NR 601 Final Exam Study Guide
NR 601 Final Exam Study Guide Elderly high risk for delirium- sensory decline, polypharmacy, comorbidities Essential tremor- occurs with purposeful movements Comorbid with dementia- depression Terazosin (Alpha blocker) tx- BPH and HTN End of life medications- opioids for dyspnea Mini-cog- score 0-2 is positive for dementia Common cause of seizures- stroke Hospice and palliative underused- all (not well understood, denial, confusion) 82 y/o dribbling /difficulty starting stream /differentials- BPH, prostate CX, parkinson’s (all) Alzheimer’s treatment- cholinesterase inhibitors Type 2 DM screening- 2 hour OGTT, HA1C, fasting plasma glucose Mrs. R BMI 26, fasting 102 and 108- order another fasting glucose NOT true about anxiety- a normal part of aging Annual check for diabetic patient- eye exam with ophthalmologist Most likely cause of delirium- acute infection DM leading cause of- kidney failure 48 y/o male screened for DM 120- educate about lifestyle changes to lower blood glucose Brief onset of right sided weakness, slurring, confusion, CT normal- identify modifiable CV RFs New medication metformin, loose stools- reassure patient anticipated side effect Elderly with tremors identify Parkinson’s- resting tremor, slow unsteady gait, cogwheel rigidity
Dokument Information
- Hochgeladen auf
- 5. april 2021
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- 3
- geschrieben in
- 2020/2021
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- Unbekannt