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AGACNP 106 Document.pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@#########################################################
AGACNP 106 Document
What disease conditions do you see Telangiectasia in?
Differential?
Physical Exam? - ANS--("spider veins") dilated or broken blood vessels located near the
surface of the skin or mucous membranes.
-Rosasea
-Liver dx
-Scleroderma
-Lupus
-Corticosteriod use
-Raynauds
-Basal cell Skin CA
-Differential: PVD
-PE: Hemosiderans deposition (staining)
Type 1 Error - ANS--False positive
-Incorrectly rejecting the true null hypothesis (occurs if the null hypothesis is rejected
when it is true)
-Rejection of the null hypothesis when it is actually true.
Type 2 Error - ANS--False negative
-Failing to reject a null hypothesis which is false (occurs if the null hypothesis is not
rejected when it is false)
National mandate to prevent VAP? - ANS-Elevate the HOB
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
What is credentialing or priviliging? - ANS--Process by which a NP is granted
permission to practice in an inpatient setting
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-Credentialing with hospital privileges is granted by a Hospital Credentialing Committee
comprised of MDs who hold privileges at the given hospital where the NP has made
request
-Privileges may be granted in part or full; stipulations regarding the allowance of future
privileges may be made by the Credentialing Committee
Licensure - ANS--Establishes that a person is qualified to perform in a particular
profession.
-Granted as defined by rules and regulations set forth by a governmental regulatory
body
Who gives licensure? - ANS-State board of nursing
What is sensitivity? - ANS--True positives
-The degree to which those who have a disease screen/test positive
What is specificity? - ANS--True negatives
-The degree to which those who do not have a disease screen/test negative
What is null hypothesis?
What if the null hypothesis is rejected? - ANS--There is no significant relation between
the variables of the study
-Results are due to chance and are not significant in terms of supporting the idea being
investigated. Thus, the null hypothesis assumes that whatever you are trying to prove
did not happen
-It means the results of the study are not due to chance
What is p-value? - ANS--Number describing how likely it is that your data would have
occurred by random chance (i.e. that the null hypothesis is true).
-0.05 as the standard level of significance
-The smaller the p-value, the stronger the evidence that you should reject the null
hypothesis
if P<0.05 it? - ANS--Rejects null hypothesis
-Statistically significant
-A significant result and this would have only arose 5/100 times through chance
-Experimental and control groups are considered to be significantly different
if p>0.05? - ANS--Fail to reject the null hypothesis
-Not statistically significant and indicates strong evidence for the null hypothesis
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AGACNP 106 Document.pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@#########################################################
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pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@################################################################################!!!!!!!!
AGACNP 106 Document.pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@#########################################################
What is treatment for VAP? - ANS-Cover MRSA+ Double antipseudomonal coverage
-Abs with MRSA activity = vanc or linezolid
-Gram neg with antipseudomonal coverage: beta lactam-based agents = Zosyn or
cefepime/ceftazidine or imipenem/meropenem or aztreonam
-Gram neg with antipseudomonal coverage: non-beta lactam-based agents =
levofloxacin/cipro or amikacin/gentamicin/tobramycin or colistin/polymyxin B
Right flank pain radiating to the back could indicate? - ANS-Pancreatitis
What is treatment for cardiac tamponade? - ANS-Pericardiocentesis to remove the
blood and fluid from around the heart
Scope of Practice NP - ANS--Based on legal allowances in each state
-According to and delineated by individual State Nurse Practice Acts
-Provides guidelines for nursing practice; varies from state to state
Vaccines after splenectomy most important?
Others? - ANS--Meningococcal: conjugate (MenACWY) and serogroup B (MenB) and
pneumococcal conjugate (PCV13) and polysaccharide (PPSV23)
-Hib
-Influenza each year
-Tdap
-Zoster
-HPV
-MMR
-Varicella
Addisons Disease
Addisons lab findings?
Test to rule out Addisons?
Treatment for hypotension and Addisons? - ANS--Deficient cortisol, androgens and
aldosterone (autoimmune) - too little
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pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@################################################################################!!!!!!!!
AGACNP 106 Document.pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@#########################################################
pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@################################################################################!!!!!!!!
AGACNP 106 Document.pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@#########################################################
AGACNP 106 Document
What disease conditions do you see Telangiectasia in?
Differential?
Physical Exam? - ANS--("spider veins") dilated or broken blood vessels located near the
surface of the skin or mucous membranes.
-Rosasea
-Liver dx
-Scleroderma
-Lupus
-Corticosteriod use
-Raynauds
-Basal cell Skin CA
-Differential: PVD
-PE: Hemosiderans deposition (staining)
Type 1 Error - ANS--False positive
-Incorrectly rejecting the true null hypothesis (occurs if the null hypothesis is rejected
when it is true)
-Rejection of the null hypothesis when it is actually true.
Type 2 Error - ANS--False negative
-Failing to reject a null hypothesis which is false (occurs if the null hypothesis is not
rejected when it is false)
National mandate to prevent VAP? - ANS-Elevate the HOB
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
What is credentialing or priviliging? - ANS--Process by which a NP is granted
permission to practice in an inpatient setting
@@@@@@@@@@@@@@@################################################################################!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@################################################################################!!!!!!!!
AGACNP 106 Document.pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@#########################################################
,@@@@@@@@@@@@@@@################################################################################!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@################################################################################!!!!!!!!
AGACNP 106 Document.pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@#########################################################
-Credentialing with hospital privileges is granted by a Hospital Credentialing Committee
comprised of MDs who hold privileges at the given hospital where the NP has made
request
-Privileges may be granted in part or full; stipulations regarding the allowance of future
privileges may be made by the Credentialing Committee
Licensure - ANS--Establishes that a person is qualified to perform in a particular
profession.
-Granted as defined by rules and regulations set forth by a governmental regulatory
body
Who gives licensure? - ANS-State board of nursing
What is sensitivity? - ANS--True positives
-The degree to which those who have a disease screen/test positive
What is specificity? - ANS--True negatives
-The degree to which those who do not have a disease screen/test negative
What is null hypothesis?
What if the null hypothesis is rejected? - ANS--There is no significant relation between
the variables of the study
-Results are due to chance and are not significant in terms of supporting the idea being
investigated. Thus, the null hypothesis assumes that whatever you are trying to prove
did not happen
-It means the results of the study are not due to chance
What is p-value? - ANS--Number describing how likely it is that your data would have
occurred by random chance (i.e. that the null hypothesis is true).
-0.05 as the standard level of significance
-The smaller the p-value, the stronger the evidence that you should reject the null
hypothesis
if P<0.05 it? - ANS--Rejects null hypothesis
-Statistically significant
-A significant result and this would have only arose 5/100 times through chance
-Experimental and control groups are considered to be significantly different
if p>0.05? - ANS--Fail to reject the null hypothesis
-Not statistically significant and indicates strong evidence for the null hypothesis
@@@@@@@@@@@@@@@################################################################################!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@################################################################################!!!!!!!!
AGACNP 106 Document.pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@#########################################################
,@@@@@@@@@@@@@@@################################################################################!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@################################################################################!!!!!!!!
AGACNP 106 Document.pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@#########################################################
What is treatment for VAP? - ANS-Cover MRSA+ Double antipseudomonal coverage
-Abs with MRSA activity = vanc or linezolid
-Gram neg with antipseudomonal coverage: beta lactam-based agents = Zosyn or
cefepime/ceftazidine or imipenem/meropenem or aztreonam
-Gram neg with antipseudomonal coverage: non-beta lactam-based agents =
levofloxacin/cipro or amikacin/gentamicin/tobramycin or colistin/polymyxin B
Right flank pain radiating to the back could indicate? - ANS-Pancreatitis
What is treatment for cardiac tamponade? - ANS-Pericardiocentesis to remove the
blood and fluid from around the heart
Scope of Practice NP - ANS--Based on legal allowances in each state
-According to and delineated by individual State Nurse Practice Acts
-Provides guidelines for nursing practice; varies from state to state
Vaccines after splenectomy most important?
Others? - ANS--Meningococcal: conjugate (MenACWY) and serogroup B (MenB) and
pneumococcal conjugate (PCV13) and polysaccharide (PPSV23)
-Hib
-Influenza each year
-Tdap
-Zoster
-HPV
-MMR
-Varicella
Addisons Disease
Addisons lab findings?
Test to rule out Addisons?
Treatment for hypotension and Addisons? - ANS--Deficient cortisol, androgens and
aldosterone (autoimmune) - too little
@@@@@@@@@@@@@@@################################################################################!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@################################################################################!!!!!!!!
AGACNP 106 Document.pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@#########################################################
