Lenahsmith021

Hypothyroid Treatment Levothyroxine is the drug of choice for most patients who require thyroid hormone replacement. Levothyroxine (Synthroid) Therapeutic Goal Resolution of signs and symptoms of hypothyroidism and restoration of normal laboratory values for serum thyroid-stimulating hormone (TSH) and free thyroxine (T4). Major forms of hyperthyroidism Graves’ disease and toxic nodular goiter (also known as Plummer disease). Graves Disease Most common cause of excessive thyroid hormone ...

What is BEERS criteria? Recommendations of medications inappropriate for elderly (65 and older), prescriber ultimately decides What is the CYP450 (cytochrome P450) liver enzyme system where medications are metabolized, can either be inducers or inhibitors and create drug-drug interactions CYP450 inducers Speed up metabolism of drugs (drug is cleared faster), drug has lesser effect (decrease blood levels of drug), elevate CYP450 enzymes CYP450 inducers pneumonic "Bullshit Cr...

Appendicitis 1. McBurney point tenderness 2. Rovsing sign 3. the psoas sign 4. the obturator sign --Appendicitis is twice as likely in the presence of RLQ tenderness, Rovsing sign, and the psoas sign --The pain of appendicitis classically begins near the umbilicus, then migrates to the RLQ. Older adults are less likely to report this pattern. --Localized tenderness anywhere in the RLQ, even in the right flank, suggests appendicitis. Mc Burney Point 1. Mc Burney point lies 2 inches f...

A patient presents for evaluation of a sharp, aching chest pain which increases with breathing. Which anatomic area would you localize the symptom to? A) Musculoskeletal B) Reproductive C) Urinary D) Endocrine A) Musculoskeletal Chest pain may be due to a musculoskeletal condition, such as costochondritis or intercostal muscle cramp. This would be worsened by motion of the chest wall. Pleuritic chest pain is also a sharp chest pain which increases with a deep breath. This type of pain...

Thyroid; Diagnosis & Evaluation What labs are used to diagnose? -TSH - used primarily for screening and diagnosing hypothyroid and for monitoring replacement therapy in hypothyroid patients -T4 - Used to monitor thyroid hormone replacement therapy and to screen for thyroid dysfunction -T3 - Useful in the diagnosis of hyperthyroidism; can also be used to monitor hormone replacement therapy -TSH low -T4 normal -T3 is high = hyperthyroidism Diagnosis & Evaluation...

USPSTF - B/P screenings start at what age? 18 for everyone USPSTF - Daily ASA regimens are recommended for what age groups? Men and Women Men - 45-79 (to prevent MI) Women - 55-79 (to prevent ischemic CVA) USPSTF - Who should be screened for AAA? And how? Men 65-75 by U/S USPSTF - Diagnostic workup of HTN includes which labs? U/A, BG, Hct, Lipid panel, K, Cr, Ca. Optional: Urinary albumin/cr ratio. USPSTF - Major CVD Risk factor includes GFR < ? GFR < 60

Relapsing-remitting MS characterized by periods of improvement and stability in between attacks. Relapse and remission. This is due to the remyelination of axons. Primary Progressive MS Disease progression from onset, without plateaus or remissions, steady decline 6 Ways to Show Appreciation for Your Child's Teacher Secondary Progressive MS initial relapsing-remitting MS that suddenly begins to have decline without periods of remission auto immune disorder when your immune...

LATEST &ACTUAL MARK KLIMEK NCLEX RN QUESTIONS & ANSWERS QUESTIONS WITH ALL CORRECT ANSWERSTip to remember Grave's disease s/s's "Run yourself into the Grave" - everything is up ... diarrhea, thin, hot, high BP, high HR, cold tolerance, hot intolerance Treatment for Grave's disease Radioactive Iodine, PTU (put thyroid under), surgically remove Total thyroidectomy ... totals get tetany, need lifelong hormone replacement After thyroidectomy patients are at risk for hypocal...

LATEST NR 511 MIDTERM REAL EXAM VERIFIED & RATED A+ TRUE or FALSE... The history of present illness is a breakdown of the clients chief complaint TRUE What is needed to make a sound clinical decision Evidence based research clinical practice guidelines published evidence-based algorithms (few false positives) high percentage of healthy people will show a normal result high specificity high number of false positives low specificity if a diagnostic study has ...

CWhen working with a client who has urinary retention, the nurse aide can expect that the client will a. urinate large volumes. b. be unable to urinate. c. urinate frequently. d. be incontinent of urine. b. be unable to urinate. Aging-related hearing changes result in older clients gradually losing their ability to hear a. high-pitched sounds. b. low-pitched sounds. c. slow sounds. d. rapid sounds. a. high-pitched sounds. The best way to safely identify your patient is by ...