68W LPC Exam Questions with Verified Answers

Injection sites - Answer- Instramuscular IM Intradermal Subcutaneous SQ When is medication verified - Answer- When obtained from place of storage. When withdrawing the medication. When placing the meds back. Intradermal injections - Answer- Allergy, TB, and mumps testing. 1/4 to 1/2 needle length 25-27 gauge Sites- inner forearm, back of upper arm, on back between shoulder blades. Subcutaneous injection - Answer- Absorbs-15-30mins Duration-hours to weeks Length- 1/2 to 1 in Gauge- 23 to 25 Sites- tricep not exceed .5ml Vastus lateralis- not exceed 2ml Abdomen- usually insulin 45 degree angle Intramuscular injection IM - Answer- Absorb- 10-20mins Duration- hours to weeks Large volume of medication needed Gauge- 20 to 22 Length- depends on patient Sites- deltoid- up to 2ml Gluteus Maximus- up to 5ml Vastus lateralis- up to 5ml 90 degrees Anyibiotics - Answer- Compound that inhibits or kills the growth of micro organisms such as bacteria, Protozoa, and fungi. Categories of antibiotics - Answer- Broad- effective against a wide range of microorganisms Narrow- effective against a specific type. Topical abx - Answer- Absorbs via mucous membranes, rapid. Easy to give. Safe, Oral abx - Answer- Pros: most economical, convenient, easy to give. Cons: vomiting, requires cooperative patient, slow absorption rate. Intravenous IV abx - Answer- Pros: fast absorption, for patients unconscious, Cons: harder to administer, fear of needles. Tinea corporis - Answer- Ring worm Tinea pedis - Answer- Athletes foot Tinea capitas - Answer- Scalp infection Tinea cruiris - Answer- Jock itch Histamine - Answer- Active substance found on animals or plants, stimulates gastric secretion, cause dilation of capillaries, constriction of bronchial smooth muscle. Antihistamine - Answer- Blocks the action of histamines on the tissue. Benadryl, claritin, Allegra. Analgesics - Answer- Pain killers Fentanyl - Answer- For patients allergic to morphine. 800micro grams max. (transbuccal) Caution giving to patients who already took morphine Morphine - Answer- Initial dose of 5mg slow IV push over 1-2mins diluted with 5ml of saline. 10-20mg max dose Can cause respiratory depression Meloxicam and acetaminophen - Answer- Mild pain relief to keep soldier in the fight, (Tylenol and mobic) Meloxicam (Mobic) - Answer- 15mg orally Acetaminophen (Tylenol) - Answer- 500mg, 2tabs by mouth every 8 hours Ketamine - Answer- Very strong pain killer, severe pain. >50mg IM 10mg IN 20mg IV/IO SLOW PUSH. Cannot give to patients under 3 yrs or history of schizophrenia Naloxone (narcan) - Answer- For over dose of analgesics 0.4-2mg IVP (slow over 1-2 minutes) NSAIDS - Answer- Fever reducers, anti-inflammatory, pain killer. - Aspirin, ibuprofen, naproxen. - Cons: prolonged clotting time, lack of appetite, gastric irritation Mechanism of Action - Answer- how the drug works Indication - Answer- reason the medication is administered Psychological Dependence - Answer- the patient is convinced that they have a need for the drug Physiological dependence - Answer- the body has developed a physical need for the drug sublingual - Answer- under the tongue buccal - Answer- placed along side of the cheek ophthalmic - Answer- administered to the eye Venipuncture selection veins - Answer- 1st median cubital vein 2nd cephalic vein 3rd basilic vein Eyes eent - Answer- Red flags- vision loss, history of trauma. Visual acuity via snellen chart or gross test. 20/20 means numerator is distance from chart. Denominator is distance a normal eye can see the line. O.D-right eye, O.S-left eye, O.U-both eyes. Conjunctivitis - Answer- Inflammation of conjunctiva. Gunk coming from eyes, they hurt, burn, if it's clear fluid it's viral, if it's purulent (pus) it's bacterial. Course of infection - Answer- Incubation period Prodromal stage Full stage of illness Convalescent stage Nosocomial - Answer- Infection caused from health care facility. Contact dermatitis - Answer- Inflammation of skin caused by exposure to irritants i.e. Poison oak Folliculitis - Answer- Inflammation of a hair follicle caused by infection. Cellulitis - Answer- Acute bacterial infection of the dermis and subcutaneous tissues. Red and hot and swelling Heat, pain, redness, and edema Macule - Answer- Flat, color varies, small under 1cm Patch is over 1 cm Freckles, moles, tattoos. Papule - Answer- Solid, raised lesion less then 1cm Plaque- group of papule. Greater then 1cm Warts, Nodule - Answer- A papule deeper, skin can move over it. Tumors greater then greater then 2cm Serous - Answer- Clear fluid Sanguineous - Answer- Bloody discharge Serosanguineous - Answer- Blood and clear discharge Acute sinusitis - Answer- Do not treat with antihistamines 50% of ear pain - Answer- Caused by dental pain. Plantar fasciitis - Answer- Aka heel spur, fascia on the bottom of foot Sprain - Answer- Joint and ligament stretch Strain - Answer- Muscle stretch 5 methods of orthopedics - Answer- Inspection Palpation Rom Muscle test Special test Pneumonia - Answer- Sixth leading m