ANP 650 Final Review
A patient has a Cr of 4.0, is on MS Contin ninety mg 3x/day - ANS-Causes muscle spasms,
toxic neurological problems, respiration melancholy
Allopurinol v Colchicine - ANS-Allopurinol standards: 2 gout flares in step with yr
Colchicine: acute gout flare
Biomarkers for diagnosis: - ANS-albumin, hgb, and cholesterol (if low = terrible prognosis) or
high Cr
Calciphylaxis - ANS-Calcium collected when ESRD sufferers do not receive full dialysis
(Medication that increases risk: warfarin)
Cause for put up-renal/obstructive renal failure: everywhere after the kidneys - ANS-- Kidney
stone
- Urinary retention
Causes of proteinuria - ANS-- Renal failure
- Hypertension
- Rhabdo
- Nephrotic syndrome (threshold: >3g)
compartment syndrome - ANS-4 P's
- ache
- pallor
- pulselessness
- paresthesia
Difference btw capacity and competence (concerning state of mind): - ANS-- Capacity: ability
to make selections at a selected second in time and that they apprehend the outcomes
- Competence: made in a legal arena via a choose to peer if the individual can manipulate
their personal affairs
Different lessons of urinary incontinence: - ANS-- Urge: simply used the toilet and should
move right away after however can not make it in time
- Overflow: mattress sure publish void residual of >500
- Stress: whilst operating out
- Functional: affected person has all 4 rails up and can't go to the rest room
Differential listing for shoulder ache: - ANS-- Cardiac (MI)
- GI (gallbladder)
- Cervical spine (radiating cervical spine stenosis)
- Rotator cuff injury
, Example of adjuvant remedy: - ANS-Tricyclic antidepressants (TCAs) for pain control
Example of pathological fracture - ANS-CA - tumor inflicting bone to break
Fibromyalgia - ANS-diffuse pain
Fibromyalgia comorbidities - ANS-psych / despair
Fibromyalgia treatment - ANS-antidepressants, NSAIDs, bodily remedy, cause factor
injections (Opiates contraindicated)
Frailty fracture - ANS-osteoporosis
Hematuria workup - ANS--test ua with c/s
-ask about exercise, meds, ingredients, trauma
-if no records, CBC and 24 hour urine
-CT
-Sono
-Pt, PTT possibly
HMO: - ANS-A group plan providing pay as you go hospital treatment to its individuals.
Negotiated costs, paid via prognosis
Hospice medicare repayment - ANS-Most people most effective qualify for domestic
hospice, but medicare will simplest cover intermittent care, comfort associated medicines
How do you tell the difference btw osteoarthritis and inflammatory arthritis: - ANS-- Bilateral
substantial inflammation in inflammatory arthritis
_ Inflammatory is worse within the morning, while worse within the night time for
osteoarthritis
How does spinal stenosis present? - ANS-Neurogenic claudication (legs harm on
ambulation/ worsening pain while status = compression)
Hyponaremia workup - ANS-- Serum osmolarity
- Urine osmolarity
- Serum sodium
- Urine sodium
Intra-renal failure: - ANS-- Toxins to filtration
- Infection
- Systemic reaction from ABX
Is it ever regular for older adults to have bacteria in their urine? - ANS-Yes, most effective
deal with symptomatic micro organism in the urine
Liver function tests (LFTs) - ANS-AST, ALT, Alk Phos and bilirubin
A patient has a Cr of 4.0, is on MS Contin ninety mg 3x/day - ANS-Causes muscle spasms,
toxic neurological problems, respiration melancholy
Allopurinol v Colchicine - ANS-Allopurinol standards: 2 gout flares in step with yr
Colchicine: acute gout flare
Biomarkers for diagnosis: - ANS-albumin, hgb, and cholesterol (if low = terrible prognosis) or
high Cr
Calciphylaxis - ANS-Calcium collected when ESRD sufferers do not receive full dialysis
(Medication that increases risk: warfarin)
Cause for put up-renal/obstructive renal failure: everywhere after the kidneys - ANS-- Kidney
stone
- Urinary retention
Causes of proteinuria - ANS-- Renal failure
- Hypertension
- Rhabdo
- Nephrotic syndrome (threshold: >3g)
compartment syndrome - ANS-4 P's
- ache
- pallor
- pulselessness
- paresthesia
Difference btw capacity and competence (concerning state of mind): - ANS-- Capacity: ability
to make selections at a selected second in time and that they apprehend the outcomes
- Competence: made in a legal arena via a choose to peer if the individual can manipulate
their personal affairs
Different lessons of urinary incontinence: - ANS-- Urge: simply used the toilet and should
move right away after however can not make it in time
- Overflow: mattress sure publish void residual of >500
- Stress: whilst operating out
- Functional: affected person has all 4 rails up and can't go to the rest room
Differential listing for shoulder ache: - ANS-- Cardiac (MI)
- GI (gallbladder)
- Cervical spine (radiating cervical spine stenosis)
- Rotator cuff injury
, Example of adjuvant remedy: - ANS-Tricyclic antidepressants (TCAs) for pain control
Example of pathological fracture - ANS-CA - tumor inflicting bone to break
Fibromyalgia - ANS-diffuse pain
Fibromyalgia comorbidities - ANS-psych / despair
Fibromyalgia treatment - ANS-antidepressants, NSAIDs, bodily remedy, cause factor
injections (Opiates contraindicated)
Frailty fracture - ANS-osteoporosis
Hematuria workup - ANS--test ua with c/s
-ask about exercise, meds, ingredients, trauma
-if no records, CBC and 24 hour urine
-CT
-Sono
-Pt, PTT possibly
HMO: - ANS-A group plan providing pay as you go hospital treatment to its individuals.
Negotiated costs, paid via prognosis
Hospice medicare repayment - ANS-Most people most effective qualify for domestic
hospice, but medicare will simplest cover intermittent care, comfort associated medicines
How do you tell the difference btw osteoarthritis and inflammatory arthritis: - ANS-- Bilateral
substantial inflammation in inflammatory arthritis
_ Inflammatory is worse within the morning, while worse within the night time for
osteoarthritis
How does spinal stenosis present? - ANS-Neurogenic claudication (legs harm on
ambulation/ worsening pain while status = compression)
Hyponaremia workup - ANS-- Serum osmolarity
- Urine osmolarity
- Serum sodium
- Urine sodium
Intra-renal failure: - ANS-- Toxins to filtration
- Infection
- Systemic reaction from ABX
Is it ever regular for older adults to have bacteria in their urine? - ANS-Yes, most effective
deal with symptomatic micro organism in the urine
Liver function tests (LFTs) - ANS-AST, ALT, Alk Phos and bilirubin
