AANP Adult gerontology primary care nurse practiotioner study guide

Pheochromocytoma Rovsing's Sign NYHA classes of Heart Failure Step-wise Approach to Asthma Diagno- sis & Treatment small vascular tumor of the adrenal medulla, causing irregular secretion of epinephrine and norepinephrine, leading to attacks of raised blood pressure, pal- pitations, and headache. Tx with Alpha blockers Palpation in LLQ ilicits pain in RLQ indi- cates appendicitis I No limitation of physical activity. Ordi- nary physical activity does not cause un- due fatigue, palpitation, dyspnea (short- ness of breath). II Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, dys- pnea (shortness of breath). III Marked limitation of physical activity. Comfortable at rest. Less than ordi- nary activity causes fatigue, palpitation, or dyspnea. IV Unable to carry on any physical activity without discomfort.Symptoms of heart failure at rest. If any physical activity is undertaken, discomfort increases. Step 1- Mild Intermitten FEV1/PEF > 80% predicted. Symptoms <2 days/week. Albuterol as needed. Step 2- Mild presistent Asthma (FEV1/PEF > 80% predicted. Symptoms > 2 days/week. Albuterol as needed. Low dose ICS ex Flovent. Alt cromolyn, montelukast, nedocromil, theophylline. Step 3- Mod presistent (FEV1 or PEF 60-80% predicted. Daily Symptoms. SABA plus low dose ICS or med dose ICS or low dose with leukotriene inhibitor (singulair, theophylline, zileuton). Step 4- Severe presistent asthma