Nurse 623 Exam 1 questions and answers

What are the Stages of Lyme Disease? Early localized Early disseminated Late Lyme Early Localized Lyme Disease -occurs days to months after exposure -Symptoms nonspecific: malaise, fever, cervical stiffness, myalgias, arthralgias -Can have a " bulls eye rash aka "erythema migrans"which is > 5cm Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:09 / 0:15 Full screen Brainpower Read More Early diseminated Lyme Disease -occurs days to 10 months after infection -Systemic manifestations ie: meningitis, cranial nerve palsies (esp. VII) and radiculoneuritis Swelling of joints, numbness in extremities, palpatations adn difficulty concentrating. -NO RASH Late Lyme Disease -occurs months to years after exposure -May have intermittent arthritis -May also experience neurological manifestations ie: encephalopathy, peripheral neuropathy or neurocognitive impairment. S/S of HIV -Majority of acute HIV asymptomatics -Flu like symptoms the firststages 6 days to 6 weeks -Fever, sore throat myalgias, headache, cervival lymphadenopathy and nightsweats Risk Factors for HIV Sexual history, sexually transmitted disease, substance abuse, transfusion history, infection history and occupation history Hypersensitivity Reactions Type 1 Hypersensitivity RX Type II Hypersensitivity Rx Type III Hypersensitivity RX Type IV Hypersensitivity Rx MCV the size of the RBC MCH Volume of RBC MCHC the concentration % Normocytic anemia MCV 82-92 (normal size) MCH 25-30 (normal color) MCHC 32-36 EX: anemia of chronic disease, sepsis, hemorrhagic, aplastic anemia and heriditary spherocytosis Microcytic Anemia " Small light incompetant" MCV<80 (small ) MCH 20-25 (pale) MCHC 27 EX: iron deficiency anemia , Thalassemia Macrocytic Anemia " Big Dark Dumb" MCV>96 (large) MCH 30-50 (dark) MCHC 32-36 EX: Pernicious anemia, Vitamin B12 deficiency, folic acid deficiency, Antimetabolite drugs ( methotrexate) Normal H&H Male versus Female Male Hgb:13.5-17.5 HCT: 40-54% Female Hgb: 12-15.5 HCT: 36-48% Lupus Malaise fevers, unexplained WL, ABD pain, depression, sleeplessness, swelling of the joints Rheumatoid Arthritis Early stages: (bilateral )diffuse arthritis, WL, anorexia, and low grade fevers. May also have pain in extremities painful eyes and CP upon inspiration.... ***Joint pain and swelling present on awakening but improves as the day progresses**