You are caring for a patient with Alzheimer's disease. They have been on donepezil for 3 months but the family states they have not noticed any improvement. Should the medication be stopped? Why or why not?
Keep taking. Can take 6-12 months for improvement to be noticed. (could be slowing progression)
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15
Delirium is not serious and resolves on it's own. True or False?
FALSE- Medical Emergency. Must find cause and treat before irreversible damage
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15
What is glucosuria and why does it occur? T1 and/or T2 Diabetes?
Glucose in the urine; More glucose in bloodstream than kidneys can reabsorb into the body; T1 & T2
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15
How does Donepezil work?
Inhibits acetylcholinesterase- enzyme responsible for destruction of neurotransmitter: acetylcholine. Increases acetylcholine slows neuronal degradation.
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15
Disruptive Sleep Patterns can lead to a migraine. Does sleep affect seizure activity also?
No- Sleep is not related to the cause of a seizure
Give 15 g fast carbs. Recheck BG in 15 mins. If under 70 repeat 15g fast carbs. Recheck BG in 15 min. Repeat until BG >70. Recheck in 1 hour.
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15
Diabetic Ketoacidosis can occur in patients with Type 1 or Type 2 diabetes. True or False?
True (rare is T2 but possible)
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thief
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shark
Other team loses 10 points!
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gift
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15
A patient is diagnosed with hypothyroidism. What labs would you expect? (What is high/low?)
High TSH, Low T4, Low T3
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15
What is the goal A1C for a patient with DM?
<7% (could also be <8%)
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15
Myxedema can occur in severe hypothyroidism. How is this treated?
Arterial Blood Gases (CO2), O2, Caution with IV fluids, Passive rewarming with blankets, IV thyroid hormone
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15
Your patient recieved 5 units aspart insulin before meals. They also have a sliding scale. 0-150: 0 units; 151-200: 3 units; 201-250: 5 units: 251+: 9 units. Their BG is 197. How many units do you administer?