Out of UC and Chrohns which one can perforiate? Both.
Which out of UC and Chrohns cause diarrhea
Bloody stools:
What does hypotonic solution do? Swells the cell
Hypertonic solution: shrinks and days
What is Basal insulin: long acting
What is prandial insulin: before meals, short acting, rapid acting
When do you take acarbose ? After first bite of a meals
What is the onset of rapid humalog: 15 min
What is the onset of regular insulin: 30-1
What is the onset of NPH? 1-2h
WHaEEmightayousseenin DKAR Dehydration, kussmauls, metabolic acidosis
WHaEAre the 'findingsiofsmetabolicisyndromé? High triglycerides, low
hdls, Htn, high blood sugar, waist circumference
What complications might you see in gastric bypass? [Anastomose leak’ DVT,
airway (real compromise), infection T:::=:
S
OBESity: diabetes, HTN, heart disease, osteoarthritis, SlEEpiapiica,
asthma, infertility, lowgselfiesteem, depression, afib
siihenysomeone with DKAwis in treatment we get worried about: below 250.
what would you do: D5
What are your in diabetes
complications ? Retinopatht
What are the sick day rules for diabetes: check sugar more often , call
MD if >250 or <70; don’t skip meds
Multiple surgeries and Chrohns disease puts them at risk . .for: ‘@Qx;quwén
ggpdromfl which leads to malabsorption, malnutritionis
Hyperthyroidism s/s: weight loss,'heat intolerance, tachycardia,
exothalmus (bulging eyes)
/s:
giishingisyndromefs buffalo hump, moon face, hypertension, purple
stria,
Addisons disease s/s
____—_———-—J
, Recording 2: Franklin
s/s: retaining fluid, low sodium
SIADH
Hypnonatremic s/s
complain about thirst
Fluid restriction, daily weight,
Seizure precautions
Give hypertonic solutions
DI s/s : low level of ADH, Hijpérnatremici®
Hypernatremic s/s
Causes of DI
¥Tx: DDAVP
Give hypotonic solutions
wdrStages of ‘developiny atherosclarosisis
2
2
3
A heed 0 Lhnow
=
Modifiable risk factors
circulation: decrease perfusion, decrease oxygen, builds up
Collateral
over time
Chronlc stable angina ¢
Increase oxygen demand, decrease in oxygen supply due to perfusion
Chest pain —take nitro it goes away, last less than 10 min
Chest pain needs to be seen if it doesn’t change after 10 min
Elevated ST— cardiac cath lab
If no elevation then troponins
§EHE® decrease cardiac output and perfusion
causes of heart failure: CAD, HTN, valve disease, septal de
"'l
Primary
T
fl
hyperthyroidism
‘Left side heart failure symptoms==lungs
Orthopnea, pink frothy sputum, fatigue, hypoxemia
Right side heart failure symptoms®--rest of body
fi&mwforvcflF oxygen;ilasix (drops potassium) so want to make sure we are
replacing potassium
Do not give iv fluids to CHF patients
Frequent vital signs, high Fowler position to breathe better
Gggxgqggp HF': Echo (EF), BNP (abnormal: greater than 100) <100 BNP normal
wiieedytoknow. digoxin levelsnQuss2iis \R)\\\ O&l Q FCU'\CLQ
.5&%}+§E%ve.care.: 2 goals- relieve symptoms and enhance quality of life
Which out of UC and Chrohns cause diarrhea
Bloody stools:
What does hypotonic solution do? Swells the cell
Hypertonic solution: shrinks and days
What is Basal insulin: long acting
What is prandial insulin: before meals, short acting, rapid acting
When do you take acarbose ? After first bite of a meals
What is the onset of rapid humalog: 15 min
What is the onset of regular insulin: 30-1
What is the onset of NPH? 1-2h
WHaEEmightayousseenin DKAR Dehydration, kussmauls, metabolic acidosis
WHaEAre the 'findingsiofsmetabolicisyndromé? High triglycerides, low
hdls, Htn, high blood sugar, waist circumference
What complications might you see in gastric bypass? [Anastomose leak’ DVT,
airway (real compromise), infection T:::=:
S
OBESity: diabetes, HTN, heart disease, osteoarthritis, SlEEpiapiica,
asthma, infertility, lowgselfiesteem, depression, afib
siihenysomeone with DKAwis in treatment we get worried about: below 250.
what would you do: D5
What are your in diabetes
complications ? Retinopatht
What are the sick day rules for diabetes: check sugar more often , call
MD if >250 or <70; don’t skip meds
Multiple surgeries and Chrohns disease puts them at risk . .for: ‘@Qx;quwén
ggpdromfl which leads to malabsorption, malnutritionis
Hyperthyroidism s/s: weight loss,'heat intolerance, tachycardia,
exothalmus (bulging eyes)
/s:
giishingisyndromefs buffalo hump, moon face, hypertension, purple
stria,
Addisons disease s/s
____—_———-—J
, Recording 2: Franklin
s/s: retaining fluid, low sodium
SIADH
Hypnonatremic s/s
complain about thirst
Fluid restriction, daily weight,
Seizure precautions
Give hypertonic solutions
DI s/s : low level of ADH, Hijpérnatremici®
Hypernatremic s/s
Causes of DI
¥Tx: DDAVP
Give hypotonic solutions
wdrStages of ‘developiny atherosclarosisis
2
2
3
A heed 0 Lhnow
=
Modifiable risk factors
circulation: decrease perfusion, decrease oxygen, builds up
Collateral
over time
Chronlc stable angina ¢
Increase oxygen demand, decrease in oxygen supply due to perfusion
Chest pain —take nitro it goes away, last less than 10 min
Chest pain needs to be seen if it doesn’t change after 10 min
Elevated ST— cardiac cath lab
If no elevation then troponins
§EHE® decrease cardiac output and perfusion
causes of heart failure: CAD, HTN, valve disease, septal de
"'l
Primary
T
fl
hyperthyroidism
‘Left side heart failure symptoms==lungs
Orthopnea, pink frothy sputum, fatigue, hypoxemia
Right side heart failure symptoms®--rest of body
fi&mwforvcflF oxygen;ilasix (drops potassium) so want to make sure we are
replacing potassium
Do not give iv fluids to CHF patients
Frequent vital signs, high Fowler position to breathe better
Gggxgqggp HF': Echo (EF), BNP (abnormal: greater than 100) <100 BNP normal
wiieedytoknow. digoxin levelsnQuss2iis \R)\\\ O&l Q FCU'\CLQ
.5&%}+§E%ve.care.: 2 goals- relieve symptoms and enhance quality of life
