NR 302 FINAL EXAM STUDY GUIDE HEALTH
ASSESSMENT I (3 VERSIONS)-LATEST
What constitutes drug resistant TB - ANS-MDR- TB is TB that is
resistant to both isoniazid and rifampin
XDR-TB is a sev. Form of MDR-TB & is resistant to not only
isoniazid and rifampin, but also ALL fluoroquinolones AND at
least one of the injectable second line anti-TB drugs (amikacin or
capreomycin)
Treatment of TB in a pregnant person, what all should be
included? - ANS-oINH & Rifabutin(safest), along with pyridoxine
supplements.
Isoniazid (INH) is a drug that can be used to prevent TB in people
that have been exposed. - ANS-o
,Which H2 receptor is most likely to interact due to CYP450
enzyme system? - ANS-Cimetidine (Tagamet)
, What labs are used to diagnose Thyroid? - ANS-TSH, total T4
and T3, free T4 and T3
Timeframe for re-check of labs after starting levothyroxine - ANS-
6-8 wks after starting therapy
Signs and symptoms of hypothyroidism - ANS-Face: Pale, puffy,
expressionless
Skin: Cold and dry
Hair: Brittle and hair loss
Heart rate and temp are lowered
Complaints by patient: lethargy, fatigue, intolerance to cold
Mentation may be impaired
Thyroid enlargement if ↓'d levels of T3 and T4 promoting
excessive release of TSH
Treatment of thyroid storm - ANS-High dose potassium iodide or
strong iodine solution to suppress thyroid hormone release,
methimazole to suppress thyroid hormone synthesis,
beta blocker to reduce heart rate, sedation cooling glucocorticoids
and IV fluids
Result of not treating hypothyroidism during pregnancy - ANS-
permanent neurological defects, ↓'d IQ, large protruding tongue,
potbelly dwarfish stature, impaired development of nervous
system bone teeth and muscles.
Medication to treat symptoms of hyperthyroidism (notice this is
treating symptoms and not the hyperthyroidism itself) - ANS-
Metoprolol could be used to treat tachycardia experienced with
hyperthyroidism, but it does not treat hyperthyroidism itself.
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