Week 1
This scale includes eye-opening, best verbal response, and best motor response
What is the Glasgow Coma Scale?
The kind of isolation precautions used for bacterial meningitis
What is droplet precautions?
This lab should be monitored every 3 to 6 months on diabetic patients
What is Hemoglobin A1C?
This condition has:
blood sugars from 100-125 mg/dL
A1c: 5.7 – 6.4 %
What is pre-diabetes?
Drug used for MS that helps protect the myelin sheath from the immune system
What is Glatiramer (Copaxone)?
This medication is used for cerebral edema. It is an osmotic diuretic
What is Mannitol?
It starts suddenly. The patient has confusion and agitation that comes and goes. If the cause can be identified, it can be successfully treated
What is delerium?
Your patient has arrived in DKA. They have a 20 gauge IV in their left forearm. This will be the first thing you do from the doctors orders
What is hang the IV fluid?
This collection of health issues can help predict the likelihood of developing DM II. It includes HTN, large abdominal girth, abnormal lipids, and glucose intolerance
What is metabolic syndrome?
It is an organic brain disease. It is most common in the elderly. Memory loss is progressive starting with the ability to form new memories and worsens over time. It is a terminal diagnosis
What is Alzheimer's Disease?
The first test that will be ordered when a patient presents with CVA symptoms
What is a CT of the head without contrast?
This type of seizure is characterized by sudden stiffening, loss of consciousness, and whole-body convulsions. After the seizure the patient will experience a postictal period.
What are Tonic-Clonic seizures?
This test checks for antibodies to the patient's own beta cells. It is usually drawn with a c-peptide test
Glutamic Acid decarboxylase (GAD)
On sick days, people with type II DM should monitor blood glucose and urine ketones this frequently:
What is every 4 hours?
Giving this drug with IV contrast can lead to lactic acidosis and renal failure
What is Metformin (Glucophage)
A head trauma patient has a HR 35 BP 220/130 RR 5- This collection of symptoms indicates a very high ICP and possible herniation
What is Cushing's Triad
Your patient has been diagnosed with meningitis. Your patient's BP is high, HR is low, and they have Cheyne-Stokes respirations. They have a fever. This test would be contraindicated even though it will tell us the causative organism
What is a lumbar puncture?
The patient presented to primary care with complaints of blurry vision and urinating frequently. You observe their skin is flushed and dry to the touch. You request an order for a blood glucose to see if the patient is experiencing this:
What is hyperglycemia?
This DM medication should not be taken concurrently with regular insulin
What is Januvia (sitaglyptin)
your patient is having continuous seizures without stopping. This life-threatening situation is known as
What is status epilepticus?
The patient presents to the ED with sudden onset of:
“Worse headache ever”
Stiff neck
Loss of consciousness
Seizures
What is a hemorrhagic stroke?
You notice your new patient has rivastigmine (Exelon) ordered. You expect to find this diagnosis on their chart
What is dementia?
You notice your patient is cool and damp to the touch. They are c/o feeling "out of sorts". You check a glucose and it is 57. This is how you will manage this patient
15/15 rule: give 15 grams of carbs, check a glucose in 15 minutes, repeat until glucose is normal, then give a high protein/ complex carb snack
Your patient has a serum glucose of 1000. Their urine in the foley bag is very dark. There is approximately 50 ml in the foley bag since admission 4 hours ago. They are difficult to arouse and only moan to noxious stimulus. This is their likely medical diagnosis
What is HHNS (hyperosmolar hyperglycemic non-ketotic Syndrome)
This broad-spectrum anti-convulsant drug is often the first one started when the patient present to the ER with new-onset of seizures
What is Keppra (levetiracetam)