AGACNP Barkley Review: Combined
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AGACNP Barkley Review: Combined
5.0 (3 reviews)
Textbook solutions for this set
Pharmacology and the Nursing Process
P1
Search for a textbook or question
Terms in this set (628)
ABCDEFGHIMN
Auto-immune - SLE, GCA
Blood - Heme/Onc - Leukemia/Lymphoma
Cancer
Drugs - Amphotericin B, Beta-lactam abx, procainamide
Endo - hyperthyroidism, pheochromocytoma
What causes fever?
Familial mediterranean fever
GI - intra-abdominal abscess, IBD
Heart- MI, endocarditis
Infection - bacterial, viral, fungal, parasites, etc.
Misc - Hematoma
Neuro - tumor, ICH, MS - interfere w/ thermoregulatory process
high fever d/t succinylcholine
usu given in OR to relax laryngeal muscle
What is malignant hyperthermia?
contraindicated to succs? hyperkalemia
Tx: dantrolene - reversal for succs
1. antimicrobials only when a microbe is present
What is the treatment for fever? 2. antipyretics
3. tx underlying condition
,AGACNP Barkley Review: Combined
1. post-op atelectasis
2. increased basic metabolic rate
What are the causes of non-infectious post-
3. dehydration
op fever?
4. drug reactions: Amphotericin B, trimethoprim-sulfamethazole, beta-
lactam (abx), procainamide, isoniazid, alpha-methyldopa, quinidine, etc.
1. usu accompanied by subjective complaints & a WBC elevation with left
shift (i.e., bandemia)
2. WBC >30k is usu not d/t infection
3. surgical incisions
4. point of entry for any catheter, culture it
5. UTI
6. lungs
What would prompt you to think that a post-
7. sinusitis
op fever is infectious?
8. abscess (e.g., intra-abd)
normal WBC - 5-10k
sinusitis - 12k
cellulitis - 17k
septic shock - 20-22k
leukemia - 30k
what is the initial tx for post-op fever in the Hydration + measures to expand lungs
absence of information of infection?
-IVF + APAP
-tx underlying source
-gram stain, C&S, all invasive lines or catheters, as indicated
what is the treatment for infectious post-op
**before cultures, do not give APAP or IVF. Do not suppress anti-
fever?
inflammatory response bec you want to culture at maximum
inflammation response, then broad spectrum abx, IVF, & APAP, then
narrow once culture comes back.
1. chronology - most impt hx item
2. location, duration, quality
what are the components of headache 3. associated activity - i.e. exertion, sleep, tension, relaxation
evaluation? 4. timing of menstrual cycle
5. presence of assoc symptoms
6. presence of "triggers"
What is the lab/diagnostic test and treatment - no lab/diagnostic test specific for tension h/a
for tension headache? - tx is OTC analgesics & relaxation
- migraine headaches are related to dilation & excessive pulsation of
What is the pathophysiology behind
branches of the external carotid artery
migraine headaches?
- typically lasts 2-72 hours following the trigeminal nerve pathway
, AGACNP Barkley Review: Combined
-many times appear normal, +/- neuro deficits, or appear ill
What are the physical exam findings you may -neuro deficits - visual disturbances, aphasia, numbness/tingling, N/V,
find in a migraine headache? photophobia/phonophobia
*careful neuro exam for focal deficits or findings supportive of tumor
CBC, BMP
VDRL - r/o syphilis
What labs/diagnostic tests do you order in
ESR - elevated in GCA
pts w/ new migraine h/a?
head CT - r/o tumor & bleed, esp in young pt w/ ha
other studies as indicated by H&P
1. Avoidance of trigger factors (very impt)
2. relaxation/stress mgt
3. PPX daily if attacks occure >2-3x/month
-amitryptyline(Elavil)
-divalproex(Depakote)
-propanolol(Inderal)
What is the management for a migraine -Imipramine(Tofranil)
headache? -clonodine(Catapres)
-verapamil(Calan)
-topiramate(Topamax)
-gabapentin(Neurontin)
-methysergide(Sansert)
-magnesium
**not an inclusive list*
1. rest in dark, quiet room
2. simple analgesic (ASA) taken right away may provide some relief
What is the management for an acute attack
3. Sumatriptan(Imitrex) 6mg SQ at onset, may repeat in 1hr (total of
of migraine headache?
3x/day)
4. Sumatriptan 25mg PO at onset of headache
Cluster headaches affect mostly __________? middle-aged men, very painful syndromes
- middle-aged men
- often no FMHx of headache or migraine
- may be precipitated by alcohol ingestion
- characterized by severe, unilateral, periorbital pain occurring daily
What are the causes/incidence of cluster
for several weeks
headaches?
- usu occurs at night, awakening the pt from sleep
- usu lasts <2 hours
- usu pain free for weeks or months b/w attacks
- ipsilateral nasal congestion, rhinorrhea, & eye redness may occur
What are the physical exam findings in - usually normal exam, may see eye redness, rhinorrhea, ipsilateral
cluster headache? nasal congestion
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AGACNP Barkley Review: Combined
5.0 (3 reviews)
Textbook solutions for this set
Pharmacology and the Nursing Process
P1
Search for a textbook or question
Terms in this set (628)
ABCDEFGHIMN
Auto-immune - SLE, GCA
Blood - Heme/Onc - Leukemia/Lymphoma
Cancer
Drugs - Amphotericin B, Beta-lactam abx, procainamide
Endo - hyperthyroidism, pheochromocytoma
What causes fever?
Familial mediterranean fever
GI - intra-abdominal abscess, IBD
Heart- MI, endocarditis
Infection - bacterial, viral, fungal, parasites, etc.
Misc - Hematoma
Neuro - tumor, ICH, MS - interfere w/ thermoregulatory process
high fever d/t succinylcholine
usu given in OR to relax laryngeal muscle
What is malignant hyperthermia?
contraindicated to succs? hyperkalemia
Tx: dantrolene - reversal for succs
1. antimicrobials only when a microbe is present
What is the treatment for fever? 2. antipyretics
3. tx underlying condition
,AGACNP Barkley Review: Combined
1. post-op atelectasis
2. increased basic metabolic rate
What are the causes of non-infectious post-
3. dehydration
op fever?
4. drug reactions: Amphotericin B, trimethoprim-sulfamethazole, beta-
lactam (abx), procainamide, isoniazid, alpha-methyldopa, quinidine, etc.
1. usu accompanied by subjective complaints & a WBC elevation with left
shift (i.e., bandemia)
2. WBC >30k is usu not d/t infection
3. surgical incisions
4. point of entry for any catheter, culture it
5. UTI
6. lungs
What would prompt you to think that a post-
7. sinusitis
op fever is infectious?
8. abscess (e.g., intra-abd)
normal WBC - 5-10k
sinusitis - 12k
cellulitis - 17k
septic shock - 20-22k
leukemia - 30k
what is the initial tx for post-op fever in the Hydration + measures to expand lungs
absence of information of infection?
-IVF + APAP
-tx underlying source
-gram stain, C&S, all invasive lines or catheters, as indicated
what is the treatment for infectious post-op
**before cultures, do not give APAP or IVF. Do not suppress anti-
fever?
inflammatory response bec you want to culture at maximum
inflammation response, then broad spectrum abx, IVF, & APAP, then
narrow once culture comes back.
1. chronology - most impt hx item
2. location, duration, quality
what are the components of headache 3. associated activity - i.e. exertion, sleep, tension, relaxation
evaluation? 4. timing of menstrual cycle
5. presence of assoc symptoms
6. presence of "triggers"
What is the lab/diagnostic test and treatment - no lab/diagnostic test specific for tension h/a
for tension headache? - tx is OTC analgesics & relaxation
- migraine headaches are related to dilation & excessive pulsation of
What is the pathophysiology behind
branches of the external carotid artery
migraine headaches?
- typically lasts 2-72 hours following the trigeminal nerve pathway
, AGACNP Barkley Review: Combined
-many times appear normal, +/- neuro deficits, or appear ill
What are the physical exam findings you may -neuro deficits - visual disturbances, aphasia, numbness/tingling, N/V,
find in a migraine headache? photophobia/phonophobia
*careful neuro exam for focal deficits or findings supportive of tumor
CBC, BMP
VDRL - r/o syphilis
What labs/diagnostic tests do you order in
ESR - elevated in GCA
pts w/ new migraine h/a?
head CT - r/o tumor & bleed, esp in young pt w/ ha
other studies as indicated by H&P
1. Avoidance of trigger factors (very impt)
2. relaxation/stress mgt
3. PPX daily if attacks occure >2-3x/month
-amitryptyline(Elavil)
-divalproex(Depakote)
-propanolol(Inderal)
What is the management for a migraine -Imipramine(Tofranil)
headache? -clonodine(Catapres)
-verapamil(Calan)
-topiramate(Topamax)
-gabapentin(Neurontin)
-methysergide(Sansert)
-magnesium
**not an inclusive list*
1. rest in dark, quiet room
2. simple analgesic (ASA) taken right away may provide some relief
What is the management for an acute attack
3. Sumatriptan(Imitrex) 6mg SQ at onset, may repeat in 1hr (total of
of migraine headache?
3x/day)
4. Sumatriptan 25mg PO at onset of headache
Cluster headaches affect mostly __________? middle-aged men, very painful syndromes
- middle-aged men
- often no FMHx of headache or migraine
- may be precipitated by alcohol ingestion
- characterized by severe, unilateral, periorbital pain occurring daily
What are the causes/incidence of cluster
for several weeks
headaches?
- usu occurs at night, awakening the pt from sleep
- usu lasts <2 hours
- usu pain free for weeks or months b/w attacks
- ipsilateral nasal congestion, rhinorrhea, & eye redness may occur
What are the physical exam findings in - usually normal exam, may see eye redness, rhinorrhea, ipsilateral
cluster headache? nasal congestion
