questions Flashcards
what is a new patient vs established patient?
new - no records past 3 years. longer visit to detail all relevant data. established, records available, short concise
what are the two kinds of visits?
diagnostic, management. diagnostic - diagnose new problem, management - routine check up
what are the components of vitals?
heart rate (HR), blood pressure (BP), respiratory rate (RR), temperature, oxygen saturation (SaO2)
comorbidity
two or more chronic diseases, increases complexity of patient case
Risk factors for HTN?
FHx, obesity, smoking, high Na diet, smoking, alcohol
systolic vs diastolic pressure
systolic - contraction pressure, diastolic - relaxed pressure.
Normal blood pressure range
90-120/60-80
hypotensive BP range
<90/60
prehypertensive BP range
120-140/80-90
hypertensive BP range
greater >140/90
complications of HTN
CVA (stroke), impaired vision due to blood vessel constriction in eyes, CAD/MI due to arteriosclerosis, CRF
HTN medications
ACE inhibitors, CA channel blockers, diuretics, Angiotensin receptor blockers (ARBs)
examples of ACE inhibitors, treats what condition
Lisinopril (zestril), Lotensin (benazepril) HTN
Ca examples are what channel blockers treats what condition
Norvasc, Cardizem HTN
diuretics treat what condition
hydrochlorothiazide (HCTZ), HTN
ARB are what and treat what
Cozaar, benicar, angiotensin receptor blockers, HTN
diabetes treatments
metformin, glyburide
Lisinopril is a what that treats what condition
ACE inhibitor, HTN
Lotensin is a what that treats what condition
ACE inhibitor, HTN
Zestril is a what that treats what condition
ACE inhibitor, HTN
Norvasc is a what that treats what condition
Ca channel blocker, HTN
Cardizem is a what that treats what condition
ca channel blocker, HTN
hydrochlorothiazide is a what that treats what condition
diuretic, HTN
Cozaar is a what that treats what condition
ARB artery dilator, HTN
Benicar is a what that treats what condition
ARB, artery dilator, HTN
difference between IDDM and NIDDM treatment?
IDDM always treated with insulin, NIDDM treated with diet, non-insulin meds, or insulin
risk factors for NIDDM
FHx, obesity, high carb diet, no exercise
complications of diabetes
CAD, CHF, PVD, neuropathy, CRF
Humalog is a what, that treats what
Rapid insulin injection, DM
Lantus is a what, that treats what
long acting injected insulin, DM
Sliding scale is a what, that treats what
injected insulin dosage based on current glucose, DM
Metformin is a what, that treats what
non insulin oral medication, NIDDM
Glyburide is a what, that treats what
non insulin oral medication, NIDDM
difference between LDL and HDL
LDL deposits plaque in artery, HDL removes cholesterol from artery
drugs that treat HLD
-statins which inhibit cholesterol production. Lipitor, Crestor, Zocor
Lipitor is a what, that treats what
statin, HLD
Crestor is a what, that treats what
statin, HLD
Zocor is a what, that treats what
statin, HLD
risk factors for CAD
HTN, HLD, DM, smoking, FHx <55y/o
symptoms of CAD
chest pain or pressure, worse on exertion, improved with rest or NTG
biggest risk of CAD
MI, myocardial infarction, heart attack
treatments for CAD
ASA or acetylsalicylic acid or aspirin, NTG or nitroglycerin
ASA is a what, that treats what
aspirin, acetylsalicylic acid, CAD
NTG is a what, that treats what
nitroglycerin, CAD
surgical management of CAD
catheterization, angioplasty, coronary stent, CABG
respiratory condition that affects bronchoiles of lung, causing inflammation and brnchospasm
asthma
chronic inflammatory lung disease that decreases airflow from lungs
COPD, chornic obstructive pulmonary disease
long term inflammation of bronchioles
chronic bronchitis - COPD
destruction of air sacs (alveoli) usually due to smoking
emphysema - COPD
heart becomes enlarged and unable to pump blood, backing up fluid in body
CHF, congestive heart failure
gradual loss of kidney function, causing waste buildup
CKD, chronic kidney disease, or CRF, chornic renal failure
degenerative joint disease, most commonn type of arthritis
OA, osteoarthritis