ANP 650 Midterm Review Exam - Questions and Answers

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ANP 650 Midterm Review Exam - Questions and Answers A patient presents with SOB & cough. What should you think of? Respiratory v Cardiac etiologies - MI, HF, COPD, ACE Inhibitors, GERD Chest X-Ray (... Bronchitis) Will not have pleural effusion, will appear normal Chest X-Ray (PNA) Infiltrates/opacities Community Acquired Pneumonia (CAP) treatment - Azithromycin - Augmentin (Amox/Clav) + Doxy - 5-7 days If a patient received a thoracentesis, what would you look at to differentiate transudative or exudative effusion? - Bacteria culture - Protein - LDH Transudative v Exudative effusion: - Transudative effusions: caused by some combination of increased hydrostatic pressure and decreased plasma oncotic pressure. - Exudative effusions: result from increased capillary permeability, leading to leakage of protein, cells, and other serum constituents. Long term complications of OSA HTN, HF, MI, and Stroke Risk factors for OSA Obesity and being male A patient presents with chest pain and shows ischemic EKG changes Revascularization A patient presents with chest pain, diffuse ST elevations, and positional changes Pericarditis Different types of cardiomyopathy -Dilated: MI, ischemia, drug induced - Restrictive: fibrosis, autoimmune What would indicate a patient needs to be admitted? - ABG (hypoxia, acidosis) - Hyponatremia (120's) - Renal failure (BUN >20, Cr >1.2) - ALOC Cardiac Resynchronization Therapy (CRT) o Pacemakers: symptomatic bradycardia, heart blocks o Indication for resynchronization: HF o AICD: low EF after failed medical management, V-tach with good prognosis Indications for high intensity statin: Those who have athersclerotic cardiovascular disease (ASCVD) and are age 75 or younger. If you suspect CAD, what is the most accurate non-invasive diagnostic tool: Coronary CTA Coronary CTA T2DM Plan Metformin: Cheap. First line. Can lower A1C by 1.5%. Is it ok w/ his Kidney function? YES, but caution when GFR <50. S/e: Diarrhea/GI distress [Show More]

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