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31 Cards in this Set
- Front
- Back
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when is an ulcer considered unstageable? |
when the wound bed is obscured by slough, granulation tissue or eschar etc. |
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What are a contraindication to colloid dressings? |
infected wound |
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STage 1 pressure ulcer |
non blanching erythema with intact skin |
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stage II ulcer |
broken skin but confined to dermis and epidermis |
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stage III |
extends down to the subcutaneous fat |
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STage IV |
deep tissues involved like muscles, tendons, bone |
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What is the best test to dx and guide therapy for osteomyelitis? |
you have to get a bone biopsy because swab cultures are not accurate at all |
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What scale is used to assess pressure ulcers? |
BRaden scale |
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what are important in OR's to reduce risk of pressure ulcers? |
foam-mattress overlays |
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What med is known to give significant weight loss? |
digoxin if at toxic levels- it causes anorexia, diarrhea, and dizziness |
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What is a common side effect of donepezil? |
N/V and other GI issues
and also urge incontinence due to cholinergic side FX |
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what med could be responsible for a confused man with urinary retention? |
diphenhydramine |
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Do GI/GU procedures call for antibiotic prophylaxis? |
only in patients with prosthetic heart valves |
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most common side FX of bisphosphonates |
esophageal and other GI disturbances |
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What dental risk does bisphosphonate present? |
osteonecrosis of the jaw
but this is mostly IV at high doses in cancer patients |
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the incidence is only |
1:10,000 |
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first line treatment of HTN in most patients |
HCTZ |
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What should be used in patients with LV dysfunction and HTN? |
ACE inhibitors and B blockers to slow remodeling of the myocardium |
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another reason to use ACE or ARB |
CKD with HTN |
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in patients with diabetes along with microalbuminuria and CAD |
ACE i's are seen to lower mortality |
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What 2 opioids are virtually contraindicated in older adults? |
propoxyphene and meperidine |
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What effect on sleep does donepezil have? |
increases nightmares and REM sleep |
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What reduces risk of MI in men? |
baby aspirin
doesn't matter if it's enteric coated or not for GI risk |
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what is the black box warning on atypical antipsychotics? |
increases mortality in patients with dementia due to cardiac disease and/or infection |
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so what does the black box tell us? |
they should only be initiated after behavioral treatments have failed |
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what med is associated with higher mortality in delirious critically ill patients? |
Ativan |
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is Vitami E actually beneficial for prevention of dementia? |
no |
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What % should be used for breakthrough doses? |
should be about 10% of the total 24 hour dose of oral morphine equivalence |
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best tx for opioid-induced N/V |
short term scheduled Reglan |
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how bioavailable is oral morphine? |
it's 33% bioavailable so you have to multiply the IV dose by three to get the same initial dose |
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What is the guideline for cross tolerance? |
if you're switching a patient to a new opioid then you want to reduce the new dose by 25% equivalence |
