ATI LEVEL 2 PROCTORED STUDY EXAMS GUIDE ALL
QUESTIONS AND ANSWERS SURE A+
✔✔what is the antedote for warfarin - ✔✔vitamin k
✔✔what do you monitor with warafrin? - ✔✔INR (best choice) therapeutic 2 to 3
PT therapeutic 18 to 24
✔✔Why would you take warfarin and heparin? - ✔✔Full therapeutic effect not achieved
for 3 to 5 days for warfarin. May take heparin til level achieved.
✔✔What is a tPA? - ✔✔Tissue plasminogen activator - a clot busting drug
- it's given for ischemic strokes
- it's given early to prevent infarct
- needs to given within 3 hours or else it can actually be detrimental to the patient.
✔✔what might a patient need to take with dabigatran? - ✔✔It is given to inhibit
thrombin. Doctors prescribe protein pump inhibitor with med.
✔✔What do you do for cellulitis? - ✔✔Apply warm compresses twice daily
✔✔Which skin disorder has silvery scales? - ✔✔psoriasis
, ✔✔postprandial - ✔✔during or relating to the period after dinner or lunch
✔✔vanillylmandelic acid test - ✔✔Used to test for abdominal tumors
The client should avoid;
coffee
tea (even if they are decaffeinated)
bananas
chocolate
vanilla
for 2 to 3 days prior to the test
✔✔When should a client check urine for ketones - ✔✔When blood sugar is over 240
✔✔Expected findings with HHS? - ✔✔Glucose over 600 and normal ph
✔✔What does ACTH do? - ✔✔test for addision's disease hypo adrenal function
✔✔SIADH - ✔✔Bloated - Low Na under 120, Osmolality less than 280, hyponatremia,
confusion, hypertonic solution, strict I& O
✔✔diabetes insipidus - ✔✔Skinny and dry, think head trauma, hypernatremia,
increased hct, give desmopressin (central kidney will respond), antidiuretic hormone is
not secreted adequately, or the kidney is resistant to its effect super dehydrated
✔✔What disease is associated with the moon-shaped face, potbelly, hyperglycemia,
and buffalo hump? - ✔✔Cushing's disease hyperadrenal
✔✔long term effects of corticosteriods - ✔✔cushings, infection, and osteoporosis
✔✔What fluid do you give for hypernatremia? - ✔✔.45% NS hypotonic solution it
promotes free water, treat cellular dehydration and allow kidneys to excrete waste
✔✔aptt - ✔✔normal is 30 to 40 on heparin 60 - 80
✔✔Somogyi effect - ✔✔early-morning hyperglycemia that occurs as a result of
nighttime hypoglycemic episodes from having received too high of dose of insulin
✔✔Dawn Syndrome - ✔✔waking up with hypergylcemia
✔✔Cyclobenzaprine - ✔✔Muscle Relaxant
✔✔Celexocib - ✔✔- COX-2 inhibitor
- Celebrex
- 10-20x more selective for COX-2
QUESTIONS AND ANSWERS SURE A+
✔✔what is the antedote for warfarin - ✔✔vitamin k
✔✔what do you monitor with warafrin? - ✔✔INR (best choice) therapeutic 2 to 3
PT therapeutic 18 to 24
✔✔Why would you take warfarin and heparin? - ✔✔Full therapeutic effect not achieved
for 3 to 5 days for warfarin. May take heparin til level achieved.
✔✔What is a tPA? - ✔✔Tissue plasminogen activator - a clot busting drug
- it's given for ischemic strokes
- it's given early to prevent infarct
- needs to given within 3 hours or else it can actually be detrimental to the patient.
✔✔what might a patient need to take with dabigatran? - ✔✔It is given to inhibit
thrombin. Doctors prescribe protein pump inhibitor with med.
✔✔What do you do for cellulitis? - ✔✔Apply warm compresses twice daily
✔✔Which skin disorder has silvery scales? - ✔✔psoriasis
, ✔✔postprandial - ✔✔during or relating to the period after dinner or lunch
✔✔vanillylmandelic acid test - ✔✔Used to test for abdominal tumors
The client should avoid;
coffee
tea (even if they are decaffeinated)
bananas
chocolate
vanilla
for 2 to 3 days prior to the test
✔✔When should a client check urine for ketones - ✔✔When blood sugar is over 240
✔✔Expected findings with HHS? - ✔✔Glucose over 600 and normal ph
✔✔What does ACTH do? - ✔✔test for addision's disease hypo adrenal function
✔✔SIADH - ✔✔Bloated - Low Na under 120, Osmolality less than 280, hyponatremia,
confusion, hypertonic solution, strict I& O
✔✔diabetes insipidus - ✔✔Skinny and dry, think head trauma, hypernatremia,
increased hct, give desmopressin (central kidney will respond), antidiuretic hormone is
not secreted adequately, or the kidney is resistant to its effect super dehydrated
✔✔What disease is associated with the moon-shaped face, potbelly, hyperglycemia,
and buffalo hump? - ✔✔Cushing's disease hyperadrenal
✔✔long term effects of corticosteriods - ✔✔cushings, infection, and osteoporosis
✔✔What fluid do you give for hypernatremia? - ✔✔.45% NS hypotonic solution it
promotes free water, treat cellular dehydration and allow kidneys to excrete waste
✔✔aptt - ✔✔normal is 30 to 40 on heparin 60 - 80
✔✔Somogyi effect - ✔✔early-morning hyperglycemia that occurs as a result of
nighttime hypoglycemic episodes from having received too high of dose of insulin
✔✔Dawn Syndrome - ✔✔waking up with hypergylcemia
✔✔Cyclobenzaprine - ✔✔Muscle Relaxant
✔✔Celexocib - ✔✔- COX-2 inhibitor
- Celebrex
- 10-20x more selective for COX-2
