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Mark Klimek Yellow Book Download
1.
Rule of the ': If the ____ and the _____ are ______ in the ame direction then
it i meta_____
pH, icar, oth, olic
2.
pH 7.30_______ HCO3 20_______
↓= acidoi; ↓= metaolic
3.
pH 7.58_______ HCO3 32_______
↑= alkaloi; ↑= metaolic
4.
pH 7.22_______ HCO3 30_______
↓= acidoi; ↑= repirator
5.
You are providing care to a client with the following lood ga reult: pH
7.32, CO2 49, HCO3 29, PO2 80, and SaO2 90%. aed on thee reult, the
client i experiencing:
↓= acidoi; ↑= repirator
6.
MacKumaul
The onl acid ae to caue Kumaul repiration i Metaolic
ACidoi
Mark Klimek Yellow Book
Return to deck
7.
A the _______ goe, o goe _______ except for _______
pH, m patient, Potaium
8.
Up
hokalemia, alkaloi, HTN, Tachcardia, Tachpnea, Seizure,
Irritailit, Spatic, Diarrhea, ororgme, hperreflexia, etc
9.
Down
hperkalemia, acidoi, htn, radcardia, contipation, aent owel
ound, flacid, radpnea
10.
Caue of acidae imalance: Firt ak ourelf, "I it _______?" If e, then
it' _______. Then ak ourelf: "Are the _______ or _______. If _______, pick
_______. If _______, pick _______
lung, repirator, overventilating, underventilating, overventilating,
alkaloi, underventilating, acidoi
11.
Caue of acidae imalance: If it' not lung, then it' _______. If the patient
ha _______ _______ vomiting or uction, pick _______. For everthing ele
that in't lung, pick _______ _______. When ou don't know what to pick,
chooe _______
metaolic, prolonged gatric, alkaloi, metaolic acidoi, metaolic
acidoi
12.
High preure alarm are triggered _______ reitance to air flow.
increaed
13.
High preure alarm are triggered increaed reitance to airflow and can
e caued otruction of three tpe: _______ action, _______ action,
_______ action
(kinked tue) unkink, (water in tue) empt, (mucu in airwa) cough
and deep reathe
14.
Low preure alarm are triggered _______ reitance to airflow.
decreaed
15.
Low preure alarm are triggered decreaed reitance to airflow and can
e caued diconnection of the _______ or _______
tuing (reconnect it), oxgen enor tue (reconnect it UNLSS tue i
on the floor ag them and call RT if thi happen)
16.
Repirator alkaloi mean ventilator etting ma e too _______
high
17.
Repirator acidoi mean ventilator etting ma e too _______
low
18.
What doe "wean" mean?
graduall decreae with the goal of getting off altogether
19.
What i Malow' highet priorit to lowet priorit?
1. Phiological
2. Safet
3. Comfort
4. Pchological (prolem within the peron)
5. Social (prolem with other people)
6. Spiritual
20.
Arrange from highet to lowet priorit uing Malow':
Denial
Spiritual Ditre
Pain in low
Fall Rik
Pathological Famil Dnamic
lectrolte Imalance
lectrolte Imalance (Phiological)
Fall Rik (Safet)
Pain in low (Comfort)
Denial (Pchological)
Pathological Famil Dnamic (Social)
Spiritual Ditre (Spiritual)
21.
What are the 5 tage of grief?
Denial
Anger
argain
Depreion
Acceptance
22.
The #1 prolem in aue i _______
denial
23.
Denial i the _______ to accept the _______ of their prolem
refual, realit
24.
Treating denial: _______ it pointing out to the peron the difference
etween what the _______ and what the _______. In contrat, _______ the
denial of lo and grief
confront, a, do, upport
25.
Dependenc: When the _______ get the Significant Other to do thing for
them or make deciion for them
auer
26.
Codependenc: When the _______ _______ derive poitive _______ from doing
thing for or making deciion for the _______
Significant Other, elfeteem, auer
27.
When treating dependenc/codependenc: Set _______ and _______ them.
Agree in advance on what requet are allowed, then enforce the agreement
limit, enforce
28.
When treating dependenc/codependenc: Work on the _______ of the
codependent peron
elfeteem
29.
Manipulation: when the _______ get the _______ _______ to do thing for
him/her that are not in the _______ _______ of the _______ _______. The nature
of the act i _______ or _______ to the _______ _______
auer, ignificant other, interet, ignificant other, harmful, dangerou,
ignificant other
30.
Treating manipulation: et _______ and _______
limit, enforce
31.
Wernicke' (Korakoff') Sndrome: _______ induced Vitamin
_______(thiamine) deficienc
Pchoi, 1
32.
Primar mptom of Wernicke' (Korakoff') Sndrome: _______ with
_______
amneia (memor lo), confaulation (make up tuff)
33.
Characteritic of Wernicke' (Korakoff') Sndrome:
1. _______
2. _______
3. _______
preventale (take vitamin)
arretale (take vitamin)
irreverile (kill rain cell)
34.
Antaue/Revia i aka _______ Therap
Averion
35.
Onet and duration of effectivene of Antaue/Revia: _______
2 week
36.
Patient teaching with Antaue/Revia: Avoid _______ form of _______ to
avoid _______, _______, _______
all, alcohol, nauea, vomiting, death
37.
What are example of product that contain alcohol?
mouth wah, cologne, perfume, afterhave, elixir, mot OTC liquid
medicine, inect repellant, vanilla extract, vinagerette, hand anitizer
38.
ver alcoholic goe through _______. Onl a minorit get _______
Alcohol Withdrawal Sndrome, Delirium Tremen
39.
_______ i not lifethreatening. _______ can kill ou
Alcohol Withdrawal Sndrome, Delirium Tremen
40.
Patient with _______ are not a danger to themelve or other. Patient with
________ are dangerou to elf and other
Alcohol Withdrawal Sndrome, Delirium Tremen
41.
AWS or DT: emiprivate room, an location
AWS
42.
AWS or DT: private room near the nure' tation
DT
43.
AWS or DT: Regular diet
AWS
44.
AWS or DT: Clear liquid or NPO diet (rik for apiration)
DT
45.
AWS or DT: Up at liert
AWS
46.
AWS or DT: Retricted to edret with no athroom privilege
DT
47.
AWS or DT: No retraint
AWS
48.
AWS or DT: Uuall retrained with either vet or 2 point (1 arm and 1 leg)
DT
49.
AWS or DT: Give antiHTN medication
oth
50.
AWS or DT: Give tranquilizer
oth
51.
AWS or DT: Give multivitamin to prevent Wernicke'
oth
52.
For Aminoglcoide, think " __ ____ ___ _____"
a mean old mcin
53.
When are antiiotic/aminoglcoide ued?
to treat eriou, lifethreatening, reitant infection
54.
All aminoglcoide end in _______, ut not all drug that end in _______ are
aminoglcoide.
mcin, mcin
55.
What are ome example of wannae mcin?
Azithromcin, Clarithromcin, rthromcin
56.
What are ome example of aminoglcoide?
Streptomcin, Cleomcin, Toramcin, Toramcin, Gentamcin,
Vancomcin, Clindamcin
57.
When rememering toxic effect of mcin' think _______
mice= ear
58.
What i the toxic effect of aminoglcoide and what mut ou monitor?
ototoxicit; monitor hearing, alance, and tinitu
59.
The human ear i haped like a _______ o another toxic effect of
aminoglcoide i _______ o monitor _______
kidne, nephrotoxicit, creatinine
60.
The numer "___" drawn inide the ear remind ou of cranial nerve ___ and
frequenc of adminitration ___
8, 8, Q8H
61.
Do not give aminoglcoide PO expect in thee 2 cae:
1. _______ _______ (due to high _______ level)
2. Preop _______ urger
hepatic encephalopath (liver coma, ammonia induce
encephalopath), ammonia, owel
62.
Who can terilize m owel?
Neo Kan
63.
What i the reaon for drawing Trough and Peak level?
Narrow therapeutic level
64.
When do ou ALWAYS draw the Trough?
30 minute efore next doe
65.
When do ou draw the Peak level of Sulingual medication?
510 minute after drug diolve
66.
When do ou draw the Peak level of IV medication?
1530 minute after medication i finihed
67.
When do ou draw the Peak level of IM medication?
3060 minute after injecting it
68.
When do ou draw the Peak level of SQ medication?
Depend on tpe of inulin
69.
When do ou draw the Peak level of PO medication?
Not necear
70.
What are iological Agent in Categor A?
STAPH
Small Pox
Tularemia
Anthrax
Plague
Hemorrhagic illne
otulim
71.
What are iological Agent in Categor ?
All other
72.
What are iological Agent in Categor C?
Nipeh Viru
Hanta Viru
73.
When it come to iological Agent: Categor __ i _______, Then Categor __,
Then Categor __
A, the wort, , C
74.
Small Pox
Inhaled tranmiion/ on airorne precaution
die from epticemia no treatment
rah tart around mouth firt
Categor A
75.
Tularemia
chet mptom
die from repirator failure
treat with treptomcin
Categor A
76.
Anthrax
pread inhalation
look like the flu
die from repirator failure
treat with upro, PCN, and treptomcin
Categor A
77.
Plague
pread inhalation
ha the 3 H': Hemopti (coughing up lood), Hematemei (vomiting
up lood), Hematochezia (lood in tool)
dei from repirator failure and DIC (leed to death)
treat with Doxccline and Mcin
no longer communicale after 48 hour of treatment
Categor A
78.
Hemorrhagic illnee
primar mptom are petechiae (pinpoint pot) and ecchmoe
(ruiing)
high ?tal
Categor A
79.
otulim
it i ingeted
ha 3 major mptom: decending parali, fever, ut i alert
die from repirator arret
Categor A
80.
What are ome example of chemical agent that caue ioterrorim?
Mutard ga
Canide
Phogine chlorine
Sarin
81.
What i the primar mptom of Mutard Ga?
liter (veicant)
82.
What i the primar mptom of Canide and how do ou treat it?
Repirator arret. Treat with Sodium Thioulfate IV
83.
What i the primar mptom of Phogine Chlorine?
Choking
84.
What are the mptom of Sarin (hint it' a nerve agent)?
SLUDG jut rememer ever ecretion in our od i eing
excreted exceivel
ronchopam
ronchorrhea
Salivating
Lacrimating (tear)
Urination
Diaphorei/ Diarrhea
G.I upet
mei
85.
What do ou ue when cleaning patient expoed to chemical agent?
All chemical agent require onl oap and water cleaning except
Sarin, which require leach.
86.
Which agent do ou iolate the patient for?
iological Agent
87.
Which agent do ou decontaminate for?
Chemical Agent
88.
How doe decontamination work?
Gather expoed people
Take to decontamination center where people remove clothing, hower,
dre in noncontaminated clothe, then releae to other ervice
Put contaminated clothing in pecial ag and throw awa (e ure not
to touch it)
89.
Calcium Channel locker: the are like ________ for our heart. What doe
that mean?
Valium. It relaxe the heart
90.
Calcium Channel locker: _______ inotropoic, chronotropic, dromotropic
Negative
91.
Inotropic
trength of heart
92.
Poitive Inotropic
trong hearteat
93.
Negative Inotropic
weak hearteat
94.
Chronotropic
rate of hearteat
95.
Poitive Chronotropic
fat hearteat
96.
Negative Chronotropic
low hearteat
97.
Dromotropic
conductivit of heart
98.
Poitive Dromotropic
excitale heart
99.
Negative Dromotropic
lock/low conduction
100.
Poitive Inotropic, Chronotropic, and Dromotropic i een with which
medication?
atropine, epinephrine, and norepinephrine
101.
Negative Inotropic, Chronotropic, and Dromotropic i een with which
medication?
Calcium Channel locker and eta locker
102.
What do Calcium Channel locker treat? (indication)
Antihpertenive (decreae P)
Anti Angina (imalance etween O2 uppl and demand)
Anti Atrial Arrhthmic (Atrial flutter and Atrial firillation)
103.
What are ome of the ide effect of Calcium Channel locker?
Headache
Hpotenion
104.
Name of Calcium Channel locker can e rememered aing....
I op zem dipine in the Calcium Channel ("zem", "dipine",
"verapamil/ioptin")
105.
"QRS depolarization" alwa refer to __________
Ventricular (not atrial, junctional or nodal).
106.
"P wave" refer to _________
Atrial
107.
Atole
a lack of QRS depolarization (flat line)
108.
Atrial Flutter
rapid Pwave depolarization in a awtooth pattern (flutter)
109.
Atrial Firillation
chaotic Pwave depolarization
110.
Ventricular Tachcardia
wide izarre QRS'
111.
Premature Ventricular Contraction (PVC)
Periodic wide, izarre QRS'
112.
e concerned aout PVC' if:
More than 6 per minute
6 in a row
PVC fall on Twave of previou eat
113.
What are the lethal arrhthmia?
atole and ventricular firillation
114.
What i the potentiall lifethreatening arrhthmia?
1. vtach, 2. afi, 3. aflutter
115.
When dealing with an IV puh drug if ou don't know go ____ except
________!
low, adenocard
116.
What i the treatment for PVC'?
lidocaine and amiodarone
117.
What i the treatment for V Tach?
lidocaine and amiodarone
118.
What are the treatment for upraventricular arrhthmia?
ACD
Adenocard/adenoine
etalocker (end in lol)
Calcium Channel locker
Digitali/Digoxin (lanoxin)
119.
What i the treatment for Vfi?
ou defi
120.
What i the treatment for Atol?
Give pi firt then Atropine
121.
atole
122.
atrial firillation
123.
atrial flutter
124.
Normal Sinu Rhthm
125.
Supraventricular tachcardia
126.
ventricular firillation
127.
The purpoe for chet tue i to reetalih _______ preure in the pleural
pace
negative
128.
In the pneumothorax, the chet tue remove ___
air
129.
In the hemothorax, the chet tue remove _____
lood
130.
In the pneumohemothorax, the chet tue remove ___ and _____
air and lood
131.
when the chet tue i ______ (____) for ___. aka ____
Apical (high), air, apex
132.
When the chet tue i ______ (___) for _____ aka ____
ailar (low), lood, ae (ottom of lung)
133.
How man chet tue and where for unilateral pneumohemothorax?
2; apical and ailar on ide of pneumo
134.
How man chet tue and where for ilateral pneumothorax?
2; apical for oth
135.
How man chet tue and where for potop chet urger/chet trauma?
aume unilateral pneumohemothorax 2; apical and ailar on ide of
pneumo
136.
In routine _____ clamp chet tue. In emergenc _____ the chet tue
NVR; CLAMP
137.
What do ou do if ou kick over the collection ottle?
Set it ack up (not an emergenc)
138.
What do ou do if the water eal reak?
Firt clamp it, cut tue awa from device
et umerge the tue under water, then unclamp
139.
What do ou do if the chet tue come out?
Firt cover with a gloved hand
et cover the hole with vaeline gauze, put a dr terile dreing on
top, tape on 3 ide
140.
If there' uling in the water eal intermittentl it i...
good
141.
If there' uling in the water eal and it' continuou it i...
ad
142.
If there' uling in the uction control chamer intermittentl it i...
ad
143.
If there' uling in the uction control chamer continuoul it i...
good
144.
Rule for clamping the tue:
never clamp longer than __________ without Dr' order
ue _____________________________
15 econd, ruer tipped doule clamp
145.
ver congenital heart defect i either ___________ or ____ ___________
TRouLe, No TRouLe
146.
RL
Right to Left hunt
147.
lue
148.
T
tart with the letter "T"
149.
What are ome example of "TRouLe" congenital heart defect?
Trunku arterioi, Tran. poition of great veel, Tetrolog of Fallot,
Tricupid tenoi, TAPZ, Left ventricular hperplamic ndrome
150.
What are ome example of "No TRouLe" congenital heart defect?
Patent fore. ov., ventricular eptal defect, pulmonar tenoi
151.
Akk CHD kid will have 2 thing, whether TRouLe or No TRouLe...
1. Murmur
2. chocardiogram
152.
Four defect preent in Tetralog of Fallot are...
VarieD
PictureS
Of A
RancH
Ventricular Defect
Pulmonar Stenoi
Overriding Aorta
Right Hpertroph
153.
How do ou meaure crutche for a peron?
23 fingerwidth elow anterior axillar fold to a point lateral and
lightl in front of foot
154.
When the handgrip i properl placed, the angle of elow flexion will e ____
degree
30
155.
2 point gait
tep one move one crutch and oppoite foot together
tep two move other crutch and other foot together
(rememer 2 point together for a 2 point gait)
Ued for minor weakne on oth leg
156.
3 point gait
tep one move two crutche and ad leg together
tep two move good foot
(Rememer 3 point i called 3 point ecaue 3 point touch down at
once)
157.
4 point gait
tep one one crutch
tep two oppoite foot
tep three other crutch
tep four other foot
nothing move together and everthing i reall weak
158.
Swing through
for two raced extremitie
(Amputee)
159.
Ue the _____ numered gait when weakne i _______ ditriuted. ___
point for mild prolem and ___ point for evere
even, evenl, 2, 4
160.
Ue the ___ numered gait when one leg i ______
odd, effected
161.
Stair: which foot lead when going up and down tair on crutche? ______
with the _______ and _______ with the _____. The crutche alwa move with
the ____ leg
up, good, down, ad, ad
162.
Cane: Hold cane on the __________ _______ ide. Advance cane with the
_________ ide for a wide ae of upport
uneffected ide, oppoite
163.
What i the correct wa to ue a walker?
pick it up, et it down, and walk to it
164.
What i a ig NO when it come to walker?
Do not tie elonging to the front of the walker
165.
What i the correct wa to get up from a chair uing a walker?
Hold on to chair, tand up, then gra walker
166.
What i the difference etween a nonpchotic peron and a pchotic
peron?
a nonpchotic peron ha inight (know the're ick and that it'
meing them up) and i realit aed (the ee realit the ame wa
a ou) and a pchotic peron ha no inight and i not realitaed.
167.
Deluion
a fale, fixed elief or idea or thought. There i no enor component
168.
What are the 3 tpe of deluion?
Paranoid/Perecutor, Grandioe, & Somatic
169.
Paranoid or Perecutor Deluion
fale, fixed elief that people are out to harm ou
170.
Grandioe deluion
Fale, fixed elief that ou are uperior
171.
Somatic deluion
Fale, fixed elief aout a od part
172.
Hallucination
a fale, fixed enor exerience
173.
What are the 5 tpe of hallucination?
auditor (hearing), tactile (feeling), viual (eeing), gutator (tating),
and olofactor (melling)
174.
Illuion
a miinterpretation of realit. It i a enor experience
175.
What i the difference etween illuion and hallucination?
With illuion there i a referent in realit (omething to which the
can refer to)
176.
When dealing with a patient experiencing deluion, hallucination or
illuion, firt ak ourelf, "What i their prolem?" (what are the different
prolem that could e going on?)
functional pchoi, pchoi of dementia, and pchotic delirium
177.
What are the different tpe of functional pchoi?
chziophrenia, chzioaffected (mood diorder thought proce), major
depreion, and mania
178.
With a functional pchoi the patient ha the potential to learn realit.
How can ou teach realit to a functional pchotic?
1. acknowledge feeling
2. preent realit
a. poitive what i realit
. negative what i not realit
3. et a limit
4. enforce the limit
179.
Pchoi of dementia
People with Alzheimer', Wernicke', Organic rain Sndrome, and
dementia. Thi patient ha a rain detruction prolem and cannot
learn realit
180.
How do ou deal with a peron with Pchoi of Dementia?
1. Acknowledge feeling
2. Redirect get them to expre the fixation that the are expreing
inappropriatel to appropriatel
181.
Pchotic Delirium
Temporar epiodic econdar dramatic udden onet of lo of realit
due to chemical imalance (UTI, throid imalance, electrolte
imalance)
182.
How do ou deal with a patient with Pchotic Delirium?
1. Acknowledge feeling
2. Reaure them of afet and temporarne
183.
What are the different tpe of looening of aociation?
Flight of idea, word alad, neologim
184.
Flight of idea
Stringing phrae together (looel aociated phrae; tangentialit)
185.
Word alad
Throw word together
186.
Neologim
Making up new word
187.
Narrowed elfconcept
When a PSYCHOTIC refue to change their clothe or leave the room.
*don't make a pchotic do omething the don't want to do
188.
Idea of reference
You think everone i taking aout ou
189.
Dementia hallmark
Memor lo, inailit to learn.
*Functional can teach, dementia cannot
190.
Alwa acknowledge ______________
Feeling
191.
What are the 3 "Re'"?
Reaure
Redirect
Realit
192.
Diaete mellitu
An error of glucoe metaolim
193.
Diaete inipidu
Dehdration, polurethane, poldipia
194.
Tpe I Diaete Mellitu
Inulin dependent (not producing inukin)
Juvenile onet
Ketoi prone
195.
Tpe II Diaete Mellitu
Non inulin dependent (od reiting inulin)
Adult onet
Non ketoi prone
196.
Sign and mptom of diaete mellitu
Poluria (pee a lot)
Poldipia (drink a lot)
Polphagia (eat/wallow a lot)
197.
Treatment for Tpe I Diaete Mellitu
3. Diet (calorie from car)
1. Inulin
2. xercie
198.
Treatment for Tpe II Diaete Mellitu
1. Diet
3. Oral hpoglcemic
2. Activit
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