PCCN Revision Flashcards

epoetin alfa anemia related to chronic kidney disease should be treated with ______________________. folic acid, Vitamin B12 Name two treatments for megaloblastic anemia. infection Glucose control (via insulin drip) in the post-CABG patient decreases the risk of ___________________. acidosis In acute oliguric kidney injury, hyperkalemia leads to ____________________. right Obstructive-sleep apnea patients are at risk for ________-sided heart failure. hydration Acute pancreatitis patients need aggressive _________________________ as their first line treatment. right The best way to diagnose pulmonary hypertension and get heart pressure measurements is ________-sided heart catheterization. False (hypoglycemia can cause stroke-like signs and symptoms) True or False: hyperglycemia can cause stroke-like signs and symptoms. benzodiazepines The goal of alcohol withdrawal management is adequate sedation with _____________________. heparin If atrial fibrillation lasts more than 24 hours, the patient should get a ____________ drip at therapeutic levels beta blockers Rate control for atrial fibrillation can be achieved with a cardizem drip. _______________ are also an alternative for rate control. transesophageal echocardiogram A ___________________________________________ should be done before attempting to cardiovert a patient with atrial fibrillation. 15-20 The ischemic stroke patient should have their blood pressure lowered ____-____% within the first day. A too-low BP can result in neurological worsening. beta blockers Cardiac surgery patients can be on _______________ pre- and post-operatively to control atrial fibrillation. preload Nitroglycerin is contraindicated in right ventricular infarction because it decreases ____________________. seizures Both hypernatremia and hyponatremia can cause _____________________. Sepsis DIC is common in ____________ because coagulation is impaired. jaundice _________________ is common in DIC patients because stress and hypotension can cause hepatocellular injury. true True or False: Sputum cultures are not recommended for COPD exacerbation. False (Antibiotics are not recommended. Short-acting beta agonists are first line therapy.) True or False: Antibiotics are recommended for COPD exacerbation. False (afterload and preload are increased with cardiogenic shock; afterload needs to be decreased and vasoconstrictors are contraindicated) True or False: The goal of treatment for cardiogenic shock is to increase afterload with vasoconstrictors like norepinephrine (levophed). cardiogenic shock Vasosonstrictors (norepinephrine), beta-blockers, and low molecular weight heparin should be avoided for patients with this condition. Vasopressin (ADH) _______________________ can improve portal hypertension in upper GI bleed/liver cirrhosis patients. sepsis ARDS is most often part of a systemic inflammatory process, particularly systemic ____________. endocarditis A patient with a new systolic murmur should be evaluated for ____________________. true True or False: acute ischemic stroke patients need to be as flat as possible in bed for the first 24 hours. False True or False: A pulmonary embolism patient will have crackles in the lungs. supine ____________ positioning should be avoided in pneumonia patients. atrial fibrillation The dysrhythmia most commonly associated with mitral stenosis is __________________________.