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NURS 305 Med Surg WITH 100% CORRECT ANSWERS

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NURS 305 Med Surg WITH 100% CORRECT ANSWERS

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Tuberculosis


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An infectious disease that especially attacks the lungs/throat (but does
affect the whole body)


- can look like pneumonia, bronchitis, or cancer

,How is Hep A transmitted


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"fecal-oral route"

ie sewage left in the drinking water or food




Serum Amylase rises _______ and lasts ________


Serum Lipase rises __________ and lasts ________


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Amylase: rises early, but only stays elevated for 1-3 days


Lipase: rises later but stays elevated for 1-2 weeks




What are the 2 drugs used for long term DUAL antiplatelet therapy?


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Aspirin (ASA) and Plavix (Clopidogrel)


- take for 1 year or lifetime after ACS/stent surgery




If a Heart Failure patient has LOW blood pressure, should you hold their ACEi's? Or if
a patient has Low HR, do you stop giving them their Beta Blockers?

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NOO!!!

Managing heart failure >>> is more important than >>> slightly low vitals!

- don't even stop medicating them for renal failure, just switch drugs




TRANSMURAL Myocardial Infarction


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Transmural = full thickness damage to heart muscle aka STEMI

Cause: acute coronary artery thrombosis = severe prolonged ischemia =
lack of O2 = myocyte death

ECG: Q wave present, ST elevation




Modifiable CAD risk factors


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, - smoking
- stress
- sedentary activity
- obesity
- hyperlipidemia (decr fat intake)
- Hypertension
(decr salt, quit smoking)
- Diabetes mellitus
- Metabolic Syndrome
- high homocysteine levels (amino acid from meat)




Uncompensated Metabolic Acidosis looks like


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Low HCO3 (the cause)
Normal CO2 (not adjusted yet)
pH low (acidic)

(2 values abnormal, 1 normal = uncompensated)




2 Causes of Metabolic Acidosis


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1. Loss of base
- diarrhea
2. Increased acid levels
- renal failure = not excreting acid
- diabetic ketoacidosis
- starvation

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