exam2

Thyroid/Adrenal

100

what is the most common cause of Hyperthyroidism

Graves Disease

200

May initially present as sign of depression and lethargy but will progress to decreased respiratory drive possibly requiring a need for a ventilator

Myxedema Coma

300

Rapid treatment aimed at reducing body temperature, IV hydration, respiratory support, IV steroids and beta blockers are the mainstays of treatment for this condition often precipitated by an acute event.

What is a Thyroid Storm

400

muscle weakness, GI symptoms, dizziness, fainting, hyperpigmentation of skin, hypotension, and craving salty foods are signs of this adrenocortical insufficiency

What is Addisons Disease

500

What complications should you monitor for post thyroidectomy

hypocalcemia and of course airway complications

Its in your head

100

Migraine is considered this type of headache with no organic cause

what is a primary headache.

200

nursing care post seizure includes:

side lying to protect airway, calm, gentle, allow rest, keep patient safe and re orient

300

This headache primarily effects men and the pain is usually located behind the eye and is rated and very severe

what is a cluster headache

400

in this type of focal seizure the patients consciousness remains intact, it doesnt impact memory or awareness

simple partial

500

what is the treatment for a cluster headache

abortive therapy such as triptans and oxygen therapy

ETOH

100

jaundice, GI bleeding and fluid belly up in the abdomen are symptom of this

cirrhosis

200

enlarged veins in the lower esophagus that can cause severe bleeding

what are esophageal varicies

300

What lab levels are important to monitor in liver failure? 

LFTs (AST, ALT, ALP, GGT)

CBC, Coags, electrolytes, bili, albumin

Ammonia good indicator of acute functioning

400

what medication reduces serum ammonia level by converting ammonia into ammonia ions so thats its excreted in stool

lactulose

500

how does alcohol lead to liver failure

Alcohol causes fat to build up in the liver, it causes inflammation, it causes the liver to form scar tissue known as fibrosis. When the scar tissue builds up and takes over most of the liver its called cirrhosis

Mobility

100

what might you expect in your assessment of a patient with MS

fatigue, muscle weakness, numbess/tinging in extremities, unsteady gait, vision changes, bladder/bowel dysfunction, depression, anxiety

200

Name 3 triggers for an MS attack

stress, heat, childbirth, infection, vaccine, lack of sleep, poor diet, smoking, vit d deficeincy

300

what can be used to manage an acute MS attack

steroids and plasmapheresis

400

Carbidopa-levodopa is one of the most common medications used to treat Parkinsons, It works by increases ________ in the brain. One of the downfalls to the medication is that its effectiveness ___________

dopamine and diminishes

500

this symptom of parkinsons disease is considered the cardinal symptom and involved slow or delayed movements or difficulty initiating movement 

Bradykinesia 

Hepatitis

100

what Hepatitis has available vaccines

A and B

200

how is hepatitis C transmitted

blood and body fluids

300

how is hepatitis c treated

antivirals, interferon

400

how is hepatitis A and E transmitted

fecal oral route

500

which phase of hepatits begins 5-10 days after initial symptoms-urine becomes dark from increase in bilirubin

Icteric phase