Newer powerpoints for final Flashcards
What are the levels of anxiety?
Mild +1
Moderate +2
Severe +3
Panic +4
What levels of anxiety would you give an IM medication?
Severe +3
and Panic +4
What is agoraphobia?
fear of being alone in a public place
What are some interventions for a patient having a panic attack?
staying with pt., speak in short, simple, sentences, communicate that pt. is safe
What is generalized anxiety disorder?
excessive anxiety most of the time in a 6 month period
What are OCD interventions?
provide time for rituals, structure activities
What are the first two assessment techniques for a patient having an anxiety attack?
identifying a level of anxiety, determine threat to self or others
What is illness anxiety disorder?
fear of serious illness without symptoms
What is dissociative amnesia?
inability to recall personal info because of trauma
What is dissociative fugue?
person suddenly leaves home or work and is unable to recall the past
What is DID?
multiple personality disorder
What is depersonalization disorder?
temporary loss of one’s own reality
What are the main antianxiety drugs?
benzos, buspirone, SSRIs, venlafaxine
What are positive symptoms of schizophrenia?
overt psychotic or distorted behavior
what are negative symptoms of schizophrenia?
loss of normal functions (ability to enjoy activities)
What are disorganized symptoms of schizophrenia?
confused thinking, incoherent speech
What is schizophrenia type I?
hallucinations and delusions (acute onset)
What is schizophrenia type II?
subtle symptoms like anxiety, anhedonia (slow onset)
What are bueler’s 4 A’s of schizophrenia ?
affective disturbance, autistic thinking, ambivalence, looseness of associations
What is schizoaffective disorder?
mood disorder symptoms
what is akathisia?
restlessness
what is akinesia?
weakness, fatigue
What is dystonia?
involuntary muscle spasms
What is tardive dyskinesia?
lip smacking, teeth grinding
What makes tardive dyskinesia worse?
anticholinergics
What two drug treats neuroleptic malignant syndrome?
dantrolene
What is the recoil stage in trauma situations?
support groups and short-term counseling
What is the reorganization stage in trauma situations?
long term counseling
What is a BSE?
breast self-examination
What is a CBE?
clinical breast examination?
When is the best time to do a breast self-exam?
after your period
How often are clinical breast exams preformed?
every three years ages 20-39 and annually after 40
at what age do you initiate mamograms?
40 years old
What is mammary duct ectasia?
inflammation of ducts behind the nipple
What is mastitis?
a bacterial infection most commonly associated with breastfeeding
What are 3 breast symptoms of a mast?
nipple discharge, skin changes, and pain
What are risk factors for breast cancer?
gender, age, smoking, ethnicity, alcohol, obesity, BRACA gene, prolonged exposure to estrogen
What percentage do gene effects account for breast cancer?
5-10%
What type of tumor accounts for the majority of breast cancers?
adenocarcinoma
What characterizes inflammatory breast cancer?
skin changes
What does TNM stand for?
Tumor size
Nodes
Mestasis
What is the most common STD in the US?
HPV
What is squamous metaplasia?
change from columnar to squamous cells
What can detect 95% of all cervical cancers?
a pap test
When do you start getting cervical cancer screening?
21
How often do you get cervical cancer screening?
every 3 years
what are the symptoms of HPV?
There are none
What is neoplasia?
uncontrollable growth of cells in an area (how tumors are made)
What is amenorrhea?
when menstruation never occurs
What is dysmenorrhea?
very painful menstruation
what is endometriosis?
tissue growth outside of the uteris
How do you treat endometriosis?
surgery
What are follicular cysts?
cysts that develop in the first half of the menstrual cycle
what are corpus luteum cysts?
develop during the second half of the menstrual cycle
What is the most common endocrine disorder in reproductive age women?
PCOS (polycystic ovary syndrome)
What is the 4th most common cause of death in women?
ovarian cancer
What is the most common sign of ovarian cancer?
ascites
What is the most at risk population for aids?
african ameriacn
How many days can it take up to detect HIV?
28 days (elisa test)
What are the 3 types of transmission of HIV?
sexual, parenteral via blood, parenteral via delivering a baby
What is the hallmark sign of HIV infection?
decrease in CD4+T lymphocytes (less than than 400 for HIV and less than 200 for aids)
What is seroconversion?
when enough antibodies are detected in the blood (HIV)
how long is the seroconversion phase?
3-12 tears
What aids diagnostic test is done when the ELISA test comes back positive?
western blot
