Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

aa Orgo > Sep 2 > Flashcards

Sep 2 Flashcards

1
Q

TCA example

A

Amitriptyline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

TCA SE

A 
A, B, C, D, E
Anticholinergic 
Blurred vision
Constipation 
Drowsy 
Euphoria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How to identify a Benzo

A

contain “zep” in the name

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

4 uses for Benzos

A
  • pre op
  • sz
  • alcohol WD
  • help when someone fighting the ventilator
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

MAOI SE

A

htn crisis (avoid tyramine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

MAOI things to avoid

A

BAR (banana, avocado, raisins)
organ meat
yogurt, cottage cheese, caffeine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Lithium SE, the 3 Ps

A

Pee, poop, paresthesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Lithium TE

A

Tremor
Metallic Taste
Severe diarrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Top lithium intervention

A

give fluids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Lithium: what do you monitor regarding Na levels

A

decreased Na = toxicity

increased Na = under medicated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

SSRI SE

A 
ABCDEI
Anticholinergic
Blurred vision
Constipation 
Drowsy 
Euphoria 
Insomnia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Haloperidol

A

1st gen anti psyc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

NMS

A

Neuro malignant syndrome-

  • Crazy high temp
  • to prevent in the elderly, give 1/2 the dose
  • Medical emergency
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Difference between NMS and EPS

A

NMS has the high temp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Clozapine

A

2nd gen aka atypical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Clozapine SE

A

decreased WBC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How to identify 2nd gen anti psycs

A

they end in zapine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

If a patient is on sertraline, you will likely need to do what

A

lower the dose of all other medications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Serotonin Syndrone

A

Sad Head

Sweating
Apprehension
Dizzy
Headache

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Sertraline + Warfarin

A

you will bleed out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Total weight gain during pregnancy

A

28 lbs (plus or minus 3)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

weight gain in the first trimester

A

1 lbs each month (total of 3 lbs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

weight gain in the 2nd trimester

A

1 lbs each week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

When is the fundus palpable

A

week 12 (2nd trimester)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

If you palpate the fundus before week 12

A

it could be a hydatiform mole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What does the fundus tell you about the trimester

A

no fundus = 1st trimester
fundus at or below naval = 2nd
fundus above naval = 3rd

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

“when would you first?”

A

pick the earliest in the range

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

“when would you most likely?”

A

pick the middle of the range

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

“when should you ___ by?”

A

pick the latest range

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

When is quickening

A

16 to 20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Pregnancy: What kind of signs are urine/blood tests

A

not positive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What is the order of the pregnancy signs

A

alphabetical:
Chadwick
Goodell
Hegar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Goodell

A

softening of cervix

34
Q

Hegar

A

softening of uterus

35
Q

Pregnancy: Provider visits: 0 to 28

A

once a month

36
Q

Pregnancy: Provider visits: 29 to 36

A

twice a month

37
Q

Pregnancy: Provider visits: 37 on

A

weekly or until week 42

38
Q

Hemoglobin ___ is normal in 1st trimester

A

11

39
Q

Hemoglobin ___ is normal in 2nd trimester

A

10.5

40
Q

Hemoglobin ___ is normal in 3rd trimester

A

10

41
Q

Pregnancy: when do you eat dry carbs

A

before getting OOB

42
Q

Pregnancy: Urinary incontinence tx

A

void Q 2 h

43
Q

Pregnancy: Dyspnea tx in 2nd and 3rd trimester

A

tripod

44
Q

Pregnancy: back pain tx

A

pelvic tilt

45
Q

Truest sign of being in labor

A

onset of regular, progressive contractions

46
Q

Effacement means

A

thinning of the cervix

47
Q

Not effaced cervix means

A

its still thick

48
Q

fully effaced cervix is called

A

100%

49
Q

Station

A

relation of fetal presenting point to ischial spines (tightest space)

50
Q

Negative station means

A

baby still above the tight space

51
Q

positive station means

A

baby is below the tight space

52
Q

zero station means

A

baby is right at the tight space

53
Q

If the baby is at negative station for a long time

A

you might need a C section

54
Q

Vertical lye

A

its a good thing

means the baby and moms spines are parallel

55
Q

Transverse lye

A

its a bad thing, means the spines are perpendicular

56
Q

4 stages of LD: stage 1

A

Labor

This stage includes all the 3 “phases”

  • latent
  • active
  • transition

Contractions here are to dilate and efface

57
Q

4 stages of LD: stage 2

A

Delivery of baby

58
Q

4 stages of LD: stage 3

A

Delivery of placenta

59
Q

4 stages of LD: stage 4

A

Next 2 hours

Contractions are to stop the bleeding

60
Q

Latent phase

A

1 to 4 cm
contractions 5 to 30 apart
last for 15 to 30 seconds

61
Q

Active phase

A

5 to 7 cm
contractions 3 to 5 apart
last for 30 to 60 seconds

62
Q

Transition

A

8 to 10 cm
contractions 2 to 3 apart
last for 60 to 90 seconds

63
Q

If contractions are closer than __ min and longer than __ seconds, mom is in trouble

A

2 min, 90 seconds

64
Q

If contractions are closer than 2 min and longer than 90 seconds, mom is in trouble, its an indication to

A

stop pitocin

65
Q

Complications of LD: Painful back labor tx

A

Position knee to chest and push on her sacrum

66
Q

Complications of LD: Prolapse cord tx

A

its an emergency

push the baby’s head back up (so that it’s not pushing on the cord) and then position in knee chest

67
Q

What is the tx for all LD complications (besides painful back labor and prolapse cord)

A

LION

Left side
Increase IV
Oxygenate
Notify Doc

68
Q

Don’t give pain meds to labor patient if the baby is likely to be born when

A

the med peaks

for example a primigravida at 5 cm could have IV pain med. But a multigravida at 8 cm could Not get IM meds

69
Q

Low fetal HR (under 110)

A

Bad!
LION

Left side
Increase IV
Oxygenate
Notify Doc

70
Q

High fetal HR (over 160)

A

not that serious

71
Q

fetal: Low baseline variability

A

Bad

Fetal HR not fluctuating. Do LION

72
Q

fetal: High baseline variability

A

Good. Document

73
Q

Late deceleration

A

HR gets slow near the end or after contraction.

Bad. Do LION

74
Q

Early deceleration

A

Slow before or at beginning of contraction.

Good

75
Q

Variable decelerate

A

Very bad. (think Vary = Very)

It’s caused by prolapse cord

Push and position

76
Q

VEAL

A

Variable … Cord compression
Early decel ….. Head compression
Acceleration …. OK (it’s fine)
Late decel ….. Placental insufficiency

77
Q

In general, a good OB answer is

A

check fetal HR

78
Q

4 steps of delivering the baby

A
  1. Deliver Head
  2. Suction Mouth then Nose (alphabetical)
  3. Check for nuchal cord
  4. Deliver body
79
Q

woman named Ava

A

2 arteries and 1 vein

80
Q

the 4th stage of LD is recovery. In the 4th stage there are 4 things you do 4 times an hour:

A

Vitals
Fundus check
Check pads
Roll her over to check for bleeding

81
Q

Recovery phase of LD: Check pads Q 15 min. What do you look for

A

If saturated in 15 min, that’s bad

aa Orgo (196 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions