Hepatitis
A, B, C routes of transmission?
A: fecal, oral
B, C: blood, body fluids
how is TB spread
small droplets suspended in the air that can be inhaled: airborne precautions
S/S of iron deficiency anemia
inflamed lips, burning tongue, PICA, brittle nails
S/S of superior vena cava syndrome
SOB, edema of neck arms hands and thorax, prominent venous patterns on the chest wall
5-fu side effects
stomatitis, renal toxicity
T/F a patient with hepatitis is not infectious during the incubation period
False; incubation is the time between exposure and symptoms, and the patient is contagious
S/S of TB
non-productive cough, night sweats, weight loss, dyspnea, chills, fever, insomnia
S/s of aplastic anemia
petechiae, bleeding gums, retinal hemorrhage, ecchymosis
S/S of hypercalcemia
MAOI teaching
cannot quit cold turkey, takes weeks to feel effects, avoid tyramine foods
what is "fulminant" hepatitis
complete liver failure
When is TB safe to unisolate
three consecutive negative sputum tests
RX for polycythemia
remove 300-600mL blood every other day, drink milk coffee tea, avoid iron and vitamin c, avoid tight clothes
S/S of tumor lysis syndrome
fatigue, numbness/tingling, tetany, muscle cramps, elevated BP, flank pain, oliguria, gout, puritis
Isoniazid & Rifampin side effects
increased LFTs, clay stool, jaundice
discoloration of contact lenses, orange urine
Explain HBIG
given post exposure; titers <10 so IM injection then titers redrawn in a month
what vitamin is taken with INH to combat neuro side effects
vitamin b (pyridoxine)
RX for folic acid anemia, what foods?
increase folic acid, foods: eggs, spinach, avocado
0.9% sodium chloride, calcitonin, bisphosphonates, mithramycin
manifestations of serotonin syndrome
agitation, insomnia, excitement, muscle rigidity, tremors
pre-icteric phase vs icteric phase
Pre: malaise, fever, anorexia, nausea
Icteric: jaundice, clay colored stool, dark urine, increased LFTs
a positive mantoux test must have ___ and ___
erythema and in duration > 10mm
complication of thalassemia?
iron overload
to prevent: take desferal
superior vena cava immediate treatment
elevate HOB, oxygen, corticosteroids, limit IV fluids and diuretic use
radiation, chemo, thrombolytic therapy (streptokinase, heparin)
s/s of lithium toxicity
confusion, slurred speech, myoclonic twitches, low BP, high HR