100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
AG-ACNP 1 Final Exam with Complete Solutions $15.99   Add to cart

Exam (elaborations)

AG-ACNP 1 Final Exam with Complete Solutions

 0 view  0 purchase
  • Course
  • ACNP
  • Institution
  • ACNP

AG-ACNP 1 Final Exam with Complete Solutions

Preview 4 out of 42  pages

  • November 11, 2024
  • 42
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ACNP
  • ACNP
avatar-seller
ExamRoom
AG-ACNP 1 Final Exam with Complete
Solutions
What is the Wells score for intermediate probability of PE? What should we do to make a
diagnosis? Correct Ans-2-6

Get a D-dimer

Neg=PE unlikely

Positive=get a CTA, VQ if CTA contraindicated



What is the next step if the patients Wells score is >6? Correct Ans-CTA or VQ scan if CTA
contraindicated



IF patient is too unstable for CTA what are 2 other diagnostic test that can be done? Correct
Ans-Echocardiogram- look for RV strain

or

Venous Doppler



Treatment for a hemodynamically stable patient with PE and no contraindications for
anticoagulation? Correct Ans-Based off clinical suspicion of PE:

High: Anticoagulate, then get diagnostics

Moderate: Anticoagulate if diagnostics will be delayed

Low: diagnostics first, then anticoagulate if +PE

,Treatment for a hemodynamically stable patient with PE and WITH contraindications for
anticoagulation? Correct Ans-Diagnostics, then IVC filter if +PE




What are the bleeding risk factors for patients if prescribed anticoagulants? Correct Ans-Age
>65

Age >75

Previous bleeding

Cancer

Metastatic Cancer

Renal failure

Liver failure

Thrombocytopenia

Previous stroke

Diabetes

Anemia

Anti-platelet therapy

Poor anticoagulant control

Reduced functional capacity

Recent surgery

Frequent falls

ETOH abuse



Treatment for a hemodynamically UNstable patient with PE? Correct Ans-Resuscitation

,Anticoagulate with IV heparin

portable perfusion scan or echocardiogram

positive evidence of RV overload

any contraindications to thrombolytics?

No- hold anticoagulation and administer thrombolytics

Yes- catheter based or surgical embolectomy



The follow list are?

Prior ICH

Structural cerebral vascular lesion

Malignant intracranial lesion

Ischemic stroke <3 months

Aortic dissection

Active bleeding

Closed-head or facial trauma <3 months Correct Ans-ABSOLUTE contraindications to
Fibrinolytic Therapy



What are the RELATIVE contraindications to fibrinolytic therapy? Correct Ans-
Uncontrolled, chronic, severe HTN

HTN >180/110

Ischemic Stroke >3 months

Prolonged CPR <3 weeks

Major surgery <3 weeks

, Recent internal bleeding

Recent invasive procedure

Pregnancy

Active peptic ulcer

Pericarditis/effusion

INR >1.7

Age >75

Diabetic retinopathy



What is the preferred anticoagulation medication for a patient with CA or bridge for Coumadin
tx? Correct Ans-Low molecular-weight heparin

Enoxaparin: 1mg/kg SQ q12hrs or 1.5mg/kg daily

CrCl <30: 1mg/kg SQ daily



What anticoagulation is recommended for patients with severe renal failure, massive PE, SQ
absorption issues, or if thrombolytics are being considered? Correct Ans-Unfractionated
Heparin

80units/kg IV, then 18 units/kg per hour infusion



What anticoagulation is preferred for non-CA patients? Correct Ans-DOACs

Dabigatran, rivaroxaban, apixaban, or edoxaban

Use Warfarin for patients with contraindications to DOACs

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller ExamRoom. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $15.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

80796 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$15.99
  • (0)
  Add to cart