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Horizontal Mattress Stitch (1) indications (2) advantages (3) disadvantages - (1) high tension wound (can approximate long distances), holds fragile skin together well (2) optimizes eversion, increased closure strength, good tension distribution (3) not good for areas at risk for scarring (eg face) Components of the Sterile Field (5) - (1) DRAPES (placed over all operative sites/supply sites) (2) GLOVES (well-fitting, sterile) (3) SYRINGES/NEEDLES/SUTURES (4) instruments (5) WOUND/SKI...

What dose of diphenhydramine should be given to a patient experiencing acute allergy symptoms? - 50mg (1ml) IV stat Non-rebreather mask should be given to what kind of victims? - COPD smoke inhalation carbon monoxide poisoning Anyone who requires high-flow oxygen and DOES NOT need breathing assistance When can you stop CPR? - victim revives EMS arrives too exhausted to continue unsafe scene Emergency oxygen should be considered if an ADULT is breathing... (in bpm) - <12bpm or >20...

Zinc's main functions include: - cofactor for many enzymes -protein digestion -alcohol metabolism Works with Vit A -cell division -wound healing -reproduction -taste, smell, vision S/sxs: MTHFR mutation - developmental delay motor abnormalities seizures dementia homocystinuria homocystinemia ASX Which compounds does B12 help transfer methyl groups? - Transfers CH3 from 5MTHF to homocystiene creating methionine and THF. What action does Rauwolfia have in the CNS? PNS? - CNS: Dec...

What is a likely diagnosis: on CXR you see a primary infection of the upper lobes with pleural effusion and hilar lymph node enlargement. - TB What drug stimulates alpha1 receptors causing vasoconstriction for the use of congestion but should not be used with MAO inhibitors or in an individual with severe hypertension? - Oxymetazoline In restrictive lung disease is the FEV1/FVC ratio higher or lower than obstructive? - Higher What does a Sillhouette sign indicate as seen on plain film? - pn...

narrow pulse pressure vs wide pulse pressure - narrow - aortic stenosis wide - aortic regurg Heart blocks - 1st - long PR 2nd 1 - progressivly longer pr, then dropped 2nd 2 - randomly dropped, inconsistent ps 3rd - no relationship between p and QRS, but ps consistent Emergent referral - MI, acute regurg, severe HTN, a-fib with rapid ventricular rate, pulmonary edema, new onset heart faliure causes of dialted cardiomyopathy - thiamine def, alcohol, myocarditis, cocaine, herion, peripartum...

List some potential causes of necrotizing fascitis? - surgical procedures insect bites intramuscular injections local ischemia in diabetics Describe seborrheic keratosis. - Benign Hyperpigmented lesions in elderly "Stuck-on" appearance Common on face, shoulders, chest, and back The growth has a waxy, scaly, slightly elevated appearance What condition is dermatitis herpetiformis commonly associated with?q - celiac disease (gluten sensitivities) Clinical features of basal cell carcino...

Amoxicillin with clavulanate - SE: Nausea, headache risk of yeast. Use: Strep ear infection Interactions: CI: ALLERGY to penicillin Mechanism: Beta-Lactam antibiotic with beta-lactamase inhibitor. Allopurinol - SE: itch, rash. When injected: vomiting and kidney. Use: Preventing uric acid and gout, as well as use in crohn's and tumor lysis. Interactions: Inactivates azathiprine. didanosine. CI: DO NOT START DURING GOUT Mechanism: Xanthine oxidase inhibitor 5-fluorouracil - SE: Inflamma...

Artemisia vulgaris - he grew up to be a VULGAR ARTist, you're bitter and anorexic. Don't be constipated, there isn't enough to be sad about.. Amen Artemisia absinthium - Art is absent from school b/c he has worms and is depressed; but he went bowling instead (with balls and pins) Aconitum napellus - after his success, Acon started doing herbs and had to wear a hood to hide from his female fans who were such a pain in his last nerve Achillea millefolium - I'll Kill and stab you (bleed, ...

Labs to order for PID? - hCG r/o preg blood culture r/o septicemia Sx of ovarian cancer? - GI symptoms Post-menopausal bleeding Palpable ovaries post-menopause Urinary frequency Constipation When do leiomyomas regress? - Menopause b/c of low estrogen. If they keep getting bigger, then consider malignancy Main screening tool for cervical cancer? - Pap smear How do you confirm cervical cancer? - Biopsy Common place for cervical cancer to spread? - Lungs Treatment for cervical cancer? -...

Which of the following describes the polarity effect in low voltage galvanism? ANALGESIC AND ANTIMICROBIAL a) positive/anode pole b) negative/cathode pole - a) positive/anode pole Which of the following describes the polarity effect in low voltage galvanism? SOFTENS SCAR TISSUE a) positive/anode pole b) negative/cathode pole - b) negative/cathode pole What are contraindications for using high voltage galvanism? - 1. low back and abdomen during pregnancy eyes, brain, and heart 3. over...

Disease modifying antirheumatic drugs (DMARDs) such as methotrexate, sulfsalazine, and cyclosporin are used to control which MSK conditions? - Psoriatic arthritis, Rheumatoid arthritis, Reiter's syndrome, ankylosing spondylitis A male patient contracted chlamydia 1 month ago as well as inflammatory diarrhea cultured with campylobacter (gram - bacteria). He urgently makes an appointment as he is having joint pain that is asymmetric involving his lower body and back, his eyes are red, and he...

Drug used to treat osteoporosis, bone loss, hypocalcemia, and jaw necrosis. Human monoclonal antibody that prevents osteoclast development after 6 months of injection. - Denosumab SE: joint and muscle pain CI: hypocalcemia. Avoid use with cancer, immunosuppressants and steroids. "-mab: monoclonal antibodies. DE-NU-SU-MAB: don't-be-so-dumb and take your preventative medicine." Drug used to treat opioid addiction, nausea, and moderate pain. Used with naloxone. Similar but safer than meth...

traction - I: sprains/strains, muscle spasms, edema; intervertebral disc herniation, and nerve root impingement, compression fracture; hypomobility CI: acute trauma, cancer, healing fracture, osteoporosis, acute inflammation, joint instability, spinal cord compression int therapeutic ultrasound - applies a high frequency to warm tissue and increase local cellular metabolism more deeply than superficial heating agents I: tendonitis, plantar fasciitis, nerve entrapment (i.e. carpal tunnel sy...

Condylomata acuminata - (genital warts) pale, pink, numerous discrete projections with a broad base; width varies; smooth surface, velvety, moist (lack hyperkeratosis of common wart) REFERRAL: Topical/ antiviral therapies; cryosurgery, excision, Ed&C Dysplastic Nevi - Controversial definition; no standardized criteria for diagnosis Possess features between a benign nevus and malignant melanoma *Possibly melanoma precursor*; *probably a marker* for individuals at increased risk for melanom...

CCRN EXAM PACKAGE DEAL QUESTIONS & ANSWERS RATED A

What is the Z point technique? - is a method used to estimate ventricular end diastolic pressure. It is taken just before the closure of the mitral valve and is especially useful when an A wave does not exist on the PAOP tracing such as in atrial fib. CDC indications for urinary catheter include: - end-of-life care, strict I&O, immobility, select surgical procedures, sacral wounds, urinary retention/obstruction Warfarin is contraindicated in HIT? T/F - True - there is also no evidence that ...

Pulmonary artery pressure (PAP) - Systolic 15-30 mmHg Diastolic 5-15 mmHg Stroke volume (SV) - 50-100 ml/beat Symptoms of Systolic heart failure - Decreased stroke volume, decreased ejection fraction, S3 and enlarged heart Physical signs of DIC - Hypotension, Petechia, Purpura, Bruising, Bleeding in oral, GI/GU, or pulmonary Symptoms of Left heart failure - Orthopnea, dyspnea, crackles, Low PaO2, SaO2 & SpO2, S3 & S4, Increased PAOP & PA pressures Mean arterial pressure (MAP) - 70-105 m...

What is the difference between an anaphylactic and anaphylactoid reaction? - Anaphylactoid reaction is clinically indistinguishable from anaphylactic reaction but does not require previous exposure to the antigen. Anaphylactoid reaction is not IgE mediated, and direct activation and degranulation of mast cells are thought to be triggered by the complement system. Anaphylactic reaction requires previous exposure to the antigen and is IgE mediated What happens to SvO2 if oxygen delivery decre...

A patient received Humulin NPH insulin at 7 am. He was nauseated and vomiting at lunchtime and cannot tolerate PO. If this patient develops manifestations of hypoglycemia, treatment would include: A. 25 ml of 50% dextrose in water (D50W). B. glucagon subcutaneously. C. 4 oz of apple juice. D. 100 ml of 5% dextrose in water (D5W). - A. 25 ml of 50% dextrose in water (D50W). A volume of 25 ml of D50W would provide 12.5 g of carbohydrate and 50 calories. A patient had a craniotomy 2 days...

Heparin: - Heparin inhibits the conversion of prothrombin into thrombin Heparin inactivates circulating thrombin Heparin inhibits the conversion of fibrinogen into fibrin Causes of Right side heart failure? - Acute RV infarct Pulmonary Embolism Septal defects Pulmonary stenosis/regurgitation COPD Pulmonary htn Left Ventricular fx The patient is receiving heparin infusion for the treatment of pulmonary embolism. There has been a 60% decrease in the platelet count and no clinical change...