Be Vewwy, Vewwy Careful
Often overlooked at first "in-counters"
What are standard admission questions?
Edema, pallor, swelling, paresthesia and/or severe pain, usually in the lower legs and arms
What is compartment syndrome?
"I think my son's cast is too tight."
What is do a neurovascular assessment on the affected limb?
"You can take these now or you can you do a week's worth of this later, you bad boy."
What are azithromycin (1,000mg PO) or doxycycline 100mg BID x 7 days)?
Two lab values most important for leukemia patients
What are neutrophils (<500 is bad) and platelets (<20,000 also bad?)
Normals 2,500-6,000 and 150-000-400,000
A better alternative for a young man than sildenafil, in the big moment
What is try to relax?
"Do you think I have Hodgkin's?" (5 of 8)
What are fatigue, exercise intolerance, lymphadenopathy, splenomegaly, recurrent
infection, pallor, edema, and thrombophlebitis?
"I was just eating some Pad Thai for the first time and my lips and tongue are swelling!"
What is 0.3mg of IM epinephrine?
"You're giving me chemo for my arthritis and I can't do what?"
(Name the drug and two no-no's)
What is methotrexate and drink alchohol or make babies?
Prevention level for mammograms, PSA tests, colonoscopies, and pap smears
What is secondary?
Like two peas in a pod, these STI's are harder for women to detect
What are chlamydia and gonorrhea?
The only truly valid pain assessment for an alert and oriented adult patient
What is the 0-10 pain scale?
Patient on a PCA pump with 0.4mg of hydromorphone q10 minutes on demand and unresponsive
Three things in order for credit
What are check for pulses and breathing, stop the pump, and get the ordered naloxone?
Important requirement for isoniazid and rifampin
What is finish the whole course?
These are the reportable ones, but you should tell your partner(s) no matter what
What are chlamydia, gonorrhea, AIDS/HIV, and syphilis?
Non-judgmental and open-ended
What are two great ways to phrase therapeutic communication questions?
Systemic lupus erythematosus
Name at least five signs and symptoms for credit
What are extreme fatigue, fever, peripheral and periorbital edema, painful and/or swollen joints (symmetrical), headache, confusion and memory loss, chest pain and shortness of breath, Raynaud’s phenomenon, butterfly rash across cheeks and nose, hair loss, and mouth and nose ulcers?
"My wife has been getting chemo and now she has a fever, what are you going to do?"
What are physical examination (assess), blood cultures, urine culture, chest x-ray, wound cultures, and IV hydration?
Some home neutropenic precautions (4 of 6)
What are 1) good hand washing, 2) avoid kids, cats, and cat litter, 3)no fresh flowers, 4) don’t go to crowded places, 5) no gardening, and 6) plan for adequate periods of rest?
The best outcome for SLE and MS patients
What is avoidance of flare-ups?
Ways to reduce risk of cancer, generally (3 of 5)
What are smoking cessation, avoid sun exposure, eat healthy and exercise regularly, limit viral exposures, and avoid occupational exposures?
"I was reading on Google all weekend...do you think it could be MS?"
5 signs and symptoms for credit
What are fatigue, nystagmus, diplopia, intention tremors, scanning or slurred speech, numbness, paresthesia, emotional lability, and impaired libido?
Your paraplegic patient is suddenly anxious, diaphoretic, hypertensive, and flushed
Name the problem and the intervention for credit
What is autonomic dysreflexia and find the offending stimulus?
"So I'll take this to help me want to eat after chemo?"
What is megestrol?
The most important thing a Crohn's patient can do for themselves when their symptoms start up
What is rest their bowels?