Solutions
3+ criteria for metabolic syndrome Correct Answers B- BP
meds or high BP (over 130 systolic)
B - blood sugar meds or high blood sugar (100+ fasting)
O- obese waist size
L- lipids (high cholesterol)
abdominal surgery (risks) Correct Answers paralytic ileus -
muscles of intestine stop working
due to handling of intestines during surgery (priority to inspect
abdomen for distribution)
ACS (definition) Correct Answers any condition brought on by
reduced/blocked blood flow to heart
ACS Correct Answers acute coronary syndrome
addison's disease (signs and symptoms) Correct Answers
hypercalcemia, decreased serum cortisol, anorexia/weight loss,
hyponatremia, vitiligo/hyperpigmentation
addison's disease Correct Answers adrenal insufficiency
(hypofunctioning - doesn't produce enough cortisol)
AHTR (priority) Correct Answers discontinue blood, flush with
saline, send all blood supplies back to blood bank, and contact
HCP
,AHTR (signs and symptoms Correct Answers chills, fever, pain
(especially along the IV line, in the back, or in the chest),
hypotension, dark urine
AHTR Correct Answers acute hemolytic transfusion reaction
ALS (definition) Correct Answers rare progressive
neuromuscular disorder marked by the loss of motor neurons
unknown cause
more common in white, men, and military veterans
approx 10% genetic
ALS (interventions) Correct Answers facilitate communication,
reduce aspiration risk, early identification of respiratory
problems, decrease pain, decrease fall risk, provide diversional
activities, provide compassionate end-of-life care
ALS (meds) Correct Answers (may slow decline)
riluzole and edaravone
ALS (signs and symptoms) Correct Answers pain, sleep
disorder, spasticity, hyperreflexia, drooling, emotional lability,
constipation, esophageal reflux, progressive muscle weakness
and atrophy
ALS Correct Answers amyotrophic lateral sclerosis
aortic dissection (definition) Correct Answers inner layer of
aorta tears separating into 2 channels
true lumen: natural passage
false lumen: new channel, prevents blood flowing properly to
rest of the body
, aortic dissection (diagnostic) Correct Answers stat CT scan
aortic dissection (higher risk) Correct Answers 60-70 year old
patients
aortic dissection (signs and symptoms) Correct Answers
intense, sudden onset back pain, hypotension, stroke like
symptoms: unilateral weakness and difficulty speaking,
difference in BP between arms, decreases level of consciousness
aortic dissection (treatment) Correct Answers surgery and beta
blockers
appendicitis (emergency) Correct Answers pain suddenly
disappears, signs of a rupture
appendicitis (lab values) Correct Answers elevated WBC,
leukocytes w/ shift right
arterial steal syndrome Correct Answers results from vascular
insufficiency after creation of a fistula
pallor, diminished pulse, left hand pain
asthma (signs and symptoms) Correct Answers wheezing and
both lungs affected
asthma (treatment) Correct Answers bronchodialators, O2
supplementation, PFTs