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6 Cards in this Set

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Schilling's

Used to determine whether or not you are absorbing vitamin B12 properly. Ordered to see if patient if is suffering from vitamin B12 (cobalamin) deficiency, also known as pernicious anemia.

Tensilon

Tensilon is the trade name for edrophonium chloride. Tensilon is an injected to diagnose myasthenia gravis (MG). Tensilon blocks the action of an enzyme, acetylcholinesterase, which regulates neuromuscular transmission. To stimulate a muscle, a nerve cell (neuron) releases acetylcholine. To prevent prolonged muscle response to a single nerve signal, acetylcholine is broken down by acetylcholinesterase AFTER the muscle is stimulated. In myasthenia gravis, there are too few receptors for acetylcholine on the muscle. The acetylcholine is broken down BEFORE it can fully stimulate this reduced number of receptors, and, as a result, the muscle is weak. By blocking the action of acetylcholinesterase, Tensilon prolongs the muscle stimulation, and temporarily improves strength. Increased strength following an injection of Tensilon strongly suggests a dignosis of MG.

Romberg

In the Romberg test, the standing patient is asked to close his or her eyes. A loss of balance is interpreted as a positive Romberg's test. Romberg is a test of the body's sense of positioning (proprioception), which requires healthy functioning of the dorsal columns of the spinal cord. The Romberg test is used to investigate the cause of loss of motor coordination (ataxia).

Pitting Edema

1+ - 2mm indentation; 2+ is 4 mm indent; 3+ is 6 mm indent & 4+ is 8 mm indentation

Nagele's Rule

To determine estimated date of birth, add 7 days and then subtract 3 months from clients LMP or ADD 9 months then ADD 7 days

Erikson's Stages

Birth - 1 year, trust vs. mistrust, 1-2 yrs. autonomy vs. shame and doubt; 3-5 years initiative vs. guilt; 6-12 years industry vs inferiority; 13-18 Identity vs. Role confusion; 19-40 Intimacy vs Isolation; 40-65 Generativity vs Stagnation; 65+ Integrity vs Despair