review guide 2
review guide 2 HSC 201
Popular in Pathophysiology 1
Popular in Nursing and Health Sciences
This 16 page Study Guide was uploaded by Lydia on Wednesday September 16, 2015. The Study Guide belongs to HSC 201 at Illinois State University taught by Heather Mautino in Fall 2015. Since its upload, it has received 29 views. For similar materials see Pathophysiology 1 in Nursing and Health Sciences at Illinois State University.
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Date Created: 09/16/15
HSC 201 Pathophysology I Exam 2 Review Testing Pharmacology Mental Health and Substance Abuse 1 Know the types of diagnoses and conditions that affect diagnoses Admitting Dx Before study thought to be probable diagnosis based on available SSx at the time of admission to Hospital Provisional Dx thought to be probably diagnosis based on current amp available SSx Differential Dx physician identifies several potential diagnoses for the patient39s presenting SSx RO Rule Out Dx Several potential diagnoses for which the physician orders several tests to identify the specific diagnosis Principal Dx condition established after study to be chiefly responsible for admission of the patient to the hospital Comorbid Dx condition present in addition to the Principle Diagnosis which increases the patient39s length of stay by one day in 75 of the cases 2 Know the diagnoses that may be inferred from diagnostic testing results especially for respiratory system Normal Values I Respiratory Rate I Normal 1220 bpm I Over 25 abnormal l Under 12 abnormal I Pulse I Normal 60100 I BP I Normal lt120lt80 l Below 85 or 90 systolic low BP I Pulmonary Tests l Pulmonary Function Test PIT l Inspiratory amp expiratory Volumes I Tidal Volume I Possibly ABGs I Laboratory Tests I CBC l Sputum CampS I Blood CampS l Other I Bronchoscopy with I Lung Biopsy I Bronchial Biopsy I Culture amp Sensitivity CampS I Washings I Pap Smear I Bronchog ram CT MRI I Respirations I Rate regularity volume I Abnormal I Hyperpnea I Tachypnea I Dyspnea I Apnea I CheyneStokes I Lung sounds I Obtained during PE I Normal I Abnormal I Rales Rhonchi Stridor Wheezing Gurgling 3 Know tests for CNS workups Glascow Coma Scale LOC GCS is the most common scoring system used to describe the level of consciousness in a person following a traumatic brain Basically it is used to help gauge the severity of an acute brain injury The test is simple reliable and correlates well with outcome following severe brain injury Table 1 THE E l EEALE lll EEEFIE Failure Scale Flagpnses Ecume E39si39 warm Epmtaneous To speech To pain Nana Verbal response rinania39ted eniusatl remann War13 ifi39lappmpria39te cunds iinomnprehensiule Nona Elasi mmm respamsa Elbe minrmntls Lcc ise pain maxim Hmmal tsnormal Extend N i l T T lL E ill i u EEGIFIE39 ENE 39ILEJ IIE 4 Know tests of renal performance workups I Nursing I 1amp0 Laboratory UA Urine CampS BUN Creatinine GFR Electrolytes Blood amp urine Hourly urinary output Daily weight comparison 5 Know the relationships between BP mentation pulse rate respiratory rate and urine output Primary PX Hypotension L BP L Mentation L BP TPuIse L BP TRespirations i BP L Urine output Example 1 Primary PX Bradycardia L Pulse L Mentation L Pulse L BP L Pulse T Respirations L Pulse L Urine Output Example 2 l Mentation assessed by Level of Consciousness LOC amp possibly with Glascow Coma Scale I T BUN amp T Creatinine amp L GFR L Urine Output Renal Insufficiency Renal Failure Acute Renal Failure Chronic Renal Failure 6 Know the rules for prescribing Schedule 1V drugs Any schedule drug except schedule V must be prescribed In order for a physician to prescribe scheduled drugs they have to be licensed by DEA Drug Enforcement Administration and have a DEA number 7 Know who regulates drugs and implantable devices in the United States FDA Food amp Drug Administration 8 Know the difference between a prescribed and OTC medication and who can prescribe and dispense these m requires a prescription written by a healthcare provider MD DO psychiatrist licensed to prescribed according to applicable laws and rules Have to be drug approved 0 A pharmacist dispenses it TC can be purchased by anyone without a prescription 0 Anyone can quotdispensequot these to themselves 9 What does a doctor use to determine which drugs he can use to treat an illness hospital health plan speci c Drug formulary Identifies specific drugs that are available to the physician for prescription drugs that are approved for a disease or condition by the FDA 10 Know the terminology related to drugs side effects interactions and routes of delivery including abbreviations m proprietary private property of individual drug manufacturer registered trademark Generic name identifies drug for legal amp scientific purposes Official name generic name becomes public property after 17 years of use Chemical name From chemical formula Drug actions Additive action 1 1 2 Synergistic action 1 1 3 Id iosyncrasy idiosyncratic g unexpected effect eg Anaphylaxis acute hypersensitivity asthma or shock Tolerance L effects of given close as Rx continues Drug toxicity Side Effects toxic effects routinely resulting from drug Contraindications factors of patient condition makes drug administration dangerous amp ill advisedquot Iatrogenic Effect produced by treatment Actions amp toxicity may be affected by administration route administration rate patient age weight and condition Topicaon body antiseptic antipruritic patch transdermal spray creams Oral popo liquid tablet capsule wafer enteric coated time released extended release Sublingual SL SL underneath the tongue Inhalation aerosol Parenteral subcutaneous subcusubq intradermal intramuscular IM intravenous IV intrathecal intracavitary common places you would put an IV hand forearm Rare places foot or ankle scale for babies 11 Know the classestypes of drugs and what they are used for 1 AntiInfectives AKA antimicrobials antibiotic Effectiveness specific organisms Viral bacterial fungus protozoan spirochete Varying methods of administration PO IM IV Intracavitary Systemic versus local Examples Ceclor cefaclor Keflin cephalothin amoxicillin Amoxil penicillin V potassium PenVee K 2 Antihistamine Drama mine Benadryl 3 Anticonvulsants phenytoin Dilantin phenobarbital Teg retol ca rba mezepi ne 4 Antidepressants ampAnxiolytics Antidepressants Elavil Prozac Paxil Anxiolytics a ntia nxiety Valium Xanax 5 Antidiabetics Insulins Regular Humulin Iletin Lente Oral Drugs Diabinase Glucophage 6 Anticoagulants heparin circulation Coumadin sodium warfarin Liver tPA clot buster circulation Cardiovascular 7 Cardiotonic Lanoxin digoxin Crystodigin digitoxin 8 Antiarrhythmic agentsld rugs Betablockers Inderal propranolol Calcium channel blockers Procardia nifedipine Isoptin verapamil ACEinhibitors 9 Antianginal Beta blockers amp Calcium channel blockers Vasodilator NTG dermal patches sublingual nasal 10 Antihypertensives Beta blockers amp Calcium channel blockers ampACEinhibitors Vasodilators Ca poten ca ptopril Diuretics Lasix furosemide 11 Vasoconstrictors Norepinephrine 12 Cholesterollowering Lipitor Mevacor lovastatin Pravachol Endocrine usually Hormone Replacement Therapy HRT 13 Androgens Methyltestosterone Virilon 14 Estrogens Premarin Estradiol 15 Progestins Prove ra med roxyp rogeste rone 16 Thyroid hormone Synthyroid Ievothyroxine 17 Glucocorticoids Decadron dexamethasone prednisone Deltasone Gastrointestinal 18 Antacids Myla nta Gaviscon 19 Antiulcer Tagamet cimetidine Za ntac ranitidine 20 Antidiarrheal Imodium Ioperamide paregoric 21 Cathartics Laxatives mild Purgatives strong 23 Antiemetics Compazine Tigan Antivert meclizine Zofran Respiratory Stimulants Sedatives Steroids used frequently 24 Bronchodilators Proventil albuterol aminophylline TheoDur theophylline 25 Stimulants Amphetamine uppers Caffeine 26 H notics slee in illsquot Induces sedation Ambmn Dalmane Restoril Halcion 27 Barbiturates Induces sedation phenobarbital 12 Be able to define mental illness A significant dysfunction in behavior or personality that interferes with a person39s ability to function in this society it39s a dysfunction 13 Know the locations of treatment options available for mental illness and why they would be used 0 Treatment Sites 0 Office 0 Outpatient 0 Partial Hospitalization o Inpatientvoluntary 0 Inpatientinvoluntary 0 court ordered to protect amp adequately treat patient 14 How are outcomes assessed in mental illness 0 Treatment outcomes no cure 0 positive outcomequot 0 negative outcomequot Dual Dx mental health ampsubstance abuse have 1 of each and they frequently are tied together it doesn39t have to be but it39s very common 15 Know the treatment providers in mental illness 0 MD DO 0 Psychiatrist amp Neuropsychiatrist o Psychologist nonMD can39t prescribe 0 Counselors amp treatment specialists RN MSN LPN BSW MSW LCSW 0 Master s prepared counselors 0 Psychiatric techs o Addiction counselors 16 How would a patient with signs of mental illness be treated first RO medical etiology or conditionsaways 17 Know psychotic and nonpyschotic conditions and the differences between the two types as well as examples of each Psychotic loss of contact with reality Types schizophrenia delusional disorder Nonpsychotic contact with reality Types anxiety disorder personality disorder eating disorder Short answer Know what are some blood tests to determine something Talk about tests again Patient brought into the ER there going to ask you a couple questions about how you would test that patient Ask about respiratory rate pulse BP Ask you how are drugs administered What kind of tests for infection pneumonia what kind of tests would they run to nd what the infection was CBC sputum culture blood Why would they do a biopsy of your bronchial for Lung cancer lung abscess What about your respirations like your rate regularity the volume of respiration Infectionpneumonia CBC sputum culture blood culture Biopsy of bronchial would be looking for cancer lung abscess What kind of tests would you test for asthma COPD pulmonary epdema PFT Test for renal performance workups BUN cretin GFR look at inputs and outputs
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