WGU D027 OA Remediation (Michelle's Version) with verified solutions 2024

Celiac Disease * Lining of small intestine sees gluten as foreign invader * Testing is IgA-tTG, Total IgA Sjorgerens Syndrome * Typically affects older women or patients with RA & Lupus * Immune disorder with dry eyes and dry mouth * Testing SSA+ and SSB+ Brainpower Read More Cinnamon effects * Decreases glucose by acting like insulin at the cellular level * Decreases cholesterol * Decreases blood pressure Hypoplastic Left Heart Syndrome (HLHS) * Birth defect changing normal blood flow through heart * 3-5 year survival for 70% of infants with Stage I repair * after age 12 months long term survival 90% Dx: echo Tx: Surgery * S/S: high HR, SOB, poor feeding, cold/blue skin, weak * L side heart NOT fully developed (L ventricle, mitral & aortic valve, ascending aorta, Atrial Septal Defect) * 1st few days of life R side works to make up for L side. Patent Ductus Arteriosus & Patent Foramen Ovale assist with flow during this time. Parathyroid Function Produce Parathyroid Hormone and regulate Serum Calcium (Ca+) Hutchinson-Gilford Progeria Syndrome * Progressive genetic disorder causing child to age 10x faster than normal * Caused by defective LMNA making protein Progerin * S/S: short, slow growth, slow hair growth, 2 year tooth delay, wrinkles, dry skin * Tx: NSAIDS, Statins, bone health, physical therapy Diabetic Neuropathy Pain Meds Cymbalta Lyrica Neurontin Hydrotherapy Helps with neurological and musculoskeletal diseases. Especially Multiple Sclerosis (MS) and Myasthenia Gravis (MG) Decreased Lung Sounds Post Trauma (cause and tx) * Most likely caused by pneumonthorax (air leaks between lungs and chest wall from blunt or penetrating chest injury) * May do needle compression or chest tube Rifampin * Abx * Affects oral birth control making it not work. TSH Lab Levels and Indications * TSH normal range 0.4 - 4.0 * High TSH = HYPOthyroid * Low TSH = HYPERthyroid T4 Lab Levels, Indications and Tx * T4 normal range 5.0 - 12 * High T4 = HYPERthyroid * Low T4 = Hypothyroid, thyroiditis or toxic multinodular goiter * Tx: PTU (Propylthiuracil) & Methimazole (Tapazole) T3 Lab Levels, Indications and Tx * T3 normal range 80 - 220 * High T3 = HYPERthyroid * Low T3 = HYPOthyroid * Can be caused from long term illness * Tx: Levothyroxine on empty stomach to increase absorption Thyroid Peroxidase Antibodies (TPO) Indication & S/S * May indicate Hashimoto Disease * Autoimmune disease * Most common cause of hypothyroid * S/S: Fatigue, overly-tired, increased sensitivity to cold, dry skin, constipation, joint pain/stiffness, muscle aches, tender, stiffness. Tyroglobulin Antibodies (Tg) Indication * Can be a s/s of Hashimoto Disease Crohn's Disease * Inflammation and scarring in intestine (bowel); lining of digestive tract * Skip lesion and small bowel cobblestoning * Worsens after eating with pain around navel and right lower abdomen * Tx: immunosuppressants Ulcerative Colitis * Chronic inflammation of large bowel * Only in innermost lining of the large intesetine (colon) and rectum * Tx: immunosuppressants Sickle Cell Disease Treatments * Hydroxyurea - decrease pain and decrease need for transfusion * Hydration - to expand circulatory volume and clear clumps * 02 - to increase 02 carrying capacity * Kids should get all vaccines to avoid illness which can exacerbate sickle cell crisis pain UTI Meds in Pregnancy * YES - Cefalexin (Keflex) * NO - Fluroquinolones (Cipro, Levaquin, Floxin, Avelox) because they can cause fetal defects in musculoskeletal formation Varicella Vaccine * Live vaccine * DO NOT give to pregnant women. Can cause fetal defects in 1st trimester. Treatment of Varicella Rash Pain with Kids * YES - Acetominophen * NO - NSAIDS (can worsen lesions) 1st Generation Schizophrenia Meds Chlorpromazine Haloperidol Fluphenazine 2nd Generation Schizophrenia Meds Risperdal Abilify Zyprexa Seroquel Geodon Vitamins to help Schizophrenic Patients Folic Acid Thiamine (B Vitamins) PPD (Purified Protein Derivative) Skin Test * Read after 48 - 72 hours * > 10 mm = Positive Result *** South and Central American patients will receive >10mm reading related to Bacillus Calmette - Guerin (BCG) Vaccine. They should not receive PPD Benign Prostatic Hyperplasia (BPH) Med Flomax - relaxes smooth muscle Define CHF * Volume overload in pulmonary area (Left Ventricular Dysfunction) * Normal EF 55 - 60% * Left Ventricular EF <50% = Reserved * Left Ventricular EF <40% = Preserved Pleural Effusion Treatment * Thoracentesis - needle decompression * Diuretic is cause is cardiac in nature such as CHF Treatment for Diabetics with HTN * ACE Inhibitor or Angiotensin II Blocker (ARB) f