NURS 6550 Acute Care Midterm Study Guide

NURS 6550 Acute Care Midterm Study Guide

Psychosocial

  • Generalized anxiety disorder diagnosis criteria
  • Treatment of acute panic attacks
    • What are the medications for initial/first line therapy
  • Inpatient treatment of depression. NURS 6550 Acute Care Midterm Study Guide.
    • What are the therapies for patient’s that won’t eat, take meds, etc.
  • When is serotonin norepinephrine reuptake inhibitor indicated, when is it contraindicated?
  • Venlafaxine dosing, when is follow up? What are you monitoring?
  • Endogenous depression pathophysiology is best described as?
  • Differences between panic attacks and panic disorder?
  • What are Major Depressive disorder symptoms?

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  • Identify the primary neurotransmitter in PTSD
  • PTSD diagnosis and treatment, meds (families/common meds)?
  • Familiarize yourself with the side effects of Lithium
  • Common adverse effects of atypical antipsychotics
  • Mental status changes in elderly… how do you evaluate?
  • Assessment of Delirium in geriatric patients
  • Short Confusion Assessment Method (Short CAM): what things are assessed?
  • Types of dementia, know differences?
  • Aricept and dosing and patient teaching?
  • Vascular dementia, what is it?
  • Management of disinhibition in elderly
  • Physical findings when death is imminent
  • Limits of pain medication on dying patient
  • Theories about successful aging…familiarize yourself with them
  • Psychological abuse of elders. NURS 6550 Acute Care Midterm Study Guide.
  • Death and the anxiety related to it, who’s at risk?
  • Age and suicide risk in the different age groups?
  • Assessing driver safety in elderly
  • Geriatric Depression Screen

EENT

  • What is acute angle glaucoma?
  • Familiarize yourself with Cataracts, presentation? TRX?
  • Chronic uveitis medication management
  • Gonococcal conjunctivitis presentation and medication management
  • Viral, allergic, bacterial conjunctivitis: know presentations and trx
  • Macular degeneration presentation and S&S, trx
  • Open angle glaucoma. NURS 6550 Acute Care Midterm Study Guide.
  • Metal FB in eye, how do you evaluate and how do you remove?
  • Penetrating eye injury treatment
  • Corneal abrasions: eval, presentation, medications, teaching, follow up/referral?
  • Orbital cellulitis: presentation, S&S
  • Orbital fractures: patho and causes, teaching for post-op/or discharge?
  • Different types of hearing loss and why they occur
  • Acute otitis media: causes, trx, presentation
  • Vertigo, how do you evaluate and trx?
  • Epistaxis: causes, trx, what to look for in complications? Infection?
  • Bacterial sinusitis: treatment, presentation, when you suspect it, what is GOLD standard of dx testing…
  • Tonsillitis presentation. NURS 6550 Acute Care Midterm Study Guide.
  • Epiglottitis presentation
  • Familiarize yourself with diagnostic studies for evaluation eye conditions in acute situations
  • Beta adrenergic antagonists: side effects
  • Cholinergic mimetics: side effects
  • Prostaglandin analogs: side effects
  • Osmotic diuretics: side effects
  • Bells palsy: S&S, treatment, pain management
  • Know causes (agents) of tonsil/throat pain
  • Know epiglottis presentation, causes and treatment
  • Know cranial nerves and their function
  • NURS 6550 Acute Care Midterm Study Guide

Cardiovascular disorders

  • ACS protocol: low risk vs high risk mi
  • Contraindications to thrombolytic therapy in stroke and MIs
  • MONA, what is it an when is it used?
  • Duke criteria for infective endocarditis, presentation and treatment
  • Heart murmurs: physical exams, grades of murmurs
  • Pericarditis s/sx, dx criteria and treatment
  • Be familiar with different heart sounds
  • Treatment and findings for acute anterior wall MI
  • Monitoring wedge pressures. NURS 6550 Acute Care Midterm Study Guide.
  • Presentation and Medications for CHF
  • Aortic stenosis classic presentation
  • Aortic regurgitation classic presentation
  • Diastolic failure, medication management
  • Thoracic aneurysm: how do you diagnosis, what is “critical “ presentation, risk factors?
  • Medications for acute descending aortic aneurysm
  • Treatment plans for PAD, presentation of PAD
  • Risk factors for DVT, how do you evaluate and r/o
  • PE risk factors, who’s at risk?
  • Hypertensive urgency vs. crisis
  • Secondary HTN causes. NURS 6550 Acute Care Midterm Study Guide.
  • Chronic venous insufficiency treatment
  • Cardiac rehab
  • Stroke treatment guidelines, when can you start tPA? When is it contraindicated?
  • Coumadin guidelines, how do you monitor, what is the goal? When do you start it?
  • How to read EKGs, common leads for a MI and consider pericarditis findings…
  • JNC 8 recommendations, know the recommended trx plans for various stages, when do you intervene

 

 

Respiratory

  • Intermittently controlled asthma – management, recognize who to d/c, admit, etc.
  • Mild asthma – management
  • Rescue therapy in Asthma
  • COPD – FEV1/FVC ratios, GOLD guidelines, outpt management, be able to STEP the therapy
  • PE – how to diagnose, risk factors, GOLD standard for testing
  • Causes of obstructive shock
  • ARDS maladaptive physiologic response, diagnostic criteria, THINK PATHO
  • Septic shock – vent settings. NURS 6550 Acute Care Midterm Study Guide.
  • ARDS: what is happening with perfusion and ventilation?
  • Pulmonary rehab and chronic obstructive pulmonary disease
  • Spirometric assessment; what do you do?
  • Pulmonary fibrosis and what risks are associated with this diagnosis
  • Pleural effusion: what does each fluid that can be found mean?
  • Respiratory risk factors for surgery
  • Pathophysiology of ARDS
  • GOLD stages of COPD, know what stage is what
  • Pulmonary function tests, be able to interpret
  • X-ray presentations and readings for pneumonia, CHF, COPD
  • CURB-65 criteria, what does each part mean, what does it stand for…
  • Pneumonias, types, treatments, causes, organisms
  • IGRA tests for TB
  • Labs to check before starting INH
  • VAP
  • NURS 6550 Acute Care Midterm Study Guide
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