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40 Cards in this Set
- Front
- Back
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Alendronate(fosamax): nursing interventions
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Take early in AM with 8 oz water; do not lie down until after breakfast
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Risedronate(actonel) and Ibandronate (Boniva): nursing interventions
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give at least 30 minutes before a meal and observe for CNS side effects
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Calcitonin (what is it?)
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thyroid hormone that inhibits ostioclastic activity, thus decreasing bone loss
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osteomalacia
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softening of the bone tissue
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Most important factor with osteomalacia
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Vit D deficiency
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How to get enough Vit D
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sun exposure for at least 5 minutes weekly
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Osteomyelitis
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caused by invasion of one or more pathogenic microrganisms
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Osteoarthritis (localized or systemic?)
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localized
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Rhemotoid arthritis (localized or systemic?)
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systemic
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Sprain treatment
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RICE (rest, ice, compression, elevation)
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These meds are used for gout
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allopurinol (Zyloprim) and colchicine
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An antimalarial drug that helps decrease joint and muscle pain also known as a disease-modifying anti-rheumatic drug
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Plaquenil
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If pt is taking Plaquenil what routine exam should be done and why
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eye exam because drug can cause retinal damage
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Reflux esophagitis is a hall mark sign of what?
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GERD
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When is it dangerous to use mag salts?
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When a pt has renal failure
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"tidine" drugs are known as
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H_2_ antagonists
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What do H_2_ antagonists do?
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reduce acid secretion
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when should you take H_2_ antagonists?
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1 hour before or after antacids
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"prazole" drugs are known as
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Proton pump inhibitors
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When should you take proton pump inhibitors?
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before meals
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heartburn, regurgitation, CP, belching, dysphagia are all key features of which type of hernia?
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sliding hernias
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felling of fullness after eating, breathlessness after eating, feeling of suffocation, CP, worsening of manifestations in a recumbant position
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rolling hernias
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What is the universal blood donor
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O
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What gage needle should be used when giving blood?
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20 or higher
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what is the max time blood can hang?
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4 hours
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Normal level of Na
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135-145
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Normal level of K
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3.5-5
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Normal level of Mg
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1.3-2.1 or "around 2"
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Normal level of Ca
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9-11
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Normal level of P
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2.8-4.5 (3-4)
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With Billroth II you are at high risk for ______ syndrome
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dumping
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What is the primary action of the drug glucotrol?
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stimulates insulin secretions from the beta cells of the pancreas
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what does exercise do to blood glucose when done correctly?
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lowers it up to 24 hours
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what type of meds are Starlix and Prandin? When should they be taken? What's the unique features of these meds?
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meglitides; at the beginning of each meal; fast acting with in one hour, IF MISS A MEAL SKIP THE DOSE
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what is the onset, peak and duration of Lantus?
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1-2 hours; peakless; 18-24 hours
DO NOT MIX WITH ANY OTHER INSULINS |
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name the action of glucophage and common side effects; what procedure do we want to avoid with this drug?
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biguanide-insulin sensitizer, increases glucose uptake; GI disturbances, lactic acidosis; avoid contrast dyes
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Name at least 4 things we teach our pt about sick days
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notify MD; monitor BS q 4h; test urine for ketones; continue with meds
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name the 4 main things insulin does
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stimulates growth, promotes mvmt and storage CHO, fat, protein; makes glucose available for body
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what are the 2 main goals of treatment that could be assesed from lab work
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FBS less that 120; A1C less that 7%
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how does type 1 diabetes cause hyperglycemia?
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beta cell destruction
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