ATI CAPSTONE MEDICAL SURGICAL ASSESSMENT 1 & 2 ALL 150 QUESTIONS AND
CORRECT WELL ELABORATED ANSWERS WITH RATIONALES
Acreage Reporting Date - (ANSWER)The deadline for providing the insurer with an acreage
report, which is used to determine the amount of coverage needed and the premium
charged for a particular crop. What are cognitive symptoms of psychotic disorders -
(ANSWER)-disordered thinkinFamotidine ( pepcid ) , Ranitidine, Cimetidine, Nizatidine -
(ANSWER)- Suppress Secretion of Gastric Acid
- Cimetidine: Decreased Libido, Cns Effects: lethargy and confusions
- Increase Fiber and water
- Notify of coffee ground emesis
Allopurinol - (ANSWER)- inhibits Uric acid production
- Is for gout
- Causes: Kidney Injury, Gout attacks, Hepatitis
- Eat with meals to decrease gastric stress
- AVOID: High Purine ( RED MEAT )
- Well diluted admin over 30-60min
Methotrexate - (ANSWER)- IS for cancer
- Causes: Renal damage, Gastric Ulcers
- Drink 2-3 Liters a day
- take on EMPTY stomach
- Protect from SUNLIGHT
- Use birth control for 6mon after
Molekukast - (ANSWER)For long term asthma and Exercise induced spasm
,- causes: Depression and Suicide
- Take 2 hours before Exercise
Ipratropium - (ANSWER)Is for long term COPD, asthma
- Causes: dry mouth and hoarseness
- Rinse mouth after for the taste
- Wait 5 min between administration
Salmeterol, Albuterol, Terbutaline - (ANSWER)Stimulates beta 2>beta 1. Bronchodilator.
- Causes: tachy cardia and Tachy pena
Report pulse greater than 20/min - 30/min
inhale before steroids
Fentanyl, Codeine, Oxycodone, Hydromorphone, Methadone - (ANSWER)- Causes resp.
Depression and constipation orthostatic hypotension, Urinary retention
- Stop infusion if RR go below 12
_ admin over 4-5min
- Take Fentanyl patch off at night time
- Naloxone is the antidote
- Increase fiber and water
Nalbuphine, Buphrine, Pentazocine - (ANSWER)Used for moderate to severe pain
- abstience syndrome: ( hypertention, fever, anxiety,vomiting)
- Sedation or Resp. depression
_ Naloxone is antidote
,Prednisone, Beclomethasone, hydrocortisone, Fluticasone - (ANSWER)- Used for Status
ASthmaticus
Complications: suppression of adrenal glands, boneloss, and hyperglycemia
INcrease weight gain
Nifedipine veramil Ditazem - (ANSWER)Nifedipine: Used for hypertention and angina
Vermamil and Ditazem: Cardiac dysrythmias, angina hypertention
Complications Nifedipine: Reflex tachycardia ; Monitor fir increase heart rate and
orthostatic hypotension
Verapamil: Orthostatic hypotension and edema
Lithium - (ANSWER)Used to treat bipolar disorder
and acute mania
- Gi distress- ( nausea , diarrhea
- Fine hand tremors , polyuria
Monitor for 5 days after therapy then every 1 to 3 mon
Low lithium toxicity - (ANSWER)Early: below 1.5
Diarrhea, nausea, vomiting
Advanced lithium toxicity - (ANSWER)1.5-2
ongoing abdominal nausea and vomiting
Severe Lithium Toxicity - (ANSWER)2.0-2.5
-Extreme polyuria
- Tinnitus
, - Blurred Vision
- Severe Hypotension
valproic acid and carbamazepine - (ANSWER)- Treatment of relapse of mania and
depressive episodes
Carbamazine: CNS Effect, skin disorders, Hepatotoxicity
Valproic Acid: GI effects Hepatotoxicity pancreatitis thrombocytopenia weight gain
Grapefruit Juice
Captopril (-pril) - (ANSWER)Used for Hypertension, Heart failure, Myocardial Infarction
Complicaiton: First dose; orthostatic hypotension, Cough, Hyperkalemia , Neutropenia
Angioedema: swelling of tongue and pharynx
Losartan "sartans" - (ANSWER)Used for Hypertension Heart Failure Stroke Prevention
Complications: Angioedema and orthostatic hypotension
monitor weight and edema
Leuoride - (ANSWER)- used for when the testes stop producing testosterone
Complications: Hot flashes decreased Libido Gynecomastia Decreased bone density
Dysrhythmias pulmonary edema
- Increase calcium and vitamin D
Vasopressin and Desmopressin - (ANSWER)Used in the treatment of diabetes insipidus.
Complications: Reabsorption of too much water, myocardial ischemia
Levothyroxine - (ANSWER)Used for hypothyroidism
CORRECT WELL ELABORATED ANSWERS WITH RATIONALES
Acreage Reporting Date - (ANSWER)The deadline for providing the insurer with an acreage
report, which is used to determine the amount of coverage needed and the premium
charged for a particular crop. What are cognitive symptoms of psychotic disorders -
(ANSWER)-disordered thinkinFamotidine ( pepcid ) , Ranitidine, Cimetidine, Nizatidine -
(ANSWER)- Suppress Secretion of Gastric Acid
- Cimetidine: Decreased Libido, Cns Effects: lethargy and confusions
- Increase Fiber and water
- Notify of coffee ground emesis
Allopurinol - (ANSWER)- inhibits Uric acid production
- Is for gout
- Causes: Kidney Injury, Gout attacks, Hepatitis
- Eat with meals to decrease gastric stress
- AVOID: High Purine ( RED MEAT )
- Well diluted admin over 30-60min
Methotrexate - (ANSWER)- IS for cancer
- Causes: Renal damage, Gastric Ulcers
- Drink 2-3 Liters a day
- take on EMPTY stomach
- Protect from SUNLIGHT
- Use birth control for 6mon after
Molekukast - (ANSWER)For long term asthma and Exercise induced spasm
,- causes: Depression and Suicide
- Take 2 hours before Exercise
Ipratropium - (ANSWER)Is for long term COPD, asthma
- Causes: dry mouth and hoarseness
- Rinse mouth after for the taste
- Wait 5 min between administration
Salmeterol, Albuterol, Terbutaline - (ANSWER)Stimulates beta 2>beta 1. Bronchodilator.
- Causes: tachy cardia and Tachy pena
Report pulse greater than 20/min - 30/min
inhale before steroids
Fentanyl, Codeine, Oxycodone, Hydromorphone, Methadone - (ANSWER)- Causes resp.
Depression and constipation orthostatic hypotension, Urinary retention
- Stop infusion if RR go below 12
_ admin over 4-5min
- Take Fentanyl patch off at night time
- Naloxone is the antidote
- Increase fiber and water
Nalbuphine, Buphrine, Pentazocine - (ANSWER)Used for moderate to severe pain
- abstience syndrome: ( hypertention, fever, anxiety,vomiting)
- Sedation or Resp. depression
_ Naloxone is antidote
,Prednisone, Beclomethasone, hydrocortisone, Fluticasone - (ANSWER)- Used for Status
ASthmaticus
Complications: suppression of adrenal glands, boneloss, and hyperglycemia
INcrease weight gain
Nifedipine veramil Ditazem - (ANSWER)Nifedipine: Used for hypertention and angina
Vermamil and Ditazem: Cardiac dysrythmias, angina hypertention
Complications Nifedipine: Reflex tachycardia ; Monitor fir increase heart rate and
orthostatic hypotension
Verapamil: Orthostatic hypotension and edema
Lithium - (ANSWER)Used to treat bipolar disorder
and acute mania
- Gi distress- ( nausea , diarrhea
- Fine hand tremors , polyuria
Monitor for 5 days after therapy then every 1 to 3 mon
Low lithium toxicity - (ANSWER)Early: below 1.5
Diarrhea, nausea, vomiting
Advanced lithium toxicity - (ANSWER)1.5-2
ongoing abdominal nausea and vomiting
Severe Lithium Toxicity - (ANSWER)2.0-2.5
-Extreme polyuria
- Tinnitus
, - Blurred Vision
- Severe Hypotension
valproic acid and carbamazepine - (ANSWER)- Treatment of relapse of mania and
depressive episodes
Carbamazine: CNS Effect, skin disorders, Hepatotoxicity
Valproic Acid: GI effects Hepatotoxicity pancreatitis thrombocytopenia weight gain
Grapefruit Juice
Captopril (-pril) - (ANSWER)Used for Hypertension, Heart failure, Myocardial Infarction
Complicaiton: First dose; orthostatic hypotension, Cough, Hyperkalemia , Neutropenia
Angioedema: swelling of tongue and pharynx
Losartan "sartans" - (ANSWER)Used for Hypertension Heart Failure Stroke Prevention
Complications: Angioedema and orthostatic hypotension
monitor weight and edema
Leuoride - (ANSWER)- used for when the testes stop producing testosterone
Complications: Hot flashes decreased Libido Gynecomastia Decreased bone density
Dysrhythmias pulmonary edema
- Increase calcium and vitamin D
Vasopressin and Desmopressin - (ANSWER)Used in the treatment of diabetes insipidus.
Complications: Reabsorption of too much water, myocardial ischemia
Levothyroxine - (ANSWER)Used for hypothyroidism
