Neuro
Treatment for stroke
- Find last known normal of pt (onset)
- Rapid transport
- Monitor (EKG, BP, ABCs, ETC)
- Elevate head 30 degrees
- watch for seizures
- Maintain ETCO2 30-35mmHg
- Maintain SPO2 >90%
A pt w/ Altered mental status, hypothermia, and hypothyroidism. this Pt is most likely suffering:
Myxedema Coma
This term is defined as: a foreign substance that produces allergic symptoms in a patient
allergen
the 4 pathogenic organisms that infections stem from
Bacteria
viruses
fungi
parasites
A finding of black tarry stool
Melena
This headbleed involves a Thunderclap headache w/ LOC and doesn't wake up.
Subarachnoid hemorrhage
Aldosterone and cortisol
A 45-year-old man is found unresponsive in an alley. During your assessment, you note that he is tachycardic, breathing rapidly w/ dilated, vomitous secretions. He has an obvious odor of alcohol on his breath. Your MOST immediate concern should be to:
Prevent aspirations of vomiting
Most severe form of meningitis
Fungal meningitis
Pt is experiencing burning pain in epigastrium w/ N&V, and heartburn. What is this pt most likely experiencing?
Peptic Ulcer Disease (PUD)
This term is defined as a Pre-seizure warning that the pt will experience and knows a seizure is about to happen to them.
Aura
A pt in DKA will most likely have which of the following?
respiratory acidosis
respiratory alkalosis
metabolic acidosis
metabolic alkalosis
metabolic acidosis
Two types of immunity
- Cell-mediated immunity
- humoral immunity
A 32 year old female was cleaning her basement and found an infestation of mice. She develped flu symptoms four days ago and has had a fever, chills, muscle aches, nausea, and vomiting. She later developed dizziness, weakness, and a persistent productive cough. vitals: BP 80/40, P 110, R30. what is suspected?
- H5N1
- Hantavirus
- Zika
- Tuberculosis
Hantavirus
A positive murphy sign is
Sharp Pain in RUQ of abdomen w/ inhalation
Sign of cholecystitis
This term is defined as:
a prolonged seizure or situation when a person suffers two or more convulsive seizures without regaining full consciousness or a seizure prolonging 5 minutes of a continuous seizure.
Status epilepticus
what blood sugar level are you likely to see in HHNS
>600
A pt has OD on Amoxapine. This medication should be administered:
Sodium bicarb
Infectious disease w/ S&S of watery diarrhea, abdominal pain, cramping, fever, loss of appetite
Clostridioides difficile (C. Diff)
Duodenum
jejunum
ileum
Name all stages of a generalized seizure.
(7 stages)
1. Aura / pre-seizure warning or feeling
2. LOC
3. Tonic phase: systemic rigidity
4. Hypertonic phase: arched back and rigidity
5. Clonic phase: Intermittent contractions of major muscle groups, chaotic contractions.
6. Postseizure: muscle relaxation, Nystagmus may still occur.
7. Postictal phase: brain rest period
The the islets of langerhans secretes hormones out of these three cells:
name the three different cells and what they secrete
Alpha: Glucagon
Beta: insulin
Delta: somastatin
A pt has OD on his Diltiazam medication. What medications should be administered and how much?
1-2g Calcium gluconate
5mg of Glucagon
hematologic disorder refers to any blood disorder.
name what the following disorders refer to:
Hemolytic disorder
hemostatic disorder
Hemolytic disorder: refers to disease processes that cause the breakdown of RBC's.
Hemostatic disorders refer to bleeding and clotting abnormalities.
Kidney response to acidosis and alkalosis
Acidosis: Retains bicarbonate ions and eliminates hydrogen ions
Alkalosis: eliminates bicarbonate ions and retains hydrogen ions