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WGU D027 OBJECTIVE ASSESSMENT EXAM

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WGU D027 OBJECTIVE ASSESSMENT EXAM Local anesthetics adverse effects - CORRECT ANSWER CNS excitation, severe cardiovascular toxicity (bupivacaine), hypertension, hypotension, arrhythmias (cocaine), methemoglobinemia (benzocaine), respiratory depression Pure opiod agonists - CORRECT ANSWER Morphine = strong agonist; Codeine = moderate to strong agonist Pure opiod antagonists - CORRECT ANSWER Naloxone (Narcan) Morphine uses - CORRECT ANSWER moderate to severe pain morphine is more effective against what type of pain - CORRECT ANSWER constant, dull pain Morphine side effects - CORRECT ANSWER respiratory depression sedation euphoria orthostatic hypotension bradycardia diaphoresis urticaria BLACK BOX WARNING Narcan uses - CORRECT ANSWER -reversal of opioid overdose -reversal of postoperative opioid effects -give immediately for decreased respirations to reverse opioid effect Cox inhibitors - CORRECT ANSWER NSAIDs: ASA, Ibuprofen, Naproxen, Acetaminophen Treatment for tylenol overdose - CORRECT ANSWER Acetylcysteine (Mucomyst) Acute bronchitis - CORRECT ANSWER an inflammation of the lower respiratory tract that is usually due to infection. - not generally treated with ATB

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Local anesthetics adverse effects - CORRECT ANSWER CNS excitation, severe
cardiovascular toxicity (bupivacaine), hypertension, hypotension, arrhythmias (cocaine),
methemoglobinemia (benzocaine), respiratory depression

Pure opiod agonists - CORRECT ANSWER Morphine = strong agonist; Codeine =
moderate to strong agonist

Pure opiod antagonists - CORRECT ANSWER Naloxone (Narcan)

Morphine uses - CORRECT ANSWER moderate to severe pain

morphine is more effective against what type of pain - CORRECT ANSWER constant,
dull pain

Morphine side effects - CORRECT ANSWER respiratory depression
sedation
euphoria
orthostatic hypotension
bradycardia
diaphoresis
urticaria
BLACK BOX WARNING

Narcan uses - CORRECT ANSWER -reversal of opioid overdose
-reversal of postoperative opioid effects
-give immediately for decreased respirations to reverse opioid effect

Cox inhibitors - CORRECT ANSWER NSAIDs: ASA, Ibuprofen, Naproxen,
Acetaminophen

Treatment for tylenol overdose - CORRECT ANSWER Acetylcysteine (Mucomyst)

, Acute bronchitis - CORRECT ANSWER an inflammation of the lower respiratory tract
that is usually due to infection. - not generally treated with ATB

Ephedrine uses - CORRECT ANSWER Nasal decongestion, urinary incontinence,
hypotension

Ephedrine should only be used short-term because: - CORRECT ANSWER Chronic
use can result in rebound sx

Asthma step 1 tx - CORRECT ANSWER SABA PRN - Albuterol

Asthma step 2 tx - CORRECT ANSWER low dose ICS daily with SABA PRN

COPD symptoms - CORRECT ANSWER severe coughing, shortness of breath, sputum
production, fatigue, pursed-lip breathing, barrel chest

COPD Tx - CORRECT ANSWER Start w/ single bronchodilator (SABA)--> if not
improving
ADD LABA or LAMA --> if not improving
increase LABA/LAMA or ADD LABA/ICSDonepezil/Aricept - CORRECT ANSWER Mild
to moderate Alzheimer

Rivastigmine/Exelon - CORRECT ANSWER mild to moderate Alzheimer's

Galantamine/Razadyne - CORRECT ANSWER mild to moderate Alzheimer's

Memantine/Namenda - CORRECT ANSWER moderate to severe alzheimers

Donepezil + Memantine (Namzaric) - CORRECT ANSWER Moderate to severe
Alzheimer - approved by the FDA

Cholinesterase inhibitors - CORRECT ANSWER Treat sx related to memory, thinking,
language, judgment and other though processes.

Ataxia symptoms - CORRECT ANSWER Mimic those of being drunk: slurred speech,
stumbling, falling, and incoordination.

Cerebellum function - CORRECT ANSWER Balance and coordination

Celiac Disease - CORRECT ANSWER malabsorption syndrome caused by an immune
reaction to gluten

Celiac disease genetic predisposition - CORRECT ANSWER HLA-DQ2 and HLA-DQ8

Celiac diagnostic methods - CORRECT ANSWER IgA antibodies and HLA-DQ2 or
HLA-DQ8; duodenal biopsy

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