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This document contains medical terminology and concepts related to various physical and mental health conditions. It discusses topics like depressed mood being best treated in the morning, hypoglycemia resulting from abruptly stopping TPN, nausea arising from increased hormones in pregnancy, symptoms of mania including grandiosity and euphoria, risks of low white blood cell count, and the use of medications like morphine, glucophage, haldol, and narcan in different medical situations.
Question trainer 2 notes
- 1. QUESTION TRAINER #2<br />Physical energy for depressed mood= best in the am<br />Pt on TPN but stopped abruptly-will get diaphoresis, tachycard, confusion, insulin levels remain high but glucose now low = hypoglycemia<br />Nausea-elevation in hormones from pregnancy<br />Mania=grandiose, diff concentrating, agitation, euphoria<br />Low WBC=risk for infection<br />Morphine decreases anxiety only<br />Hep A standard prec<br />7 yrs impending divorce- play therapy cuz have diff verbalizing emotions (express thru play)<br />IV pyelography taking Glucophage should stop 48hrs before=contrast causes life threatening lactic acidosis<br />DIABETES INSIPIDUS- decreased ADHfrom head injlarge dilute urine= opposite of SIADH (water wt gain, hyponatremic, & tachycardia<br />If spec grav is low=dehydration from all that urine coming out<br />Hyperglycemia-glucosuria, osmotic dieresis, loss of water & elect<br />LOW intestinal obstr=n/v, abdominal distention, hyperactive BS<br />DNR only when heart has stopped; not when correcting itrogenic sx so Narcan ok when resp 8,<br /> bp 86/50-may need to give 2 or 3 times<br />paranoid schizo-dont ask about false ideas will get defensive & engage in further distortion!<br />Haldol- blood dyscrasia ( increase in WBC & platelets?? Imbalanced state) & extrapyramidal sx<br />