GU
What is the name for urine output <100 mL in 24 hours?
Anuria
What are common irritants to avoid with GERD? (name at least 3)
Fried foods, sweets, soda, coffee, acidic foods, alcohol
Name at least 3 ways in which you can improve communication with elderly patients
Sit at their level, minimize background noise, speak slowly in lower tones, ensure sensory devices are present, written instructions provided in larger print, avoid elderspeak, utilize family members when appropriate, always provide with updated medication list
Name the 5 auscultatory landmarks for the heart
Aortic, Pulmonic, Erb’s Point, Tricuspid, Mitral/PMI
All People Enjoy Time Magazine
What is BPH AND name 3 symptoms of this condition.
Enlarged prostate
Symptoms: Pain with urination, weak urinary stream, difficulty voiding, intermittency, dribbling urine, sensation of incomplete emptying
BONUS - Is this a normal part of aging??
Name and describe the infection prevention protocols for patients with C Diff infections?
Contact Enteric Isolation
(Gloves, gown, wash hands with soap and water)
Bonus – when do we gown up for these patients??
Name 3 key differences between delirium and dementia
Delirium is rapid onset, dementia is chronic
Delirium fluctuates, dementia is progressive
Delirium is reversible, dementia is irreversible
Name this rhythm and name at least 2 treatments for this
Atrial Fibrillation
Treatments: Anticoagulants (heparin), antiarrhytmics (amiodarone, cardizem), rate control (metoprolol), synchronized cardioversion
What are the two main lab tests for kidney function and the normal levels of each (include women vs. men if indicated).
BUN: 8-20 mg/dL
Creatinine: Men 0.6-1.2 mg/dL; Women 0.4-1.0 mg/dL
What color will the baby’s umbilical cord turn when it’s getting ready to fall off AND when does it fall off?
Black; <3 weeks of life
A patient has recently had a hip replacement – what are at least 5 post-operative considerations for hip replacements?
Prevention of adduction of affected hip, prevention for external rotation of affected hip, do not cross legs, do not pull knees toward chest, ensure hips are the same level or lower than knees when sitting, no leaning forward when sitting down, don’t rock forward to stand up
Name this rhythm and name at least 3 treatments for this:
Ventricular fibrillation
Treatments: CPR, Defibrillation, Epinephrine then Amiodarone
Name at least 5 ways to help prevent CAUTIs in the hospital
Aseptic technique for insertion, Routine catheter care with CHG, Anchor to thigh, Avoid clamping tubing, Bag always below level of the bladder, No dependent loops, Only irrigate with MD order, Empty at least every 8 hours and PRN, Use only when absolutely necessary
What is cullen’s sign and grey turner’s sign AND what are these symptoms of?
Cullen’s sign: Ecchymosis around umbilicus
Grey turner’s sign: Ecchymosis around flank
Internal hemorrhage, including hemorrhagic pancreatitis
Name at least 5 changes to the Cardiovascular, GI, GU, and musculoskeletal body systems in the elderly?
Cardiovascular: 4th heart sound, left ventricular stiffness, increased hypertension
GI: Risk for dysphagia, decreased absorption of meds, constipation risk, decreased vitamin B12 absorption (anemia risk)
GU: Decrease in elimination of drugs and toxins, vitamin D deficiency, fluid and electrolyte imbalances
Musculoskeletal: Decrease in muscle mass, osteoporosis, kyphosis, joint breakdown,
Trace a drop of blood through the heart, beginning at the superior vena cava
Right atrium tricuspid valve right ventricle pulmonic valve pulmonary artery lungs pulmonary veins left atrium mitral valve left ventricle aortic valve aorta