CMN 577 Study guides, Class notes & Summaries

Acute Intermittent Porphyria - Overview - Acute Intermittent Porphyria (AIP) typically presents in adulthood and in females instead of males. Onset after menopause is rare but possible. Earlier onset in late teens or early 20s is more common. The use of drugs along with intermittent infections are precipitating factors; keep in mind that there are many triggers. Acute Intermittent Porphyria - S/S - Intermittent abdominal pain (varying degrees of pain) that recurs without leukocytosis or fev...

S/S of acute intermittent porphyria - + Abdominal pain of varying severity + Absence of fever or leukocytosis + Peripheral neuropathy (symmetric OR asymmetric) + CNS sx (seizures, altered consciousness, psuychosis, abnormalities of basal ganglia) + Hyponatremia McPhee p 1690 Labs for acute intermittent porphyria - + Hyponatremia + Urine which turns dark when exposed to light or air (r/t porphobilonogen excretion) McPhee p 1690 Prevention of attacks in pts with acute intermittent porphyr...

HIV is not transmitted by: - air, water, toilet seats, tears, saliva (see note above), sweat, a casual closed mouth kiss, through insects such as mosquitos, fleas, or ticks, handshakes or sharing dishes (see note above regarding open wounds in mouth/bleeding gums). What are the s/s of HIV? - -Newly infected asymptomatic -mononucleosis type illness -fever/fatigue present 2-3 weeks after infection -takes about 4 weeks to show positive -patient with acute retroviral syndrome is highly contag...

S/S of acute intermittent porphyria - + Abdominal pain of varying severity + Absence of fever or leukocytosis + Peripheral neuropathy (symmetric OR asymmetric) + CNS sx (seizures, altered consciousness, psuychosis, abnormalities of basal ganglia) + Hyponatremia McPhee p 1690 Labs for acute intermittent porphyria - + Hyponatremia + Urine which turns dark when exposed to light or air (r/t porphobilonogen excretion) McPhee p 1690 Prevention of attacks in pts with acute intermittent porphyr...

1. Knowing that treatment for deep vein thrombosis (DVT) involves the administration of anticoagulants, which of the following patients can be safely treated for DVT in the outpatient setting? - an 80-year- old woman who weighs 42 kg B. a 22-year-old man who had an appendectomy 2 days ago C. a 32-year-old woman with peptic ulcer disease D. a 55-year-old man with lung cancer in remission* Most patients with DVT may be treated in the outpatient setting. However, there are multiple contraind...

What age most frequently has AIP? - 18-40 years T/F: Women have greater incidence of AIP than men - TRUE What are the s/sx of AIP? - 1. intermittent abdominal pain 2. complete resolution of sx between attacks 3. neurological sx -- neuropathy (peripheral or autonomic) 4. nausea, constipation, urinary retention, muscle weakness, and dark (reddish) urine What are the neuropathy characteristics and sx of AIP? - asymmetric or bilateral mild to severe may cause respiratory dysfunction, quadrip...

What are the 3 steps of medical professionals in the event of a bioterrorism event? - Identify Report Refer FB What kind of intubation should be used in a deeply comatose pt or if airway reflexes are depressed? a) ET, b) oropharyngeal, c) nasal. - ET FB How long should you observe an opioid OD pt after last naloxone dose? - 4 hours FB, Papadakis p1614 Under what circumstances is flumazenil (Romazicon) specifically not advisable in benzo OD pts? - Hx of seizures Benzo addiction Tric...

A 3-year-old presents to the office for a well child visit. While examining his oral cavity, the NP notices white spot lesions on the child's teeth. All the following are ways to prevent progression of these lesions except: A. Parents brushing the child's teeth twice per day B. Consumption of sugar containing beverages C. Chewing sugar free gum D. Using a pea sized amount of fluoridated toothpaste - Consumption of sugar containing beverages Your pediatric patient presents with complaint...

An 8-year boy presents to the clinic with 8 light-brown, oval macule lesions on his skin. One of those lesion measures 1.6 cm. What is the child at risk for? - Neurofibromatosis Isotretinoin (Accutane) is commonly used for the treatment of severe cystic acne that has not responded to standard treatment. Which of the following considerations is not true for prescribing Isotretinoin? - Isotretinoin can be prescribed by any healthcare provider A 1-month-old female presents to your clinic with ...

A father brings his 5-year-old daughter to the office, inquiring about her tetanus vaccinations. According to the patient's records, she received her 4thDTaP vaccine at the age of 4. The NP should: - Inform the father the child does not need an additional tetanus vaccine. When introducing solid foods to a normal 6-month-old infant, the NP should educate parents that they should: - Introduce a single-ingredient food, one at a time, every 3-4 days As a family nurse practitioner caring for th...