QUESTIONS, ANSWERS & RATIONALES FOR EXAM
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Acute - correct answer -less than 3 months, curable, short : pneumonia etc
Chronic - correct answer -long term, not curable, often associated with disability
Risk factors of chronic illness - correct answer -non mod: genetics, gender, family history, race
mod: smoking, weight, lack of exercise and nutrition,
Characteristics of chronic illness - correct answer -- snowball effect
- affects family and patient
- burden falls on patient
- many phases, back and forth
Self management themes - correct answer -- recognize the boundaries
- mobilize resources
-manage the shift in change of identity
- balance, pace and prioritize it
SBAR - correct answer -S: Situation
B: Background
A: Assessment
R: Recommendation
,IDRAW - correct answer -I: identify the pt
D: diagnosis
R: recent changes
A: anticipated changes
W: what to watch for
Clincal reasoning - correct answer -- systematic approach
- organized
- thoughtful
-prepared
- focused on better patient outcomes
Consent - correct answer -permission for something to happen or agreement to do something.
Expressed consent - correct answer -A type of consent in which a patient gives express
authorization for provision of care (by speaking)
Implied consent - correct answer -Type of consent in which a patient who is unable to give
consent is given treatment under the legal assumption that he or she would want treatment
3 components of consent - correct answer -1. discolsure: everything is told to the pt
2. voluntariness: no coersrion
3.capacity: is able to make these decisions
Absorption - correct answer -Drug movement from its site of administration into the blood
Pharmacokinetics - correct answer -movement of drugs within the body
, Factors affecting absorption - correct answer --rate of dissolution,
-surface area
-blood flow
-lipid solubility
-pH partitioning
Distribution - correct answer -movement from across the blood into tissues and cells
Factors affecting distribution - correct answer -- blood flow to the tissues
-ability to exit vascular system (BBB, placental, capillary permeability)
- binding to proteins (albumin) takes longer
Metabolism - correct answer -The biotransformation/chemical structure alteration of a drug
Cytochrome P450 - correct answer -The general name for a large class of enzymes that play a
significant role in drug metabolism and drug interactions.
special considerations of metabolism - correct answer -- age
- first pass effect
- induction/inducer
- nutritional status
- comp between drugs
Excretion/Elimination - correct answer -how drugs are moved out of the body