Aanp Adult Gerontology Primary Care Nurse Practiotioner Study Guide Exam Review 2023

Aspirin {Ans: Irrevesiable supresses platelet function for 7 days. discontinue if c/o tinnitus (toxicity). 81/day for chronic use. Give post MI/Stroke considered tertiary prevention. Avoid in children with viral infections less than 16 years causes Reye's syndrome.}Mitral Area {Ans: (apex of heart)- located in the fifth left intercostal space, medial to the midclavicular line.}Loop Diuretics {Ans: Examples a. Furosemide (Lasix) b. Bumetanide (Bumex) 2. Loop diuretics inhibit reabsorption of sodium and chloride at the proximal portion of the ascending loop of Henle, increasing water excretion. 3. Side effects / nursing care a. Hypokalemia, hypochloremic alkalosis, hyperuricemia (gout), hyperglycemia b. Teach high potassium foods to include in diet. c. Sulfonamide sensitive patients may have allergic reaction to furosemide. Ototoxicity, nephrotoxic. Hypovolemia, hypotension, pancreatitis, jaundice rash.}Colles fracture {Ans: the break of the distal end of the radius at the epiphysis often occurs when the pt has attempted to break his/her fall. fractured distal radius with dinner fork appearance.}Hypothyroidism {Ans: A disorder caused by a thyroid gland that is slower and less productive than normal The classic lab finding for hypothyroidism is a high TSH with low free T4(no not confuse with total T4) Tx with Levothyroxine (synthroid