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CMN 577 UNIT 2 QUESTIONS WITH COMPLETE ANSWERS

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CMN 577 UNIT 2 QUESTIONS WITH COMPLETE ANSWERS

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1 of 180

Term



Nathan is outside working in his yard at 1-2pm. It is 107 degrees outside
with a heat index of 116. He begins to feel weak, dizzy, with blurred
vision. Once he gets inside, his wife notices he is confused before he
collapses with LOC. What is going on with Nathan? What should you
do next?



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, Treatment of symptoms-anticholinesterase inhibitors may be helpful w/ memory
loss
Shunt placement- can be considered but must weigh pros and cons




General appearance and affect, Establish mental status, Oberve motor
function/gain, Consider cranial nerves, reflexes, fundoscopic and sensory exam




Heat Stroke- ABC's (obviously—— he is now stabilized), then treatment is
aimed at rapidly reducing core body temperature within 1 hour- Oral or IV
fluid administration-




Heat Exhaustion- Move Caleb to a shaded, cool environment with active cooling.
give oral rehydration to replace electrolytes and water. Physiologic saline or
isotonic glucose solution should be administered IV if oral rehydration is not
enough/tolerated. Caleb will have to rest for 2 days with continued dietary
supplementation.


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2 of 180

Term



Who is Levodopa contraindicated in?



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, Patients with a history of migraines or Anyone over the age of 65 regardless
headaches of health




Individuals with high blood pressure Patient's with psychotic illness
or diabetes or narrow-angle glaucoma


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3 of 180

Term



What drugs are most helpful in the treatment of trigeminal neuralgia?



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Aspirin or naproxen (to reduce Citalopram or sertraline (for mood
inflammation) stabilization)




Oxcarbazepine or
Ibuprofen or acetaminophen (for pain
Carbamazepine (monitor CBC
relief)
and Liver functions)


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4 of 180

, Term



What are some medications that may create Parkinson's-type
symptoms?

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Medications, holistic/alternative
Metoclopramide, Reserpine,
treatments, illicit drugs, tobacco, or
and Anti-psychotics
alcohol




Benadryl, Macrobid, Alpha Blockers,
Diarrhea, Nausea, anorexia, weight Benzos, Digoxin (doses > 0.125mg),
loss, and syncope TCA's, estrogens, sliding scale insulin,
Megace, etc.....


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5 of 180

Term



In PD, when functional disability w/ cognitive impairment are noted,
what should be used first line?



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Dilantin Stalevo

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