med surg midterm

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nhallahan
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75564
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med surg midterm
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2011-03-27 23:35:03
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med surg midterm
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med surg midterm cards STI
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  1. levodopa
    • parkingsons drug
    • converts into dopamine by enzyme in brain
    • considered gold standard
  2. carbidopa
    • parkinson's drug
    • prevents levodopa from converting to dopamine too early
  3. sinemet
    levodopa/carbidopa combo
  4. Staiveo
    carbidopa+levodopa+entacapone
  5. LTC facility is managed by:
    managed by the state
  6. sentinel event
    • serious complication
    • ex..fall @ hosp then die
  7. antiplatelet drugs
    stop blood from clumping

    used for TIA, CAD, intermitent clotication
  8. thrombolytic drugs

    (ASE at end)
    • can disolve a clot that has already formed
    • enzyme in nature that eats clot
    • narrow window of time to use
  9. anticoagulants used for:
    • preventative
    • afib
    • TIA
    • previous MI
    • pelvic injuries
    • traumatic injuries
  10. CAD Causes
    • 1. inheritive
    • 2. bad living habits
    • 3. infection or inflamation
    • 4. Trauma/MVA
  11. top 3 risk factors of CAD
    • 1. smoking
    • 2. hypertension
    • 3. Hyperlipidemia
  12. Modifiable risk factors of CAD
    diabetes, hypertension, hyperlipidemia, metabolic syndrome
  13. non modifiable risk factors CAD
    age, gender, race, genetics , heredity
  14. primary sx of CVD
    • fatigue -due to low cardiac output
    • dyspnea- difficulty breathing
    • weight gain- from edema
    • palpations
    • pain-substernal chest pain
    • angina-
    • dizziness-
  15. Statins are used to:
    • lower cholestrol
    • lowers triglyserides
    • increase HDL
    • Decrease # of MI
    • slows CAD
  16. Rhabdomyolysis
    life threatening complication...all muscles start ot break down in body...can result in kidney failure
  17. Lipitor, Crestor, Zocor
    Statins
  18. alzheimers
    degenerative brain disease w/ progressive irreversible mental deterioration + phys deterioration leading to death
  19. stage 1 early alzheimers lasts 2-4 yrs and symptoms include:
    • -forgets location/name of object
    • -covers up memory loss
    • -difficulty making decisions
    • -difficulty learning new things
    • -attn span decreases
    • -may be angry /depressed
  20. stage 2 moderate alzheimers lasts 2-12yrs and symptoms incude
    • probs at work
    • gets lost in farmiliar places
    • forgets names of family members
    • acalculia- diff w/ math
    • aphasia- diff speaking
    • apraxia- diff writing
    • alexia- diff reading
    • ataxia- diff w/ gait
    • personal hygeine declines
    • sundowning/wandering
  21. late alzheimers 1-4yrs symptoms include:
    • paranoia, hallucinations, delusions
    • restless, wandering
    • no impulse control
    • foul language
    • need help w adls
    • forget spouse, kids, self
    • incontinent
    • totally dependant
  22. pt w/ alzheimer's usually die from
    aspiration pneumonia
  23. aricept
    • alzheimers drug
    • 1x day
  24. digoxin
    0.8-2.0 nanograms/ml
  25. conduction system of heart in order
    • SA node
    • AV node
    • Bundle of his
    • r/l bundle branches
    • purkinje fibers
  26. orthostatic hypotension is decreased by
    teds and abdominal binder
  27. medicare
    governement funded healtcare for people over 65
  28. Requip (med)
    for parkinsons- hallucinations
  29. lipitor
    do not take w/ grapefruit ...report any changes in skin color
  30. overdose of heparin need:
    protamine sulfate
  31. MI needs ___________weeks to heal
    4-6 weeks
  32. bodys major PH regulators are
    lungs and kidneys
  33. vancomycin can cause
    red man syndrome
  34. presence of Reed-Sternberg cells
    hodgkins lymphoma

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