Whats lab test should you monitor for when prescribing Acetaminophen (Tylenol) ? - Answers Liver
function tests
What is the maximum daily dose of Acetaminophen (Tylenol)? - Answers 4 Grams/ Day
What type of pain is Acetaminophen (Tylenol) indicated for? - Answers Mild to moderate somatic and
visceral pain
What type of pain is are NSAID's indicated for? - Answers Mild to moderate somatic and visceral pain.
Helps with inflammatory musculoskeletal pain.
Which patient populations should NSAID's be avoided in? - Answers Bleeding risks (GI bleeds), Renal
dysfunction, Patients on corticosteroids. Risk for toxicity in the elderly
What type of pain is are Antiepileptics indicated for? - Answers moderate to severe neuropathic
pain?
What types of antidepressants help with moderate to sever pain? - Answers Tricyclic and SNRI. SSRI's
not found to be effective in pain management
Corticosteroids are effective for which type of pain? - Answers moderate to serve somatic and
visceral pain
What medications should not be give with Corticosteroids and why? - Answers NSAID's. The
combination increased bleeding risks
What are the 4 goals of multimodal analgesia? - Answers 1. improvement in pain 2. restoration of
function 3. improved quality of life 4. promotion of well- being
Whats are the 4 C's of Opioid Use Disorder? - Answers 1. loss of Control 2. Craving 3. Compulsive use
4. Continued use despite the risk of harm
What at the 3 most common medication used to treat Opioid use disorder? - Answers 1. methadone
2. Buprenhnorphine 3. Naltrexone (least commonly used)
Are migraines unilateral or bilateral? - Answers unilateral
whats a differentiating factor between a migraine and a tension headache? - Answers no pulsating
with tension headache & not unilateral
What is Horners syndrome and what type of HA do you see it in? - Answers a decreased pupil size, a
drooping eyelid and decreased sweating on the affected side of the face. Caused by the disruption of
a nerve pathway from the brain to the face and eye.
What lab value is elevated in Giant Cell (Temporal) Arteritis? - Answers ESR. >50mm/h warrants
concern
What is the triad of serotonin syndrome? - Answers 1. Congnitive: headache, hypomania, confusion,
hallucinations, coma
2. Autonomic: shivering, sweating, hyperthermia, HTN, tachycardia, nausea, diarrhea
3. Somatic: myoclonus, hyperreflexia, tremors
Whats is the formula for total body weight (TBW)? - Answers Males: current wt (kg) x 0.6
Females: current wt(kg) x 0.5
What are example of interstitial fluid? - Answers •fluid from the respiratory and GI tract
•CSF
•lymph
•Pleural, pericardial, peritoneal, synovial, gland secretions
What solution pulls fluid into cells? - Answers hypotonic
What electrolyte imbalance in commonly see in renal patients? - Answers Hyperphosphotemia
Chvostek sign is associated with which electrolyte imbalance? - Answers Hypocalcemia
Peaked t waves is seen in which electrolyte imbalance? - Answers Hyperkalemia
Mental status changes, seizures are seen in which electrolyte imbalance? - Answers Hyponatremia
What is a quick way to calculate serum osmolarity? - Answers 2x Na
What is normal serum osmolarity? - Answers 275-295 mOsm/L
What does a serum osmolarity of >295 mean? - Answers dehydration
What does a serum osmolarity of <275 mean? - Answers Fluid overloaded
NSS is what type on crystalloid solution? - Answers Isotonic
1/2 NSS is what type on crystalloid solution? - Answers Hypotonic