ANSWERS GRADED A+
✔✔Hormonal therapy side effect - ✔✔DVT risk with estrogen (Very important to watch
for if it becomes PE, it is an emergent situation)
✔✔Bone Marrow Transplant - ✔✔Last resort- strict isolation precautions for pt receiving
bone marrow
✔✔Cancer Staging - ✔✔Tumor, Nodes, Metastases, Grade
X,is,0,1,2,3,4
✔✔X - ✔✔Cannot be assessed
✔✔is - ✔✔in situ, undetermined
✔✔0 - ✔✔no evidence
✔✔1 - ✔✔one cell, one site
✔✔2 - ✔✔two cells, one site
✔✔3 - ✔✔invading>two sites adjacent
✔✔4 - ✔✔two or more separate sites
✔✔Types of errors - ✔✔Diagnostic
Treatment
Preventative
Communication
✔✔Diagnostic error - ✔✔delay in diagnosis
✔✔Treatment error - ✔✔gave 10,000mg of medicine instead of 1000
✔✔Preventative error - ✔✔did not use bed alarm and pt fell
✔✔communication error - ✔✔failure to communicate
✔✔Active error - ✔✔error made during care provided
✔✔Latent error - ✔✔flaws in system (they did not update policy,etc.)
✔✔Morphine - ✔✔For severe pain, schedule II, binds to opiate pain receptors, BBB
, ✔✔Percocet - ✔✔moderate to high pain, acetaminophen with oxycodone, BBB
✔✔Norco - ✔✔moderate pain, acetaminophen with hydrocodone
✔✔Acetaminophen - ✔✔mild to moderate pain, BB, resets hypothalamus,
✔✔Acetaminophen warning - ✔✔Do not exceed 4000mg per day. Acute liver failure,
consider other sources of acetaminophen
✔✔Forms of communication - ✔✔1. open-ended
2. close-ended
3. restating
4. clarifying
5. review/summary
6.stating
7. paraphrasing
✔✔Factors affecting Communication - ✔✔1. false assumption
2. false reassurance
3. giving advice
4. defensiveness
✔✔Autonomy - ✔✔pt right to make own decisions
✔✔beneficence - ✔✔things done to benefit pt
✔✔malfeasance - ✔✔harming the pt
✔✔non-malfeasance - ✔✔do no harm
✔✔10-20mmHg - ✔✔Normal Eye pressure
✔✔Diabetes Mellitus type I - ✔✔childhood, pancreas makes 0 insulin, insulin dependent
✔✔Diabetes Mellitus type II - ✔✔adult onset, oral meds and insulin,
✔✔Gestational Diabetes - ✔✔hormonal imbalance, can be dangerous, 3 times as likely
to get DMII later
✔✔Metoclopramide - ✔✔antiemetic, cholinergic
✔✔Warfarin - ✔✔must check INR regularly, 2-3 in normal pt, Anticoagulant