FAMILY NURSE PRACTITIONER Save
Terms in this set (755)
Trauma to Kiesselbachs plexus: Will result in an anterior nosebleed
The diagnostic or gold Hemoglobin electrophoresis
standard test for sickle cell
anemia, G6PD anemia, and
alpha or beta thalassemia:
Erythromycin "allergy" vs Adverse reaction-symptoms of nausea or GI upset
adverse reaction: allergy -hives, angioedema
, Pt will most likely be a teen presenting w classic triad of sore
Acute mononucleosis:
throat, prolonged fatigue, and enlarged cervical nodes.
More common among Southeast Asians such as, Indian,
Alpha thalassemia:
Chinese, or Filipino descent
Malar rash(butterfly rash)Pts need to avoid or to minimize
Lupus
sunlight exposure(photosensitivity)
1st line tx for PMR includes long-term steroids. Long term
Tx polymyalgic steroids are commonly used to control symptoms(pain, stiffness
rheumatica(PMR) on shoulders, and hip girdle). PMR pts have higher risk for
temporal arteritis.
Gold standard exam for Biopsy of the temporal artery. refer pt to opthalmologist for
temporal arteritis: mgt
Finkelstein's test: Positive in De Quervains tenosynovitis
Anterior Drawer maneuver and Positive if anterior cruciate ligament (ACL) of knee damaged.
Lachman maneuver: The knee may also be unstable
McMurray's sign: Positive in meniscus injuries of the knee
Damaged Joints: Order X-ray first, but MRI is the Gold Standard
Neovascularization, hard exudates, cotton wool spots, and
Diabetic retinopathy:
micoaneurysms
Hypertensive retinopathy: AV nicking, silver and or copper wire arterioles
, absent(0),
hypoactive (1)
Checking deep tendon reflexes: normal(2)
hyperactive(3)
clonus(4)
Clonus is typically seen in patients with stroke, multiple
sclerosis, spinal cord damage and hepatic encephalopathy.
Clonus has also appeared after ingesting potent serotonergic
drugs, where ingestion strongly predicts imminent serotonin
toxicity (serotonin syndrome).
Clonus is a series of involuntary, rhythmic, muscular
contractions and relaxations.
Clonus: Clonus is a sign of certain neurological conditions, particularly
associated with upper motor neuron lesions involving
descending motor pathways, and in many cases is,
accompanied by spasticity (another form of
hyperexcitability).Unlike small, spontaneous twitches known as
fasciculations (usually caused by lower motor neuron
pathology), clonus causes large motions that are usually
initiated by a reflex.
A rare but serious adverse Angioedema
effect of ACE inhibitors is:
A common side effect of ACE Dry cough(10%)
inhibitors is a
, 1st line drug to tx htn in DM & ACE inhibitors or ARBS
pts w mild renal dz bc of their
renal protective properties:
Penicillin: Amoxicillin(broad-spectrum PCN) Penicillin VK
Macrolide: Erythromycin, azithromycin(Z-Pack), or clarithromycin(Biaxin)
1st generation(Keflex), 2nd generation(Cefaclor, Ceftin,
Cephalosporins:
Cefzil)3rd generation(Rocephin, Suprax, Omnicef)
Quinolones w gram positive Levofloxacin(Levaquin), moxifloxacin(Avelox),
coverage: gatifloxacin(Tequin)
Quinolones: Ciprofloxacin(Cipro), ofloxacin(Floxin)
Trimethoprim/sulfamethazole(Bactrim, Septra),
Sulfa:
nitrofurantoin(Macrobid),
Tetracyclines: Tetracycline, doxycycline, minocycline(Minocin)
NSAID: Ibuprofen, naproxen(aleve, Anaprox)
Cox-2 inhibitors: Celecoxib (celebrex)
Antitussives: Dextromorphan(Robitussin), benzonate(Tessalon Perles)
Drugs allowed for pregnant or Category B
lactating women:
Pregnancy in pain: Tylenol instead of Ibuprofen
Avoid nitrofurantoin & sulfa Increase the risk of hyperbilirubinemia
drugs during 3rd trimester:
Terms in this set (755)
Trauma to Kiesselbachs plexus: Will result in an anterior nosebleed
The diagnostic or gold Hemoglobin electrophoresis
standard test for sickle cell
anemia, G6PD anemia, and
alpha or beta thalassemia:
Erythromycin "allergy" vs Adverse reaction-symptoms of nausea or GI upset
adverse reaction: allergy -hives, angioedema
, Pt will most likely be a teen presenting w classic triad of sore
Acute mononucleosis:
throat, prolonged fatigue, and enlarged cervical nodes.
More common among Southeast Asians such as, Indian,
Alpha thalassemia:
Chinese, or Filipino descent
Malar rash(butterfly rash)Pts need to avoid or to minimize
Lupus
sunlight exposure(photosensitivity)
1st line tx for PMR includes long-term steroids. Long term
Tx polymyalgic steroids are commonly used to control symptoms(pain, stiffness
rheumatica(PMR) on shoulders, and hip girdle). PMR pts have higher risk for
temporal arteritis.
Gold standard exam for Biopsy of the temporal artery. refer pt to opthalmologist for
temporal arteritis: mgt
Finkelstein's test: Positive in De Quervains tenosynovitis
Anterior Drawer maneuver and Positive if anterior cruciate ligament (ACL) of knee damaged.
Lachman maneuver: The knee may also be unstable
McMurray's sign: Positive in meniscus injuries of the knee
Damaged Joints: Order X-ray first, but MRI is the Gold Standard
Neovascularization, hard exudates, cotton wool spots, and
Diabetic retinopathy:
micoaneurysms
Hypertensive retinopathy: AV nicking, silver and or copper wire arterioles
, absent(0),
hypoactive (1)
Checking deep tendon reflexes: normal(2)
hyperactive(3)
clonus(4)
Clonus is typically seen in patients with stroke, multiple
sclerosis, spinal cord damage and hepatic encephalopathy.
Clonus has also appeared after ingesting potent serotonergic
drugs, where ingestion strongly predicts imminent serotonin
toxicity (serotonin syndrome).
Clonus is a series of involuntary, rhythmic, muscular
contractions and relaxations.
Clonus: Clonus is a sign of certain neurological conditions, particularly
associated with upper motor neuron lesions involving
descending motor pathways, and in many cases is,
accompanied by spasticity (another form of
hyperexcitability).Unlike small, spontaneous twitches known as
fasciculations (usually caused by lower motor neuron
pathology), clonus causes large motions that are usually
initiated by a reflex.
A rare but serious adverse Angioedema
effect of ACE inhibitors is:
A common side effect of ACE Dry cough(10%)
inhibitors is a
, 1st line drug to tx htn in DM & ACE inhibitors or ARBS
pts w mild renal dz bc of their
renal protective properties:
Penicillin: Amoxicillin(broad-spectrum PCN) Penicillin VK
Macrolide: Erythromycin, azithromycin(Z-Pack), or clarithromycin(Biaxin)
1st generation(Keflex), 2nd generation(Cefaclor, Ceftin,
Cephalosporins:
Cefzil)3rd generation(Rocephin, Suprax, Omnicef)
Quinolones w gram positive Levofloxacin(Levaquin), moxifloxacin(Avelox),
coverage: gatifloxacin(Tequin)
Quinolones: Ciprofloxacin(Cipro), ofloxacin(Floxin)
Trimethoprim/sulfamethazole(Bactrim, Septra),
Sulfa:
nitrofurantoin(Macrobid),
Tetracyclines: Tetracycline, doxycycline, minocycline(Minocin)
NSAID: Ibuprofen, naproxen(aleve, Anaprox)
Cox-2 inhibitors: Celecoxib (celebrex)
Antitussives: Dextromorphan(Robitussin), benzonate(Tessalon Perles)
Drugs allowed for pregnant or Category B
lactating women:
Pregnancy in pain: Tylenol instead of Ibuprofen
Avoid nitrofurantoin & sulfa Increase the risk of hyperbilirubinemia
drugs during 3rd trimester:
