AGACNP 106 Document
AAA Screening - ANS--sixty five-75 who have/presently smoke
-Selective screening for people who have never smoked
Acetaminophen OD S/S
Treatment? - ANS--Usually asymptomatice inside the early phases
-Around 24-48 hours, N/V
-RUQ ache
-Hepatotoxicity: jaundice, expanded LFTs, prolonged PT, AMS, delirium
-Activated charcoal
-N-acetylcysteine (mucomyst)
Acute Appendicitis Diagnostic Test - ANS-Ultrasound or CT
Acute Pancreatitis Diagnostic Test - ANS-CT experiment extra beneficial than ultrasound
Addison's Disease Signs and Symptoms - ANS-Deficient cortisol, androgens and
aldosterone
-Hyperpigmentation
-Diffuse tanning and freckles
-Orthostasis and hypotension
-Scant axillary and pubic hair
Addisons Disease
Addisons lab findings?
Test to rule out Addisons?
Treatment for hypotension and Addisons? - ANS--Deficient cortisol, androgens and
aldosterone (autoimmune) - too little
-Hypoglycemia, hyponatremia, hyperkalemia, improved ESR, lymphocytosis, plasma cortisol
<5mcg/dl @ 0800
-Cosyntropin stimulation test
-D5 NS at 500mL/hr
AGACNP cardio gives presentation lipid lowering drug. Drug company pay presenter ask
them limit remarks to their drug what is this? - ANS-Conflict of interest
,Arcus Senilis - ANS--A cloudy appearance of the cornea with a gray/white arc or circle
around the limbus
-Due to deposition of lipid material
-No effect on vision
-Permanent color change of the eye
-Underlying issue = HLD
Average American reads at what level? - ANS-8th grade
Benign Prostatic Hypertrophy (BPH) Management - ANS-1. Alpha-blockers - relax muscles
of the bladder and prostate: Terazosin (Hytrin), Prazosin (Minipress), Tamsulosin (Flomax)
2. 5-alpha-reductase inhibitors - shrink large prostates: Finasteride (Proscar), Dutasteride
(Avodart)
3. Surgery if symptoms persists (TURP)
4. Saw palmetto
5. Avoid medications that worsen S/S (Benadryl, Sudafed, Afrin, SSRIs)
Best exercise for osteoarthritis? - ANS-Isometric exercise
Can pre-renal failure be reversed? - ANS-Can only be reversed when the underlying cause
of hypoperfusion is corrected
Cancer pt low WBC, high neutrophil, high fever, phlegm, cough what do you do first, ABX or
antipyretic? - ANS-Antipyretic??
Causes intra-renal failure? - ANS--Disorders that directly affect the renal cortex or medulla
-Hypersensitivity (allergic disorders)
-Obstruction of renal vessels (embolism or thrombosis)
-Nephrotoxic agents* (aminoglycosides-mycin drugs)
-Mismatched blood transfusion
-Acute tubular necrosis - damage to the tubular portion of the nephron
Causes pre-renal failure - ANS-Outside kidney
-Impaired renal perfusion (shock, dehydration, cardiac failure, burns, diarrhea,
sepsis/vasodilation)
Certification - ANS--Establishes that a person has met certain standards in a particular
profession which signify mastery of specialized knowledge and skills
-Granted by nongovernmental agencies (ANCC, AACN, AANP, PNCB, NCC)
Cholecystitis Diagnostic Test - ANS--Ultrasound = Gold standard
-Plain films may show radiopaque gallstones
-HIDA scan
-ERCP
Collaborative Practice - ANS--Enhance quality of care
-Improve patient outcome
, -Collaboration = true partnership in which all parties have desire and power, share common
goals, accept separate areas of responsibilities and activities
Colorectal Screening - ANS--45-75 yrs
-Stool based test every 3 years
-Flexible sigmoid every 5yrs
-Colonoscopy every 10 yrs
Comprehensive Documentation - ANS--A general multi-system examination
-H & P
Continuous Quality Improvement (CQI) - ANS--Systemic process of identifying and
analyzing problems and then testing, implementing, learning from and revision solutions
-Quality can be improved by continually monitoring structure, process and outcome
standards
1. Structures: inputs into care such as resources, equipment, or numbers and qualifications
of staff
2. Processes of Care: assessments, planning, performing treatments and managing
complications
3. Outcomes: complications, adverse events, short term results of treatments and long term
results of patient health and functioning
-Assess, monitor and improve care provided to patients
Contraindication for a IABP? - ANS--Aortic valve insufficiency
-Moderate-severe aortic regurgitation
-Dissecting aortic aneurysm
Cost effective meds for GERD? - ANS-H2 blockers (cimetidine, famotidine) prior to PPIs
Cost effective meds for RA? - ANS-Methotrexate (monitor LFTs)
Credentials - ANS-1. Encompass required education, licensure and certification
2. Establish minimal levels of acceptable performance
3. Necessary to: ensure the safe healthcare is provided by qualified individuals and comply
with federal and state laws relating to advanced practice nursing
4. Scope of practice
5. Mandates accountability
6. Enforces professional standards of practice
Cushing's Disease
Cushing's lab findings?
Test to rule out Cushing's? - ANS--Adrenocorticotropic hormone (ACTH) hypersecretion- too
much steroid
AAA Screening - ANS--sixty five-75 who have/presently smoke
-Selective screening for people who have never smoked
Acetaminophen OD S/S
Treatment? - ANS--Usually asymptomatice inside the early phases
-Around 24-48 hours, N/V
-RUQ ache
-Hepatotoxicity: jaundice, expanded LFTs, prolonged PT, AMS, delirium
-Activated charcoal
-N-acetylcysteine (mucomyst)
Acute Appendicitis Diagnostic Test - ANS-Ultrasound or CT
Acute Pancreatitis Diagnostic Test - ANS-CT experiment extra beneficial than ultrasound
Addison's Disease Signs and Symptoms - ANS-Deficient cortisol, androgens and
aldosterone
-Hyperpigmentation
-Diffuse tanning and freckles
-Orthostasis and hypotension
-Scant axillary and pubic hair
Addisons Disease
Addisons lab findings?
Test to rule out Addisons?
Treatment for hypotension and Addisons? - ANS--Deficient cortisol, androgens and
aldosterone (autoimmune) - too little
-Hypoglycemia, hyponatremia, hyperkalemia, improved ESR, lymphocytosis, plasma cortisol
<5mcg/dl @ 0800
-Cosyntropin stimulation test
-D5 NS at 500mL/hr
AGACNP cardio gives presentation lipid lowering drug. Drug company pay presenter ask
them limit remarks to their drug what is this? - ANS-Conflict of interest
,Arcus Senilis - ANS--A cloudy appearance of the cornea with a gray/white arc or circle
around the limbus
-Due to deposition of lipid material
-No effect on vision
-Permanent color change of the eye
-Underlying issue = HLD
Average American reads at what level? - ANS-8th grade
Benign Prostatic Hypertrophy (BPH) Management - ANS-1. Alpha-blockers - relax muscles
of the bladder and prostate: Terazosin (Hytrin), Prazosin (Minipress), Tamsulosin (Flomax)
2. 5-alpha-reductase inhibitors - shrink large prostates: Finasteride (Proscar), Dutasteride
(Avodart)
3. Surgery if symptoms persists (TURP)
4. Saw palmetto
5. Avoid medications that worsen S/S (Benadryl, Sudafed, Afrin, SSRIs)
Best exercise for osteoarthritis? - ANS-Isometric exercise
Can pre-renal failure be reversed? - ANS-Can only be reversed when the underlying cause
of hypoperfusion is corrected
Cancer pt low WBC, high neutrophil, high fever, phlegm, cough what do you do first, ABX or
antipyretic? - ANS-Antipyretic??
Causes intra-renal failure? - ANS--Disorders that directly affect the renal cortex or medulla
-Hypersensitivity (allergic disorders)
-Obstruction of renal vessels (embolism or thrombosis)
-Nephrotoxic agents* (aminoglycosides-mycin drugs)
-Mismatched blood transfusion
-Acute tubular necrosis - damage to the tubular portion of the nephron
Causes pre-renal failure - ANS-Outside kidney
-Impaired renal perfusion (shock, dehydration, cardiac failure, burns, diarrhea,
sepsis/vasodilation)
Certification - ANS--Establishes that a person has met certain standards in a particular
profession which signify mastery of specialized knowledge and skills
-Granted by nongovernmental agencies (ANCC, AACN, AANP, PNCB, NCC)
Cholecystitis Diagnostic Test - ANS--Ultrasound = Gold standard
-Plain films may show radiopaque gallstones
-HIDA scan
-ERCP
Collaborative Practice - ANS--Enhance quality of care
-Improve patient outcome
, -Collaboration = true partnership in which all parties have desire and power, share common
goals, accept separate areas of responsibilities and activities
Colorectal Screening - ANS--45-75 yrs
-Stool based test every 3 years
-Flexible sigmoid every 5yrs
-Colonoscopy every 10 yrs
Comprehensive Documentation - ANS--A general multi-system examination
-H & P
Continuous Quality Improvement (CQI) - ANS--Systemic process of identifying and
analyzing problems and then testing, implementing, learning from and revision solutions
-Quality can be improved by continually monitoring structure, process and outcome
standards
1. Structures: inputs into care such as resources, equipment, or numbers and qualifications
of staff
2. Processes of Care: assessments, planning, performing treatments and managing
complications
3. Outcomes: complications, adverse events, short term results of treatments and long term
results of patient health and functioning
-Assess, monitor and improve care provided to patients
Contraindication for a IABP? - ANS--Aortic valve insufficiency
-Moderate-severe aortic regurgitation
-Dissecting aortic aneurysm
Cost effective meds for GERD? - ANS-H2 blockers (cimetidine, famotidine) prior to PPIs
Cost effective meds for RA? - ANS-Methotrexate (monitor LFTs)
Credentials - ANS-1. Encompass required education, licensure and certification
2. Establish minimal levels of acceptable performance
3. Necessary to: ensure the safe healthcare is provided by qualified individuals and comply
with federal and state laws relating to advanced practice nursing
4. Scope of practice
5. Mandates accountability
6. Enforces professional standards of practice
Cushing's Disease
Cushing's lab findings?
Test to rule out Cushing's? - ANS--Adrenocorticotropic hormone (ACTH) hypersecretion- too
much steroid
