nsg 102 important, #2. Pulmonary Embolism, Anticoagulation (Lilley Ch.26) - Textbook, MODS/ARDS/DIC (Infection/SIRS&Sepsis/Severe Sepsis&Septic Shock/MODS) - IGGY Ch 32: Respiratory Problems, Day 8 of the New Year: All about the Heart, #2. Pul...

minimally invasive endovascular sx for removing atherosclerosis from bv within the body. It is an alternative to angioplasty for the treatment of peripheral artery disease, but the studies that exist are not adequate to determine if it is superior to angioplasty Correct Answer: Atherectomy In the past, a step-wise approach starting with NSAIDs was standard of care. However, evidence clearly documenting the benefits of early DMARD (methotrexate [Rheumatrex], antimalarials, leflunomide [Arava], or sulfasalazine [Azulfidine]) treatment has changed national guidelines for management. Now it is recommended that treatment with the non-biologic DMARDs begin within 3 months of disease onset. Opioids are not indicated in early RA. Prednisone is used in unremitting RA Correct Answer: patient just diagnosed as being in the early stage of rheumatoid arthritis = methotrexate The FEV1/FVC ratio aka Tiffeneau-Pinelli index is a calculated ratio used in the diagnosis of obstructive and restrictive lung disease. It represents the proportion of a person's vital capacity, able to expire in the first second of forced expiration (FEV1) to the full, forced vital capacity (FVC). The result of this ratio is expressed as FEV1%. Normal values are approximately 75%. Predicted normal values can be calculated online and depend on age, sex, height, and ethnicity as well as the research study that they are based upon. A derived value of FEV1% is FEV1% predicted, which is defined as FEV1% of the patient divided by the average FEV1% in the population for any person of similar age, sex, and body composition. Correct Answer: DMARD Correct Answer: disease-modifying antirheumatic drug Treatment involves lifestyle changes, medications and in severe cases, surgery. Medication DMARDs - Disease modifying anti rheumatic drugs: Relieves pain and slows down the progression = Methotrexate • Sulfasalazine Nonsteroidal anti-inflammatory drugs (NSAIDs): Reduces inflammation. Ibuprofen • Naproxen Corticosteroids: Reduce pain, swelling and slows down damage to joints. Prednisolone Biologics: Suppress the immune system Anakinra • Tocilizumab Medical procedures: Tendon repair surgery • Synovectomy • Joint replacement surgery Therapies: Physical therapy Correct Answer: The immune system attacks joint tissues of the host. The trigger is unknown. However, there are several risk factors Affects adults 40 years Obesity increases risk of developing arthritis Family history of rheumatoid arthritis increases risk