Gettys Test 2

Front 1

If PPD is posative, and X-ray shows TB, then next test is deffinitive and rapid but very expensive so is not used initially

Back 1

PCR assay

Front 2

measures all the air lungs can contain

Back 2

pulmonary function test PFT

Front 3

medication that must be held 24 hours after IV contrast is given (injected dye) as it is hard on the kidneys

Back 3

metformin (Glucophage)

Front 4

5 types of oral hypoglycemic agents

Back 4

biguanides, thiazolidinediones, alpha glucose inhibitors, sulfonylureas, meglitinides

Front 5

med that decreases hepatic glucose production and decreases intestinal absorbtion of glucose, give with food

Back 5

biguanides

Front 6

Onset peak duration of regular insulin

Back 6

o-30-60m p-2-4h, d-5-7h

Front 7

presenting signs of hypoglycemia

Back 7

sudden onset, moist skin, excited/confused, rapid breathing, tingling tongue/drooling, hunger, headache

Front 8

emergency situation with airways

Back 8

Stridor

Front 9

forced air thru edematous or obstructed airway

Back 9

Stridor

Front 10

what might barrell chest be an indication of?

Back 10

Chronic bronchitis

Front 11

what might clubbed fingers be an indication of?

Back 11

Chronic hypoxia

Front 12

air passing through moisture especially in small airways and alveoi

Back 12

Crackles (rales)

Front 13

organism enters alveoli, producing inflammation causing an outpouring of fluid, walls thicken and limits gas exchange

Back 13

Bacterial pneumonia

Front 14

most common way of acquiring pneumonia?

Back 14

Community acquired

Front 15

medication type that limits coughing

Back 15

antitussive

Front 16

azithromycin(Zithromax)

Back 16

pneumonia IV antibiotic

Front 17

ceftriaxone(Rocephin)

Back 17

pneumonia IV antibiotic

Front 18

cefoperazone(Cefobid)

Back 18

pneumonia IV antibiotic

Front 19

medication that relaxes smooth muscles in lungs to open airways

Back 19

bronchodilators

Front 20

common side effect of bronchodilators

Back 20

tachycardia

Front 21

guaifenesin(Robitussin)

Back 21

antitussive

Front 22

promethazine(Phenergan)

Back 22

antitussive

Front 23

benzonatate(Tessalon Peries)

Back 23

antitussive

Front 24

Humabid

Back 24

antitussive

Front 25

albuterol(proventil)(can be given as nebulizer, inhaler, pill, syrup)

Back 25

bronchodilator

Front 26

metaproterenol(alupent)

Back 26

bronchodilator

Front 27

aminophylline/theophylline(Thro-Dur)(oral or IV)

Back 27

bronchodilator

Front 28

bronchodilator that is a capsule dropped into a device that then coats the lungs with a fine powder

Back 28

spiriva

Front 29

medication used to decrease inflammation in lungs

Back 29

prednisone (steroids)

Front 30

chronic long term use of prednisone to this syndrome leads

Back 30

cushings

Front 31

signs of long term steroid use include

Back 31

poor wound healing, hyperglycemic, fragile skin, weight gain, irritability

Front 32

symptoms of cushings

Back 32

acne, moon face, body hair, red cheeks, pouch of fat under clavicle and on back, thin extremities

Front 33

can latent TB turn active?

Back 33

yes in the first 2 years of getting it, it might

Front 34

TB is caused by inflammatory response to bacteria, which produces small nodules, this causes the surrounding tissue to erode in a process called...

Back 34

liquification

Front 35

nodules in lungs press on surrounding tissue which causes it to...

Back 35

have ischemia and necrosis (caseation necrosis)

Front 36

where does initial TB infection occur?

Back 36

in the middle or lower lobes of the lungs (can form nodules in other organs)

Front 37

who is at higher risk of pneumonia?

Back 37

Immunocompromised people like HIV patients, cancer patients, chronic steroid users, and transplant patients

Front 38

what is pneumonia?

Back 38

an acute infection of the parenchyma of the lungs. Fluid pools in the inflammed area.

Front 39

air passing thru secretions in a partially constricted air passage. May need to be suctioned

Back 39

gurgles (rhonchi)

Front 40

medication that must be held 24 hours after IV contrast is given (injected dye) as it is hard on the kidneys

Back 40

metformin (Glucophage)

Front 41

med that decreases hepatic glucose production and decreases intestinal absorbtion of glucose, give with food

Back 41

biguanides

Front 42

med that improves a cell sensativity to insulin, can be given with or without food

Back 42

thiazolidinesdiones

Front 43

two types of thiazolidinesdiones

Back 43

ploglitazzone (Actos), rosiglitazone (Avandia)

Front 44

med that delays absorption of GI tract, it's expensive and MUST be given with the first bite of food

Back 44

Alpha glucose inhibitors

Front 45

medication type that stimulate the pancreas to release more insulin and some also improve cell sensitivity to insulin

Back 45

sulfonylureas

Front 46

diabetic med that is given two times a day at breakfast and at dinner

Back 46

sulfonylureas

Front 47

3 types of sulfonylureas

Back 47

glimepiride(Amaryl), glipizide(Glucotrol), glyburide(Micronase, DiaBeta)

Front 48

onset peak and duration of Novolog

Back 48

o-10-15m, p-1-3h, d-3-5h

Front 49

Onset peak duration of regular insulin

Back 49

o-30-60m p-2-4h, d-5-7h

Front 50

NPH onset peak duration

Back 50

o-1-2h p-4-12h d-18-24h

Front 51

Humulin 70/30 onset peak duration

Back 51

o-30m p-4-8h d-24h

Front 52

what type of insulins can not be mixed with other insulins in same syringe?

Back 52

glargine(lantus), exenatide(byretta), pramlintide(symlin), and detemir (levemir)

Front 53

what are the rapid acting insulins?

Back 53

aspart(novolog), ilspro(humalog), and glulisine(apidra)

Front 54

presenting signs of hyperglycemia?

Back 54

gradual onset, skin flushed/dry, drowsy, deep/labored breathing (kussmauls), fruity breath, thirsty, vomiting, abdominal pain

Front 55

How long can patient be on TPN without it affecting the liver?

Back 55

6 months

Front 56

how much TPN should be given to a patient each day?

Back 56

1 bag= 3000 mL (it's mix is based on patients lab work, must have order to pharmacy by 2pm for the bag to be ready by 6pm)

Front 57

onset peak duration of lantus

Back 57

3-4 hours, no peak, 24 hour duration

Front 58

onset peak duration of levemir

Back 58

3-4 hr, 3-14 hr, and 24 hours

Front 59

breath sounds heard over the trachea or mainstream bronchus

Back 59

bronchial (tracheal)

Front 60

breath sound of air blown thru a hollow tube

Back 60

bronchial

Front 61

Inspiration louder than expiration

Back 61

Bronchial

Front 62

inspiration=expiration

Back 62

bronchovesicular

Front 63

inspiration>expiration

Back 63

vesicular

Front 64

air passing thru wet, swollen, or narrow airways

Back 64

wheezes

Front 65

does not clear with coughing/might clear with coughing

Back 65

wheezes/crackles, rhonchi