Lesson 1 Flashcards by Ben Frush

Bad news best provided by

primary care doctor

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citalopram side effect

QTc prolongation

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NSAID with longest half life

oxaprozin

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emancipated minor

married
pregnant
self-supporting not living in parents home
military

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first line narcolepsy drug

modafinil

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most common cause of pericardial effusion

lung carcinoma

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most common mets to heart

melanoma

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Law that made physician self-referrals illegal

Stark Law

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Melanoma lab for prognosis

LDH

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medication to treat vasomotor symptoms like hot flashes

clonidine

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GBM poor prognosis finding

thrombocytopenia
anemia

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complicated grief

grief disabling
present for at least six months after loss

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stage 3 adenoCa

can be cured w/ surgery

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St. John’s wort affects what meds

SSRIs
MAOis

can cause serotonin syndrome

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aimed at physicians early in training
in palliative care and end-of-life care, QI has failed to show consistent improvement in outcomes

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most common cause of incontinence in elderly

urge incontinence

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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

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bupropion side effect

decreases seizure threshold

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intercostal nerve blocks

at least two levels blocked
insert at inferior border of rib

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grief most intense reaction in

parents experiencing loss of child

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Krabbe disease prognosis

death by age two

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panic attack, benzodiazepines preferred

alprazolam

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confidential patient information

must be provided to law enforcement when warrant present

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phenelzine

risk for HTN emergency

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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