Exam 1
Ashlyn has a pH of 7.38. This is a ______ pH
Normal
Upon assessment Solomon has bulging eyes and appears nervous. What metabolic disease is most likely?
Grave's Disease
Sarah complains of shortness of breath with audible wheezes. What fast acting medication classification should be used to open her airways?
Bronchodilator
Which type of headache is described as unilateral associated with nausea?
migraine
Nitroglycerin must be held for a patient that took what type of medication in the past 24 hours?
erectile dysfunction medications
Ashleigh is a 26 year old female who has a patient controlled analgesia pump status post cesarean section. The basal rate is 10mcg/hr. The pump is set for q10m pushes of 1mcg. Based on the following times, how much medication did Ashleigh receive in an hour?
Pushed button:
0902, 0915, 0920, 0930, 0938, 0940, 0953, 0959
15mcg
What insulin can be given via IV
Regular
John presents with shortness of breath, diminished lung sounds, and copious amounts of pink frothy sputum. Based on the information provided what subtype of disease is present?
Left sided Heart failure
Jerome, a 33 year old male, complains of fatigue. He is pale and appears short of breath. You suspect he has iron deficient anemia. His hemoglobin would be below what?
< 14
acetaminophen/ASA/caffeine
aka excedrin
Sheila has the following labs, which is abnormal?
pH 7.42
Na 137
K+ 9.5
Mg 1.7
K+
3.5-5
Becky recently had the flu. She has no history of diabetes, obesity, or hypertension. She now has a blood sugar of 532 with polyuria. What type of diabetes is most likely?
Type 1 DM
This is because viral infection can cause T1D, with no h/o insulin dependence
The "green zone" is what percentage of personal best on the peak spirometer?
80-100%
You are educating Tiffany on folic acid deficient anemia. What foods would you educate her on increasing in her diet?
leafy vegetables, liver, yeast, citrus, dried beans, nuts, folic acid supplements
What is the first line medication for osteoarthritic pain
Acetaminophen
Brooklyn is admitted to then medical surgical floor for dehydration secondary to excessive vomiting. Her blood pressure is within normal limits. What fluids are indicated?
NS, LR, D5W
ISOTONICS
Jerome has no IV access, is unconscious, and has a blood sugar of 15. What medication is indicated?
Glucagon
75 year old Jeffery Dahmer has hypertension. He has been on lisinopril for 7 years. What sudden side effect of this medication would cause an immediate ICU admit?
Angioedema
A patient is experiencing a seizure. What is the priority for this patient?
Open Airway
Shannon is a 37 year old female who has T2DM. She is on metformin. Why must metformin be held prior to CT contrast?
Jennifer is admitted to the ICU after having been intubated for breathing rapidly with a fruity scent . She has a history of anxiety and depression. What imbalance is most likely?
Metabolic acidosis- DKA
NOT respiratory alkalosis because of fruity scent of breath keying to diabetic issue
What PPE needs to be worn with a patient who has C. Diff?
Gloves, gown, goggles, face shield
Sam, a 87 year old female, has flattened ribs and cor pulmonae. What is the likely diagnosis?
COPD
What type of seizure lasts more than 5 minutes?
Status epilepticus
Aaron is a 16 month male who presented to the emergency department for apnea. The paramedics state they saw a pill bottle labeled hydromorphone. What medication is indicated?
Naloxone