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1
Q

Foods that contain tyramine for MAOIs

A

Bananas avocados any dried fruit liver kidneys heart smoked dried curd pickled and hot dogs no aged cheese yogurt no brink cheese no alcohol elixirs tinctures caffeine chocolate licorice and soy sauce and can’t be mixed with other OTC meds

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2
Q

Signs of pneumonia

A 
Crackles 
dyspnea 
pleuritic chest pain 
increase vocal fremitus 
unequal chest movement 
dull 
fever and chills
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3
Q

S/S of uppers

A 
Euphoria
Tachy
Tachpnea
Restlessness
Irritability
Borborygmi/diarrhea
\+3 +4 reflexes
Seizures
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4
Q

Freud Stages of development

A 
Oral: 0-1yr
Anal: 1-3yr
Phallic: 3-6yr
Latency: 6-12yr
Genital: 12 to younger adult
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5
Q

Only acid base to cause Kussmaul respirations

A

Metabolic acidosis

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6
Q

Ventricular tachycardia aka

A

“Bizarre” pattern

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7
Q

Ventricular fibrillation aka

A

“chaotic” squiggly line no pattern

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8
Q

s/s hyperkalemia

A 
Agitation/irritability 
brady/tachypnea
tall P/elevated ST waves
borborygmi/diarrhea
hyperflexia 
spastic muscles
oliguria
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9
Q

Sign of pneumonia

A 
crackles
dyspnea
pleuritic chest pain
increase vocal fremitus
unequal chest movement
dull
fever+chills
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10
Q

s/s of upers

A 
euphoria
tachy/tachpnea
restlessness/irritability
borborygmi/diarrhea
\+3 +4 reflexes
seizures
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11
Q

contraindications for thrombolytics

A 
prior intracranial hemorrhage
arteriovenous malformation
aneurysm
ischemic stroke or head trauma w/in 3mon (except 3hrs)
suspected aortic dissection
active bleeding
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12
Q

HHNK causes and tx

A

causes dehydration
tx is IV fluids
dont need to use insulin for this
more fatal

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13
Q

DKA causes

A

acute viral upper resp. infection w/in 2 weeks
too much food
not enough meds/exercise
higher priority

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14
Q

hypoglycemia causes

A

too much insulin/meds
too much exercise
not enough food

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15
Q

s/s of DKA

A 
dehydration- hot flushed skin
ketones in blood
kussmaul resp
high k+
acidotic
acetone breath 
anorexia to nausea
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16
Q

Clozaril/Clozapine

A

2nd Gen Atypical Antipsychotic
to treat severe schizophrenia, made to replace the *zines and haldol
Does NOT have the side effects (A-F)
Has SEVERE agranulocytosis (immunosuppressed)
Monitor WBCs, they can fall very low

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17
Q

ziprasidone hydrochloride

A 
atypical anti psychotic for bipolar
risk for hypotension and seizure
and QT prolongation
place on telly
do EKG and check k+
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18
Q

S/s Hypercalcemia

A 
bradycardia, bradypnea
flaccid muscles
hypoactive reflexes 
lethargy
constipation
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19
Q

S/s Hypokalemia

A 
Lethargy
tachy/bradypnea
dynamic ileum/constipation
flaccid muscles
hyporeflexia, polyuria
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20
Q

Therapeutic level + toxic level of Phenytoin

A

10-20
toxic@20
for seizures

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21
Q

gastroschisis vs. omphalocele

A

congenital defects of abdominal wall
gastroschisis not covered with sac
omphalocele covered with sac
RN should cover with gauze and initiate iv access

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22
Q

Therapeutic level + toxic level of digoxin

A

1-2
toxic >2
treats A-Fib & CHF

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23
Q

Tetralogy of Fallot:

A

Pulmonary Stenosis
Overriding Aorta
Ventricular Defect
Right Hypertrophy

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24
Q

Therapeutic level + toxic level of bilirubin

only in newborns

A

elevated @10-20
hospitalized @15
dead @20

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25
Q

Phenothiazines:

A 
1st Gen / Typical Antipsychotics
 All end in zines*
 They don’t cure psych diseases, only reduce symptoms  *Zines for the zaney*
ZzZ.. zines (sedatives)
 Small doses are anti-emetics
 Major tranquilizers
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26
Q

Fluoxetine prozac

A 
SSRI
 Anticholinergic (dry mouth) 
Blurred vision
 Constipation
 Drowsiness
 Euphoria (way too happy)
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27
Q

Parent teaching for digoxin in children

A 
hold if pulse is <90-110 for infant
hold if pulse is <70 in child
do not double up doses
if child vomits nofity MD
dont mix with food
rise mouth
give liquid to side or back of mouth
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28
Q

S/s of Cushing’s & side effects of steroids

A 
High glucose** (hyperglycemic)(insulin resistant) 
 Moon face
 Hirsutism
 Big body / buffalo hump
 Gynecomastia
 Central obesity (apple body)
 Skinny extremities due to muscle atrophy
 Retains sodium & water
 Loses potassium
 Bruises and striae
 Irritable
 Immunosuppressed
 “I’m mad. I have an infection”
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29
Q

Tx for Supra Ventricular (Atrial)

A 
Adenocard (Adenosine):
 Push in less then 8 secs
 Don't worry about Asystole
When it comes to IV push, when you don’t know go slow
Beta blockers (ending in “lol”)
 Just like CCB’s, same treatment, same side effects
Calcium channel blockers 
 Better for asthmatics
Digoxin/Digitalis (Lanoxin)
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30
Q

3 that are NOT MeanOldMycins

A

Arithromycin, Zythromycin, and Clarithromycin

if it has “thro” throw away

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31
Q

QRS depolarization

A

Answer will always be ventricular

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32
Q

P wave

A

Answer will always be atrial

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33
Q

Lack of a P wave

A

Answer will always be ventricular

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34
Q

A lack of QRS

A

Asystole

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35
Q

A-flutter

A

Saw tooth

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36
Q

Therapeutic level + toxic level of aminophylline

A

10-20
toxic <20
relaxes spasms in airway
give 1st before broncodilator to control spasm

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37
Q

drugs that are Downers

A

Heroin, Marijuana, Alcohol, Benzos

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38
Q

methotrexate

A

for RA
adverse effect is bone marrow suppression
leading to thrombocytopenia
w/ signs of petechiae and bleeding gums

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39
Q

riluzole

A

only medication for ALS
slows degeneration
may prolong survival rate

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40
Q

Maslows highest priority to least

A
  1. physiological
  2. safety
  3. love and belonging
  4. self esteem
  5. self actualization
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41
Q

S/s hypocalcemia

A 
Tachycardia/tachypnea
agitation/irritability 
diarrhea, borborygmi
spastic muscles, hyperreflexia 
seizure
chvostek sign (cheek, face spasm) 
trousseau sign (BP hand spasm), gay french man
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42
Q

s/s of hypoglycemia in newborns

A 
jitterniess
irritable
hypotonia
apnea
lethargy
temp. instability 
occurs first several hrs after surgery
43
Q

tiotropium
umeclidinium
ipratropium

A

used for prevent wheezing&shortness of breath
give using capsule inhaler dont swallow
Rn needs to assess and reassess

44
Q

Kalemias

A

do the same as the prefix EXCEPT for HR and urine output

45
Q

Calcemias

A

do the oppisite EXCEPT for muscles and nerves

46
Q

esomeprazole

pantoprazole

A

“prazole” PPI
decrease calcium absorption
have pt do bone density test
take calcium and vit. D pills

47
Q

Levetiracetam

A

keppra

treat seizures

48
Q

atypical s/s of MI in women

A 
n/v
burping
sweating 
dizzy
fatigue
49
Q

Unexpected projectile vomiting

A

w/out nausea sign ICP with headache when HOB lowered

50
Q

Dependent personality disorder

A

lack of self-confidence afraid of confrontation submissive

51
Q

Methylprednisolon

A

Steroid
inflammation for severe allergies
also cause high blood sugar

52
Q

Medications given for open fracture

A 
Cefazolin- antibiotics
tetanus toxoid- immunity
ketorolac- nsaid
opioids
cyclobenzaprine- muscle relaxer
53
Q

Celecoxib

A

NSAID

increase risk of cardio complications

54
Q

retinoblastoma

A

retinal tumor with white glow

need to remove eye

55
Q

nihilism

A

positive sign of schiz

thinking life is meaningless

56
Q

Trazodone

A

Antidepressant and Sedative

cannot be mixed with alcohol or benzos

57
Q

Teratogenic drugs for babies

A

“pril”

“sartan”

58
Q

How to suction trach pt

A

pre02 with 100% before starting
wait 1-2min inbetween suctions
insert without suction
dont suction for longer than 10sec

59
Q

NTG teaching

A

keep in dark cool bottle
take 3pills w/in 15min period
headache occurss-lie down

60
Q

Aortic

A

Second intercostal space right sternal border

61
Q

Pulmonic

A

Second intercostal space left sternal border

62
Q

Tricuspid

A

Fifth intercostal space left sternal border

63
Q

Mitral

A

Fifth intercostal space left midclavicular line

Point of maximum impulse

64
Q

Occipital lobe

A

Injury could result to vision defects

65
Q

Frontal lobe

A

Injury results to behavioral changes

66
Q

Temporal lobe

A

Visual and auditory input

67
Q

Parietal lobe

A

Somatic and sensory input

68
Q

CN I

A

Smell test

69
Q

CN II

A

Visual acuity and visual fields

70
Q

CN III

A

Pupil constriction

71
Q

CN IV

A

Extraocular movements

72
Q

CN V

A

Clenched teeth and light touch

73
Q

CN VI

A

Extraocular movements lateral abduction

74
Q

CN VII

A

Facial movements close eyes and smile

75
Q

CN VIII

A

Hearing and Romberg test

76
Q

CN IX

A

Gag reflex

77
Q

CNX

A

Say “ah” uvular and palate movement

78
Q

CN XI

A

Turn head and lift shoulders to resistance

79
Q

CN XII

A

Stick out tongue

80
Q

Right sided heart failure

A 
JVD
hepatomegaly 
Splenomegaly 
Ascites 
Edema
81
Q

Left sided heart failure

A

Cardiomegaly

Pulmonary edema

82
Q

Difference between third and fourth-degree burns

A

Both have full thickness except 4thdegree hits muscle and bone

83
Q

Gestational hypertension

A

Onset @20 weeks

No protein in pee

84
Q

Preeclampsia

A

Onset @20 weeks

with proteinuria or signs of and organ damage

85
Q

Eclampsia

A

Preeclampsia

w/ seizure

86
Q

Torsades de point

A

Prolonged QT interval due to hypomagnesium

Tx IV magnesium

87
Q

TED stocking

A

Measure circumference of calves at the widest point
Smooth out any wrinkles no folds
Worn continuously and can be removed
Wounds should be covered with occlusive dressing

88
Q

Pubic lice tx

A

Use lice shampoo
Remove nits with fine toothed comb
Wash clothes in hot water
Partners should also get treated

89
Q

Emphysema

A

Air trapping
shown by hyperresonance, barrel chest, and activity intolerance
Pt. should do pursed lip breathing and tripod

90
Q

Post op arteriovenous graft s/s

A

Thrombosis
Graft failure
Systematic infection- low grade fever
Priority pt.

91
Q

RNs care for pt radiation treatment

A

Limit time exposure 30min
Wear dosimeter badge
Keep 6ft
Use lead apron- typically only cover front side

92
Q

ICP actions

A 
Give stool softener 
Dim lights 
HOB @30
Keep body midline 
Suction prn 
Treat fever
93
Q

Dibigatran

A

Thrombin inhibitor
Increase risk for bleeding
Report heavier periods

94
Q

Droplet precautions

A 
Neisseria meningitis 
Harmophilus influence type B
Diphtheria 
Mumps
Rubella 
Pertussis 
Group A streptococcus 
Viral influenza

Surgical mask
Private rooms
Bodily fluid splash- gown, goggles, gloves and mask

95
Q

If patient has prolong gastric vomiting or suction pick

A

Alkalosis

96
Q

Pt. getting ECT, what medication can they not take?

A

Valproate acid bc it’s an anticonvulsant

97
Q

Interventions for stable pt. w/ SVT

A

Ice bag

And bear down

98
Q

At how many weeks can you hear bby heartbeat?

A

10-12 weeks

99
Q

Adverse effect of being on a positive pressure ventilator

A

Hypotension

100
Q

Oxybutyin

A

for overactive bladder

and causes decrease sweat production

101
Q

Classic sign of hepatic encephalopathy

A

Asterixis flapping tremors of hands

102
Q

Aortic dissection described as…

A

Ripping chest pain that radiates to the back

Give beta blocker before surgery to relax the heart

103
Q

Standard vaccine at 12 months

A 
Hib
PVC
MMR 
Varicella 
Hep A
HIV child who is asymptomatic and not immunocompromise can get these vaccines
104
Q

Treatment for a patient with hemophilia

A

IV clotting factors 8&9

And RICE

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