgery
St. John’s wort affects what meds
SSRIs
MAOis
can cause serotonin syndrome
QI
aimed at physicians early in training
in palliative care and end-of-life care, QI has failed to show consistent improvement in outcomes
most common cause of incontinence in elderly
urge incontinence
ECOG
a. 0: fully active
b. 1: participate in moderate physical activity, but strenuous physical activity is restricted
c. 2: capable of self-care, unable to carry out work activities
d. 3: limited self-care; confined to bed >50% of waking hours
e. 4: completely disabled
bupropion side effect
decreases seizure threshold
intercostal nerve blocks
at least two levels blocked
insert at inferior border of rib
grief most intense reaction in
parents experiencing loss of child
Krabbe disease prognosis
death by age two
panic attack, benzodiazepines preferred
alprazolam
confidential patient information
must be provided to law enforcement when warrant present
phenelzine
risk for HTN emergency
alcoholic hepatitis
model that predicts which patients will benefit from therapy
Maddrey discriminant function
superior hypogastric block given for
uterine cancer
only Benzo available for rectal administration
diazepam
frontotemporal dementia presentation
insidious
vascular dementia presentation
abrupt onset of symptoms
palonsetron
longer half life than ondansetron
unique metabolite of heroin
6-MAM
quantitative futility
<1% chance of success
OSA questionnaire
STOP BANG
pain scale for patient with dementia
PAIN AD
glycopyrrolate
terminal secretion management
does not cross BBB
terminal secretions prognosis: 16 hours
Heimlich valve
pneumothorax treatment at home
organ donation contraindication
severe sepsis
extra cranial malignancy
active HCV, HBV
active TB, AIDS
most reliable predictor of patient outcomes after cardiac arrest
bilateral loss of cortical SSEPs (N20)
neuroleptic malignant syndrome meds
anti-psychotics
Muslim beliefs about death
death can be painless if follower led a religious life
most common screening tool for complicated grief
Inventory of Complicated Grief
gabapentin peak plasma concentration time
2-3 hours
octreotide treatment
secretory diarreha
bismuth
antimicrobial properties
amphetamine withdrawal
dental caries
increased hunger
vivid dreams
sleeplessness
most common cause of death in CREST syndrome
pulmonary disease
buprenorphine initiation
patients ins täte of mild to moderate withdrawal
complicated grief first-line rx
CBT
SSRIs in complicated grief
not effective in absence of pre-existing illness
patient dissatisfaction by race
hispanics>Asian Americans>blacks
Palliative Prognostic Index symptoms (four)
oral intake
edema
dyspnea at rest
delirium
definition of adulthood
different cutoffs for states across the country
dialysis in HRS in patients not candidates for liver transplant
futile
stage three pressure ulcer treatment
management: foam dressing
stage two ulcer treatment
tegaderm
celiac plexus block
targets nerves of upper abdomen
pancreas
grief counseling online therapy
no data
brain death criteria
core temp>36F
SBP>100
coma, no brainstem reflexes
apnea testing
globally, most common diagnosis necessitating palliative cares
cardiovascular disease
multi organ dysfunction score
mortality predictor among ICU patients
most common cause of death in those with complicated grief
cancer
CV disease
breast cancer tumor markers
Ca 15-3
Ca 27.29
pancreatic cancer tumor marker
CA 19-9
ovarian cancer tumor marker
Ca-125
specific finding for impending death
drooping of nasolabial fold
specific end of life exam findings
drooping of nasolabial fold
respiration with mandibular involvement
Cheyne stokes breathing
death rattle
serotonin syndrome vs. NMS
serotonin syndrome: clonus present
hypercalcemia treatment
IVF
zolendronic acid
calcitonin
consider denosumab for refractory
consideration in chemo initiation
performance status
co-management can reduce
burnout
L-tryptophan
can cause serotonin syndrome in use w/ SSRIs
CBT
effective in those w/ COPD and mild/moderate sx
suicide risk among those who have lost child
remains elevated for ten years
dying at home risk for caregivers
heart attack and death
markers for renal function progression in CKD
GFR
proteinuria
continuous home care hospice
requires eight or more hours daily
pain crisis in those on methadone
continue methadone, divide to q8
add sort-acting prn
mild OUD first-line treatment
naltrexone
patient autonomy, parents
parents cannot withhold treatment to save life or limb of child
SPIKES
set up interview
perception assessment
invitation of patient
knowledge of info to patient
emotional address
strategy and summary
NURSE protocol
for giving bad news
Name emotion
understand emotion
respect emotional reaction
Support pt/family
Explore further
behavioral pain scale for
patientson ventilator
pain scale for neonates
NIPS
CRIES
pain scale in patients w/ dementia
PAINAD
pain scale in non-verbal children
FLACC
STEMI 30 day mortality
2.5 to 10%
long term outcomes NSTEMI vs. STEMI
NSTEMI worse than STEMI
advance directive in minorities
lower rate of completion
meds to consider for constipation after miralax
lubiprostone
linaclotide
serotonin syndrome rx
diazepam
CCB side effect
peripheral edema
transference
patient directs feelings about others to doctor
counter-transference
doctor transfers feelings to patient
prostate cancer poor prognosis
anemia
poor performance status
spinal cord compression w/ decreased ambulation
increased risk of death from which conditions for bereaved people
cancer
CV disease
nausea management in bowel obstruction
haloperidol
acupuncture effective for
migraines
most significant mortality risk factor in patients with cirrhosis
fibrosis
etoH cessation
potential reversal of hepatic changes
suicide risk higher in
non-Caucasians
