NURS 5463 Exam Study Guide.
Acute diarrhea - answersymptoms less than 4 weeks
chronic diarrhea - answerpersistant symptoms for 4 weeks for greater
chronic diarrhea causes - answerinfectious, inflammatory, malabsorptive, and malignant
evaluation of diarrhea includes - answerinfectious stool stud...
Acute diarrhea - answer✔symptoms less than 4 weeks
chronic diarrhea - answer✔persistant symptoms for 4 weeks for greater
chronic diarrhea causes - answer✔infectious, inflammatory, malabsorptive, and malignant
evaluation of diarrhea includes - answer✔infectious stool studies
endoscopy for chronic diarrhea
Bloating and gas may indicate - answer✔small intestinal bacterial overgrowth
should be assessed in all older patients with diarrhea as they are particularly susceptible to dehydration
- answer✔fluid status
should be obtained with recent antibiotic use - answer✔c-difficile testing
fecal elastase - answer✔evaluates for pancreatic insufficiency (chronic diarrhea)
fecal calprotectin - answer✔as an intestinal inflammatory marker
serologic testing with tissue transglutaminase IgA antibody - answer✔testing for celiac disease
breath testing - answer✔small intestinal bacterial overgrowth (sensitivity and specificity of this test are
poor)
diarrhea related to tube feeding - answer✔another important cause of acute and chronic diarrhea
c-difficile is treated with - answer✔oral vancomycin or fidaxomicin for 10 days as first-line therapy
failed first line treatment of c-difficile can be treated with - answer✔fecal microbiota transplantation
(FMT)
small intestinal bacterial overgrowth is treated with - answer✔antibiotics - 14 days
cipro, flagyl, neomycin, and rifaximin
Biomarkers tend to become markedly elevated in the face of serious bacterial infections - and normal
levels may be useful in rapidly ruling out such a process. - answer✔procalcitonin
community acquired antibiotic for the lung - answer✔ceftriaxone plus azithromycin
community acquired antibiotic for heart/intravascular catheter/unknown source - answer✔ceftriaxone
plus vancomycin
community acquired antibiotic for intra-abdominal - answer✔cefoxitin, ertapenem, moxifoxacin, or
ticarcillin/clavulanate OR
ceftriaxone plus metronidazole OR
cipro plus metronidazole
community acquired and hospital acquired antibiotic for skin and soft tissue - answer✔vanc and zosyn
add clindamycin with concerns for toxic shock syndrome
community acquired antibiotic for genitourinary - answer✔ceftriaxone or ampicillin/sulbactam
community acquired antibiotic for central nervous system - answer✔ceftriaxone (2 grams every 12
hours) plus
vancomycin plus
ampicillin (if age > 60)
healthcare associated antibiotic for lung - answer✔zosyn or cefepime or imipenem/cilastatin PLUS
amionoglycoside (mycins) or cipro PLUS
vanc or linezolid
Healthcare-associated infection (HAI) for heart/intravascular catheter/bloodstream/unknown source -
answer✔vanc PLUS
zosyn or cefepime or imipenem/cilastatin PLUS
an aminoglycoside (mycins)
Healthcare-associated infection (HAI) for intra-abdominal - answer✔imipenem/cilastatin or zosyn OR
cefepime plus flagyl PLUS
an aminoglycoside (mycins)
Healthcare-associated infection (HAI) for genitourinary - answer✔cefepime OR
zosyn OR
imipenem
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