Brainarium

HypoCalcium Management, Asymptomatic - ️️1. Chronic 2. Calcium carbonate 2-3 gm divided doses daily 3. Adjunct therapy: docusate/senokot 4. Adequate fluid intake 5. Vitamin D supplement: Calitriol (Rocaltrol) 0.5-2mcg/day Severe HypoNatremia management - ️️1. Only hypotonic hyponatremia requires treatment directed at sodium. 2. (<120 mEq/L): infuse 3% hypertonic saline to increase Na by 1-2/hr until rises by 4- 6mEq/L 3. Max correction: 8-12 mEq/L per 24hr period or 25 mEq/L ...

Helps patients say the why and how they might change? - ️️Motivational interviewing. Points out the pros and cons of a given behavior. 2 depression screening questions? - ️️Past 2 weeks, are you down, depressed, or hopeless? 2 weeks have you felt little interest or pleasure in doing things When do you ask the patient about their biggest concern? - ️️After elicited, negotiated, and prioritized the agenda. Part of the assessment that deals with patients response to problems, diag...

Murmur grades - ️️Grade I: barely audible. very faint and may not be heard by professionals Grade II: Quiet, soft, and audible. Grade III: Moderately loud. audible w/o thrill Grade IV: Loud, but still of intermediate intensity; palpable vibration or thrill; detection of a palpable thrill indicates a murmur of grade IV or more Grade V: Very loud, heard with a stethoscope partly off the chest; accompanied by a palpable thrill Grade VI: Heard with the stethoscope entirely off the chest ...

Relative refractory periods - ️️occurs towards the end of the T-wave when most ventricular cells are repolarized and vulnerable to new stimuli; can lead to VT if PVC lands during this time Refractory = resistant Supraventricular Tachycardia (SVT) - ️️§ regular but fast rhythm § rate 150-250 § P wave merged with T wave § PRI variable & difficult to measure § QRSà typically narrow § Common causes: stimulants, electrolyte imbalance, hypoxia Sinoatrial Node (SA node) Rate? ...

Allen test? - ️️Before radial art line. Patient clench fist until blanched. Occlude radial and ulnar arteries, release ulnar artery. Blood flow under 15 seconds. What patients benefit from Swan? - ️️Cardiogenic shock, pulmonary artery hypertension, severe chronic heart failure, heart lung transplant. #1 Goal of GYN exam? - ️️Put the patient at ease Speculum for short-nonsexually active teens - ️️Huffman virginal narrow and short Speculum for fat, mulitparas? - ️️Graves ...

During palpation of the pericardium you feel a thrill in the apex area late in diastole, you know that this finding is consistent with which murmur? - Aortic Stenosis - Pulmonic Stenosis - Mitral Stenosis - Mitral Regurgitation - ️️Mitral stenosis - the apex clues you in that this involves the mitral valve, and the fact that the thrill is felt during DIASTOLE you know that it must be mitral stenosis. If the femoral vein is absent or more diminished than the radial pulse you should s...

The more radiation that hits the film the darker the image. True or False - ️️True - the lungs appear black b/c air absorbs the least amount of radiation so radiation penetrates through the lungs and appears dark on the film. This view is used for patients who are sick and unable to stand for their chest x-ray. A) lateral B) posterior anterior C) anterior posterior D) oblique - ️️AP The PA view has the patients front or back placed against the x-ray film? - ️️Front In the PA...

The following describes which type of category of risk: Two legacy software systems must be combined into one system in order to operate a new piece of hardware. Programmers must find a way to ensure that old data records in each system are still editable. If not, the hardware will not operate correctly. 7.2 - ️️Technical A shortage of steel has caused a delay in one of the tasks until the material is available. The original plan estimated the material to be available in 6 weeks, but th...

Your program includes teams in six different locations. These teams need access to different pieces of risk monitoring data in order to monitor, manage, and report risk. Which of the following risk monitoring tools would be most appropriate? - ️️-Risk Management (RM) information systems -Risk reporting matrix (WRONG ANSWER) -Technical performance measurements (TPMs) -Waterfall effect Within a program, which of the following entities is responsible for ensuring the risk management (RM...

CCSH EXAM BUNDLE SOLVED CORRECTLY TO SCORE A+

_____ in growth hormone (GH) parallels decrease in SW3 (N3) from midlife to late life. - ️️Decrease Tricyclics - ️️Tmax (Hrs) 2.5 -10 T1/2 (Hrs) 16-80 Sleep Latency v Sleep Efficiency ^ %SWS ^ % REM v SWS/N3 decreasing over successive NREM sleep cycles reflects this process, with higher N3 after sleep deprivation - ️️Process S 16-18 hours per day; sleep is polyphasic. - ️️Newborns 14-15 hours and levels off around that value. Sleep becomes less distributed, with prim...

According to the AASM Parameter Guidelines, The PRIMARY reason to advocate for systematic educational programs for patient with obstructive sleep apnea is to: - ️️Improve PAP utilization A patient has been trying to use PAP for 4 nights. She feels she is not getting enough air, claims PAP feels different at home then if did during her PSG titration. Her spouse tells her, she is still snoring. The PSG report showed optimal PAP titration and notes from PAP set up indicated good mask fit....

How many hours do 2-5 year olds sleep - ️️10-12 hours What does biphasic mean - ️️Sleeping twice per day How many hours do newborns sleep - ️️16-18 hours By 16 weeks of age sleep is reduced to how many hours of sleep and stays that way until about 1 years old? - ️️14-15 hours By what age does sleep become Monophasic - ️️By age 10 What age of sleep is polyphasic - ️️Newborn How many hours do 10 year olds sleep - ️️10 hours How many hours of sleep do adolescence...

NREM is broken into how many stages? - ️️3 stages. -N1 which is light sleep. Usually the first stage of sleep. - N2 still fairly light sleep and covers the majority of sleep we get during the night. - N3 Deep Sleep (AKA slow wave sleep) What controls the sleep-wake cycle? - ️️It is primarily controlled by the interaction of the Sleep Homeostatic Drive (Accumulation of adenosine and "somnogens" such as cytokines) and the Intrinsic Circadian Timekeeping System (The effect of li...

Pseudoephedrine (including the brand Sudafed) - ️️Barbiturate Diaphenhydramin (Benedryl) - ️️Barbiturate Chlordiazepoxide (Librium) - ️️Benzodiazepine Clonazepam (Klonopin) - ️️Benzodiazepine Clorazepate (Tranxene) - ️️Benzodiazepine Diazepam (Valium, Diastat) - ️️Benzodiazepine Alprazolam (Xanax) - ️️Benzodiazepine Lorazepam (Ativan) - ️️Benzodiazepine Quazapam (Doral) - ️️Benzodiazepine Midazolam - ️️Benzodiazepine Estazolam (Prosom) - ️️Be...

culture - ️️the collective beliefs, customs, and behaviors of a group health education - ️️providing accurate health information and teaching health skills to help people make healthy decisions wellness - ️️an overall state of well-being or total health chronic disease - ️️an ongoing condition or illness heredity - ️️all the traits that were biologically passed on to you from your parents environment - ️️the sum of your surroundings peers - ️️people of the same...

NAO EXAM BUNDLE SOLVED CORRECTLY TO SCORE A+

Frequently, bicentric grinding (slab-off) is used as a means of obtaining prism in the reading field to correct induced prism imbalance. The usual correction during the fabrication process is achieved by grinding prism in the following direction: - ️️up You are fitting a patient with a stock frame, 24 DBL, 44 eve size and 137 mm skull temples. The distance PD is only 62 mm. If by some unfortunate error the lenses are not decentered at all, how much prism is created in each eye? RX: OU ...

If a light beam passes through a green sunglasses lens, why will the exciting light be green? - ️️The green rays are refracted through the lens and all other color rays are absorbed by the pigments in the lens material hen a ray of light travels from water into air ( which is rarer than water) what happens to the ray of light if the ray of light is not perpendicular to the surface? - ️️If the ray is not perpendicular to the surface it speeds up and changes direction away from the n...