MEDS2 Flashcards

1
Q

Neostigmine/Atropine (anticholinergic)

A

to reverse effect of pancuronium

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2
Q

When given we need to worry about dehydration.
K ha ineverse
relationship with Na

A

Kayexalate

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3
Q

NEVER use qtip or anything to scratch area

A

Itching under cast area

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4
Q

Itching under cast area

A

ice pack for 10- 15 minutes

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5
Q

Myesthenia gravis

A

caused by a disorder in the transmission of impulses from nerve to muscle cell

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6
Q

Rifampin

A

Red orange tears and urine

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7
Q

contraceptives don’t work as well

A

Rifampin

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8
Q

Ethambutol

A

messes with your Eyes

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9
Q

Itching under cast area

A

cool air via blow dryer

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10
Q

Yogurt has live cultures

A

dont give to immunosuppressed pt

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11
Q

Rule of nines (head)

A

9

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12
Q

legs

A

Rule of nines (36)

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13
Q

Rule of nines (arms)

A

18

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14
Q

Rule of nines (torso)

A

36

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15
Q

1=100%

A

Rule of nines(perineum)

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16
Q

The biggest concern with cold stress and the newborn is

A

respiratory distress

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17
Q

restlessness

A

The first sign of hypoxia

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18
Q

hypoxia

A

restlessness, followed by agitation, and things go downhill from there all the way to delirium, hallucinations, and coma.

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19
Q

check the o2 stat, and get abg’s if possible

A

hypoxia

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20
Q

If your normally lucid patient starts seeing bugs you better check his

A

respiratory status first

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21
Q

After g-tube placement the stomach contents are drained by

A

gravity for 24 hours before it can be used for feedings

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22
Q

In a five-year old breathe once for every

A

5 compressions doing cpr

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23
Q

Cephalhematoma

A

caput succinidanium

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24
Q

This is the type of edema that crosses the suture lines

A

Cephalhematoma

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25
Q

First sign of PE

A

sudden chest pain

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26
Q

resolves on its own in a few days

A

Cephalhematoma

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27
Q

sign of PE

A

dyspnea and tachypnea

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28
Q

Pulmonary sarcoidosis

A

leads to right sided heart failure

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29
Q

Digitalis increases

A

ventricular irritability

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30
Q

could convert a rhythm to v-fib following cardioversion

A

Digitalis increases

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31
Q

Trendelenburg test

A

for varicose veins. If they fill proximally = varicosity

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32
Q

Non dairy sources of calcium

A

RHUBARB, SARDINES, COLLARD GREENS

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33
Q

Push fluids with

A

Allopurinol

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34
Q

flush the uric acid out of system

A

Allopurinol

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35
Q

Cushings ulcers r/t

A

BRAIN injury

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36
Q

Fat soluble vitamins

A

Vitamins A, D, E, K

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37
Q

Given WITH food.

A

NSAIDS, Corticosteroids, drugs for Bipolar, Cephalosporins, and Sulfanomides

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38
Q

Cushings triad r/t

A

ICP in BRAIN (htn, bradycard, irr. resp)

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39
Q

Patch the GOOD eye so that the

A

weaker eye can get stronger

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40
Q

BOTOX for

A

strabismus

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41
Q

Hepatitis A

A

contact precautions

42
Q

Amyotrophic lateral sclerosis ( ALS

A

condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.

43
Q

put them in fetal position, NPO, gut rest, prepare antecubital site for PICC cuz they’ll probably be getting TPN/Lipids

A

Pancreatitis patients

44
Q

Ask for anaphylactic rxn to eggs or neomycin before

A

MMR

45
Q

conjunctival sac

A

Apply eye drop to

46
Q

after applying eye drops to the conjunctival sac afterwards

A

apply pressure to nasolacrimal duct / inner canthus

47
Q

TIDAL VOLUME

A

7 – 10ml / kg

48
Q

Test 4 hypersensitivity before the administration of

A

asparginase

49
Q

Fat Embolism

A

Blood tinged sputum (r/t inflammation), inc ESR, respiratory alkalosis (not acidosis r/t tachypnea), hypocalcemia,increased serum lipids, “snow storm” effect on CXR

50
Q

Increased met. rate

A

your body is “too busy to sleep

51
Q

hypothyroidism

A

may report somnolence (dec. met rate, body is slow and sleepy).

52
Q

Stranger anxiety is greatest

A

7 - 9 months

53
Q

Amphogel and Renegal

A

take with meals

54
Q

Vermox

A

Take with high fat diet (increases absorption)

55
Q

Kidney Glucose threshold

A

180

56
Q

MMR

A

SQ shot

57
Q

Separation anxiety peaks in

A

toddlerhood

58
Q

Before going for Pulmonary Fuction Tests (PFT’s),

A

a pt’s bronchodilators will be with-held

59
Q

are not allowed to smoke for 4 hrs prior

A

Before going for Pulmonary Fuction Tests (PFT’s),

60
Q

have pt hold breath in midexpiration

A

lung biopsy

61
Q

lung biopsy

A

chest x-ray done immediately afterwards to check for complication of pneumothorax, sterile dressing applied

62
Q

lung biopsy

A

position pt lying on side of bed or with arms raised up on pillows over bedside table,

63
Q

pt can eat, pt must stay awake night before exam, pt may be asked to hyperventilate and watch a bright flashing light, after EEG, assess pt for seizures, pt’s will be at increased risk

A

EEG prior

64
Q

EEG prior

A

hold meds for 24-48 hrs prior

65
Q

no caffine or cigarettes for 24 hrs prior

A

EEG prior

66
Q

high in vit c

A

cantaloupe

67
Q

neutrophils kick in to

A

fight infection

68
Q

Multiple Sclerosis

A

chronic, progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord.

69
Q

WBC

A

shift to the left in a patient with pyelonephritis

70
Q

a person shouldn’t have cantaloupe before a occult stool test,

A

vit c causes a false + for occult blood

71
Q

Epispadias

A

opening of the urethra on the dorsal (front) surface of the penis

72
Q

Priapism

A

painful erection lasting longer than 6 hrs.

73
Q

Fetal alcohol syndrome

A

upturned nose

74
Q

flat nasal bridge

A

Fetal alcohol syndrome

75
Q

Anticholinergic effects-dry mouth

A

can’t spit

76
Q

Anticholinergic effects (urinary retention)

A

can’t pee

77
Q

Anticholinergic effects (constipated)

A

can’t shyt

78
Q

Anticholinergic effects (blurred vision)

A

can’t see

79
Q

Fetal alcohol syndrome

A

thin upper lip

80
Q

OU

A

both eyes

81
Q

left eye

A

OS

82
Q

OD

A

right eye ( dominent Right eye- just a tip to remember)

83
Q

the most important intervention with HHNS as well as DKA

A

Fluids

84
Q

Serum acetone and serum ketones rise in

A

DKA

85
Q

As you treat the acidosis and dehydration expect the ______________ to drop rapidly

A

potassium

86
Q

As you treat the acidosis and dehydration expect the potassium to drop rapidly, so be ready, with

A

potassium replacement

87
Q

Fluids are the most important intervention with HHNS as well as DKA, so get

A

fluids going first

88
Q

Position on right side with legs flexed after

A

appendectomy

89
Q

After removal of the pituitary gland you must watch for

A

hypocortisolism and temporary diabetes insipidus

90
Q

Hirschsprung’s diagnosed with rectal biopsy looking for

A

absence of ganglionic cells

91
Q

Hirschsprung’s Cardinal sign in infants is

A

failure to pass meconium

92
Q

Hirschsprung’s

A

classic ribbon-like and foul smelling stools

93
Q

currant jellylike stools (blood and mucus).

A

Intussusception

94
Q

Intussusception

A

common in kids with CF

95
Q

Intussusception

A

Obstruction may cause fecal emesis

96
Q

A barium enema may be used to hydrostatically reduce the telescoping.

A

Intussusception

97
Q

Resolution is obvious, with onset of bowel movements.

A

Intussusception

98
Q

After a hydrocele repair provide

A

ice bags and scrotal support

99
Q

kid positive for PKU

A

No phenylalanine

100
Q

no meat, no dairy, no aspartame

A

kid positive for PKU