Anxiety Dx/Mgmt
Name 5 common symptoms of a panic attack
Racing/pounding heart
Feeling detached
Shortness of breath
Chest pain
Shaking/trembling
Feeling of doom/dying
Nausea
Sweating
Hot flashes
The organism b. burgdorferi takes how long to migrate from a tick to a human?
36-48 hours
This class of syncope may be associated with a prodrome of diaphoresis or nausea.
Reflex (neurally mediated) syncope
First line anticoagulant class indicated for nonvalvular A-Fib
Direct oral anticoagulants (DOACs)
AHA and ACC recommend using a direct oral anticoagulant or vitamin K antagonists in atrial fibrillation. DOAC's offer superior reduction in incidence of cerebral ischemic events as well as lower risk of intracranial hemorrhage compared to vitamin K antagonists.
Two medications recommended for MAT that support mothers with SUD during pregnancy.
Buprenorphine and methadone
These are the frequency and duration of symptoms required for a diagnosis of Generalized Anxiety Disorder.
Most days and for longer than 6 months.
What is the only clinical manifestation that is sufficient enough to make the diagnosis of lyme in the absence of lab confirmation?
Erythema migrans
This is the most common class of syncope.
Reflex (neurally mediated) syncope
Anticoagulant class indicated for valvular A-fib
Vitamin K antagonists (Coumadin/Warfarin)
A baby experiencing NAS should easily be able to consoled in less than this amount of time, before it is concerning and would require additional interventions.
10 minutes
This medication, which is FDA approved for treating anxiety, may also be helpful for chronic pain.
Cymbalta/duloxetine
In addition to EM, what other clinical manifestation is associated with early localized lyme disease?
What is a virus-like illness (fever, chills, headahce, malaise, myalgias)
This class of syncope is provoked by positional change.
Orthostatic syncope
Length of anticoagulation treatment for initial provoked venous thromboembolism
3-6 months
Pre-eclampsia with severe features, includes a blood pressure of greater than _____ systolic over ____ diastolic.
160/110
This medication carries a warning for prolonged QT in patients over 60 yo at doses that may be therapeutic in younger patients.
Celexa/citalopram
This is the recommended duration of oral doxycycline for treatment of lyme arthritis.
28 days
Along with orthostatic vital signs, this test should be performed in all patients with syncope, regardless of suspected cause.
EKG
Criteria for admission for anticoagulation at time of diagnosis of DVT (credit 4/6).
-Hemodynamic instability
-High Bleeding Risk
-Renal Insufficiency
-Massive DVT
-Symptomatic PE
-Unreliable home environment
The cut off for abnormal protein / creatinine ratio in pre-eclampsia without severe features (when BP is > 140/90 on 2 occasions 4 hours apart).
0.3
This SSRI is generally not recommended for use in adolescents or elderly due to increased adverse effects.
Paxil/paroxetine
This is the most common finding on EKG in patients who have lyme carditis.
AV block (1st, 2nd and 3rd degree)
This class of syncope is associated with sudden onset and may occur when supine or during exercise.
Cardiac syncope
Risk factors included in HAS-BLED scoring tool (no phone use allowed!) (Credit 6/8)
-Hypertension
-Abnormal renal function
-Abnormal liver function
-History of stroke
-History of significant bleeding
-Labile INR
-Age over 65
-Drug or alcohol misuse
Name 3 non-pharmacologic measures to support "TLC" support care when caring for a newborn with NAS
-low light
-breastfeeding
- skin to skin-swaddling
- sucking on pacifier
-swing
-bundled assessments
- music therapy
- reiki
- volunteer cuddlers for parents/ nurses