Mark Klimek Yellow Book Download


1.

Rule of the ': If the ____ and the _____ are ______ in the ame direction then

it i meta_____

pH, icar, oth, olic

2.

pH 7.30_______ HCO3 20_______

↓= acidoi; ↓= metaolic

3.

pH 7.58_______ HCO3 32_______

↑= alkaloi; ↑= metaolic

4.

pH 7.22_______ HCO3 30_______

↓= acidoi; ↑= repirator

5.

You are providing care to a client with the following lood ga reult: pH

7.32, CO2 49, HCO3 29, PO2 80, and SaO2 90%. aed on thee reult, the

client i experiencing:

↓= acidoi; ↑= repirator

6.

MacKumaul

The onl acid ae to caue Kumaul repiration i Metaolic

ACidoi

Mark Klimek­ Yellow Book

Return to deck

7.

A the _______ goe, o goe _______ except for _______

pH, m patient, Potaium

8.

Up

hokalemia, alkaloi, HTN, Tachcardia, Tachpnea, Seizure,

Irritailit, Spatic, Diarrhea, ororgme, hperreflexia, etc

9.

Down

hperkalemia, acidoi, htn, radcardia, contipation, aent owel

ound, flacid, radpnea

10.

Caue of acid­ae imalance: Firt ak ourelf, "I it _______?" If e, then

it' _______. Then ak ourelf: "Are the _______ or _______. If _______, pick

_______. If _______, pick _______

lung, repirator, overventilating, underventilating, overventilating,

alkaloi, underventilating, acidoi

11.

Caue of acid­ae imalance: If it' not lung, then it' _______. If the patient

ha _______ _______ vomiting or uction, pick _______. For everthing ele

that in't lung, pick _______ _______. When ou don't know what to pick,

chooe _______

metaolic, prolonged gatric, alkaloi, metaolic acidoi, metaolic

acidoi

12.

High preure alarm are triggered  _______ reitance to air flow.

increaed

13.

High preure alarm are triggered  increaed reitance to airflow and can

e caued  otruction of three tpe: _______ action, _______ action,

_______ action

(kinked tue) unkink, (water in tue) empt, (mucu in airwa) cough

and deep reathe

14.

Low preure alarm are triggered  _______ reitance to airflow.

decreaed

15.

Low preure alarm are triggered  decreaed reitance to airflow and can

e caued  diconnection of the _______ or _______

tuing (reconnect it), oxgen enor tue (reconnect it UNLSS tue i

on the floor­ ag them and call RT if thi happen)

16.

Repirator alkaloi mean ventilator etting ma e too _______

high

17.

Repirator acidoi mean ventilator etting ma e too _______

low

18.

What doe "wean" mean?

graduall decreae with the goal of getting off altogether

19.

What i Malow' highet priorit to lowet priorit?

1. Phiological

2. Safet

3. Comfort

4. Pchological (prolem within the peron)

5. Social (prolem with other people)

6. Spiritual

20.

Arrange from highet to lowet priorit uing Malow':

Denial

Spiritual Ditre

Pain in low

Fall Rik

Pathological Famil Dnamic

lectrolte Imalance

lectrolte Imalance (Phiological)

Fall Rik (Safet)

Pain in low (Comfort)

Denial (Pchological)

Pathological Famil Dnamic (Social)

Spiritual Ditre (Spiritual)

21.

What are the 5 tage of grief?

Denial

Anger

argain

Depreion

Acceptance

22.

The #1 prolem in aue i _______

denial

23.

Denial i the _______ to accept the _______ of their prolem

refual, realit

24.

Treating denial: _______ it  pointing out to the peron the difference

etween what the _______ and what the _______. In contrat, _______ the

denial of lo and grief

confront, a, do, upport

25.

Dependenc: When the _______ get the Significant Other to do thing for

them or make deciion for them

auer

26.

Codependenc: When the _______ _______ derive poitive _______ from doing

thing for or making deciion for the _______

Significant Other, elf­eteem, auer

27.

When treating dependenc/codependenc: Set _______ and _______ them.

Agree in advance on what requet are allowed, then enforce the agreement

limit, enforce

28.

When treating dependenc/codependenc: Work on the _______ of the

codependent peron

elf­eteem

29.

Manipulation: when the _______ get the _______ _______ to do thing for

him/her that are not in the _______ _______ of the _______ _______. The nature

of the act i _______ or _______ to the _______ _______

auer, ignificant other, interet, ignificant other, harmful, dangerou,

ignificant other

30.

Treating manipulation: et _______ and _______

limit, enforce

31.

Wernicke' (Korakoff') Sndrome: _______ induced  Vitamin

_______(thiamine) deficienc

Pchoi, 1

32.

Primar mptom of Wernicke' (Korakoff') Sndrome: _______ with

_______

amneia (memor lo), confaulation (make up tuff)

33.

Characteritic of Wernicke' (Korakoff') Sndrome:

1. _______

2. _______

3. _______

preventale (take vitamin)

arretale (take vitamin)

irreverile (kill rain cell)

34.

Antaue/Revia i aka _______ Therap

Averion

35.

Onet and duration of effectivene of Antaue/Revia: _______

2 week

36.

Patient teaching with Antaue/Revia: Avoid _______ form of _______ to

avoid _______, _______, _______

all, alcohol, nauea, vomiting, death

37.

What are example of product that contain alcohol?

mouth wah, cologne, perfume, afterhave, elixir, mot OTC liquid

medicine, inect repellant, vanilla extract, vinagerette, hand anitizer

38.

ver alcoholic goe through _______. Onl a minorit get _______

Alcohol Withdrawal Sndrome, Delirium Tremen

39.

_______ i not life­threatening. _______ can kill ou

Alcohol Withdrawal Sndrome, Delirium Tremen

40.

Patient with _______ are not a danger to themelve or other. Patient with

________ are dangerou to elf and other

Alcohol Withdrawal Sndrome, Delirium Tremen

41.

AWS or DT: emiprivate room, an location

AWS

42.

AWS or DT: private room near the nure' tation

DT

43.

AWS or DT: Regular diet

AWS

44.

AWS or DT: Clear liquid or NPO diet (rik for apiration)

DT

45.

AWS or DT: Up at liert

AWS

46.

AWS or DT: Retricted to edret with no athroom privilege

DT

47.

AWS or DT: No retraint

AWS

48.

AWS or DT: Uuall retrained with either vet or 2 point (1 arm and 1 leg)

DT

49.

AWS or DT: Give anti­HTN medication

oth

50.

AWS or DT: Give tranquilizer

oth

51.

AWS or DT: Give multivitamin to prevent Wernicke'

oth

52.

For Aminoglcoide, think " __ ____ ___ _____"

a mean old mcin

53.

When are antiiotic/aminoglcoide ued?

to treat eriou, life­threatening, reitant infection

54.

All aminoglcoide end in _______, ut not all drug that end in _______ are

aminoglcoide.

mcin, mcin

55.

What are ome example of wannae mcin?

Azithromcin, Clarithromcin, rthromcin

56.

What are ome example of aminoglcoide?

Streptomcin, Cleomcin, Toramcin, Toramcin, Gentamcin,

Vancomcin, Clindamcin

57.

When rememering toxic effect of mcin' think _______

mice= ear

58.

What i the toxic effect of aminoglcoide and what mut ou monitor?

ototoxicit; monitor hearing, alance, and tinitu

59.

The human ear i haped like a _______ o another toxic effect of

aminoglcoide i _______ o monitor _______

kidne, nephrotoxicit, creatinine

60.

The numer "___" drawn inide the ear remind ou of cranial nerve ___ and

frequenc of adminitration ___

8, 8, Q8H

61.

Do not give aminoglcoide PO expect in thee 2 cae:

1. _______ _______ (due to high _______ level)

2. Pre­op _______ urger

hepatic encephalopath (liver coma, ammonia induce

encephalopath), ammonia, owel

62.

Who can terilize m owel?

Neo­ Kan

63.

What i the reaon for drawing Trough and Peak level?

Narrow therapeutic level

64.

When do ou ALWAYS draw the Trough?

30 minute efore next doe

65.

When do ou draw the Peak level of Sulingual medication?

5­10 minute after drug diolve

66.

When do ou draw the Peak level of IV medication?

15­30 minute after medication i finihed

67.

When do ou draw the Peak level of IM medication?

30­60 minute after injecting it

68.

When do ou draw the Peak level of SQ medication?

Depend on tpe of inulin

69.

When do ou draw the Peak level of PO medication?

Not necear

70.

What are iological Agent in Categor A?

STAPH 

Small Pox

Tularemia

Anthrax

Plague

Hemorrhagic illne

otulim

71.

What are iological Agent in Categor ?

All other

72.

What are iological Agent in Categor C?

Nipeh Viru

Hanta Viru

73.

When it come to iological Agent: Categor __ i _______, Then Categor __,

Then Categor __

A, the wort, , C

74.

Small Pox

Inhaled tranmiion/ on airorne precaution

die from epticemia­ no treatment

rah tart around mouth firt

Categor A

75.

Tularemia

chet mptom

die from repirator failure

treat with treptomcin

Categor A

76.

Anthrax

pread  inhalation

look like the flu

die from repirator failure

treat with upro, PCN, and treptomcin

Categor A

77.

Plague

pread  inhalation

ha the 3 H': Hemopti (coughing up lood), Hematemei (vomiting

up lood), Hematochezia (lood in tool)

dei from repirator failure and DIC (leed to death)

treat with Doxccline and Mcin

no longer communicale after 48 hour of treatment

Categor A

78.

Hemorrhagic illnee

primar mptom are petechiae (pinpoint pot) and ecchmoe

(ruiing)

high ?tal

Categor A

79.

otulim

it i ingeted

ha 3 major mptom: decending parali, fever, ut i alert

die from repirator arret

Categor A

80.

What are ome example of chemical agent that caue ioterrorim?

Mutard ga

Canide

Phogine chlorine

Sarin

81.

What i the primar mptom of Mutard Ga?

liter (veicant)

82.

What i the primar mptom of Canide and how do ou treat it?

Repirator arret. Treat with Sodium Thioulfate IV

83.

What i the primar mptom of Phogine Chlorine?

Choking

84.

What are the mptom of Sarin (hint it' a nerve agent)?

 SLUDG­ jut rememer ever ecretion in our od i eing

excreted exceivel

ronchopam

ronchorrhea

Salivating

Lacrimating (tear)

Urination

Diaphorei/ Diarrhea

G.I upet

mei

85.

What do ou ue when cleaning patient expoed to chemical agent?

All chemical agent require onl oap and water cleaning except

Sarin, which require leach.

86.

Which agent do ou iolate the patient for?

iological Agent

87.

Which agent do ou decontaminate for?

Chemical Agent

88.

How doe decontamination work?

Gather expoed people

Take to decontamination center where people remove clothing, hower,

dre in non­contaminated clothe, then releae to other ervice

Put contaminated clothing in pecial ag and throw awa (e ure not

to touch it)

89.

Calcium Channel locker: the are like ________ for our heart. What doe

that mean?

Valium. It relaxe the heart

90.

Calcium Channel locker: _______ inotropoic, chronotropic, dromotropic

Negative

91.

Inotropic

trength of heart

92.

Poitive Inotropic

trong hearteat

93.

Negative Inotropic

weak hearteat

94.

Chronotropic

rate of hearteat

95.

Poitive Chronotropic

fat hearteat

96.

Negative Chronotropic

low hearteat

97.

Dromotropic

conductivit of heart

98.

Poitive Dromotropic

excitale heart

99.

Negative Dromotropic

lock/low conduction

100.

Poitive Inotropic, Chronotropic, and Dromotropic i een with which

medication?

atropine, epinephrine, and norepinephrine

101.

Negative Inotropic, Chronotropic, and Dromotropic i een with which

medication?

Calcium Channel locker and eta locker

102.

What do Calcium Channel locker treat? (indication)

Antihpertenive (decreae P)

Anti Angina (imalance etween O2 uppl and demand)

Anti Atrial Arrhthmic (Atrial flutter and Atrial firillation)

103.

What are ome of the ide effect of Calcium Channel locker?

Headache

Hpotenion

104.

Name of Calcium Channel locker can e rememered  aing....

I op zem dipine in the Calcium Channel ("zem", "dipine",

"verapamil/ioptin")

105.

"QRS depolarization" alwa refer to __________

Ventricular (not atrial, junctional or nodal).

106.

"P wave" refer to _________

Atrial

107.

Atole

a lack of QRS depolarization (flat line)

108.

Atrial Flutter

rapid P­wave depolarization in a aw­tooth pattern (flutter)

109.

Atrial Firillation

chaotic P­wave depolarization

110.

Ventricular Tachcardia

wide izarre QRS'

111.

Premature Ventricular Contraction (PVC)

Periodic wide, izarre QRS'

112.

e concerned aout PVC' if:

More than 6 per minute

6 in a row

PVC fall on T­wave of previou eat

113.

What are the lethal arrhthmia?

atole and ventricular firillation

114.

What i the potentiall life­threatening arrhthmia?

1. v­tach, 2. a­fi, 3. a­flutter

115.

When dealing with an IV puh drug if ou don't know go ____ except

________!

low, adenocard

116.

What i the treatment for PVC'?

lidocaine and amiodarone

117.

What i the treatment for V Tach?

lidocaine and amiodarone

118.

What are the treatment for upraventricular arrhthmia?

ACD

Adenocard/adenoine

etalocker (end in lol)

Calcium Channel locker

Digitali/Digoxin (lanoxin)

119.

What i the treatment for V­fi?

ou defi

120.

What i the treatment for Atol?

Give pi firt then Atropine

121.

atole

122.

atrial firillation

123.

atrial flutter

124.

Normal Sinu Rhthm

125.

Supraventricular tachcardia

126.

ventricular firillation

127.

The purpoe for chet tue i to re­etalih _______ preure in the pleural

pace

negative

128.

In the pneumothorax, the chet tue remove ___

air

129.

In the hemothorax, the chet tue remove _____

lood

130.

In the pneumohemothorax, the chet tue remove ___ and _____

air and lood

131.

when the chet tue i ______ (____) for ___. aka ____

Apical (high), air, apex

132.

When the chet tue i ______ (___) for _____ aka ____

ailar (low), lood, ae (ottom of lung) 

133.

How man chet tue and where for unilateral pneumohemothorax?

2; apical and ailar on ide of pneumo

134.

How man chet tue and where for ilateral pneumothorax?

2; apical for oth

135.

How man chet tue and where for pot­op chet urger/chet trauma?

aume unilateral pneumohemothorax­ 2; apical and ailar on ide of

pneumo

136.

In routine _____ clamp chet tue. In emergenc _____ the chet tue

NVR; CLAMP

137.

What do ou do if ou kick over the collection ottle?

Set it ack up (not an emergenc)

138.

What do ou do if the water eal reak?

Firt­ clamp it, cut tue awa from device

et­ umerge the tue under water, then unclamp

139.

What do ou do if the chet tue come out?

Firt­ cover with a gloved hand

et­ cover the hole with vaeline gauze, put a dr terile dreing on

top, tape on 3 ide

140.

If there' uling in the water eal intermittentl it i...

good

141.

If there' uling in the water eal and it' continuou it i...

ad

142.

If there' uling in the uction control chamer intermittentl it i...

ad

143.

If there' uling in the uction control chamer continuoul it i...

good

144.

Rule for clamping the tue:

never clamp longer than __________ without Dr' order

ue _____________________________

15 econd, ruer tipped doule clamp

145.

ver congenital heart defect i either ___________ or ____ ___________

TRouLe, No TRouLe

146.

R­L

Right to Left hunt

147.

lue

148.

T

tart with the letter "T"

149.

What are ome example of "TRouLe" congenital heart defect?

Trunku arterioi, Tran. poition of great veel, Tetrolog of Fallot,

Tricupid tenoi, TAPZ, Left ventricular hperplamic ndrome

150.

What are ome example of "No TRouLe" congenital heart defect?

Patent fore. ov., ventricular eptal defect, pulmonar tenoi

151.

Akk CHD kid will have 2 thing, whether TRouLe or No TRouLe...

1. Murmur

2. chocardiogram

152.

Four defect preent in Tetralog of Fallot are...

VarieD

PictureS

Of A

RancH

Ventricular Defect

Pulmonar Stenoi

Overriding Aorta

Right Hpertroph

153.

How do ou meaure crutche for a peron?

2­3 fingerwidth elow anterior axillar fold to a point lateral and

lightl in front of foot

154.

When the handgrip i properl placed, the angle of elow flexion will e ____

degree

30

155.

2 point gait

tep one­­ move one crutch and oppoite foot together

tep two­­ move other crutch and other foot together

(rememer 2 point together for a 2 point gait)

Ued for minor weakne on oth leg

156.

3 point gait

tep one­­ move two crutche and ad leg together

tep two­­ move good foot

(Rememer 3 point i called 3 point ecaue 3 point touch down at

once)

157.

4 point gait

tep one­­ one crutch

tep two­­ oppoite foot

tep three­­ other crutch

tep four­­ other foot

nothing move together and everthing i reall weak

158.

Swing through

for two raced extremitie

(Amputee)

159.

Ue the _____ numered gait when weakne i _______ ditriuted. ___

point for mild prolem and ___ point for evere

even, evenl, 2, 4

160.

Ue the ___ numered gait when one leg i ______

odd, effected

161.

Stair: which foot lead when going up and down tair on crutche? ______

with the _______ and _______ with the _____. The crutche alwa move with

the ____ leg

up, good, down, ad, ad 

162.

Cane: Hold cane on the __________ _______ ide. Advance cane with the

_________ ide for a wide ae of upport

uneffected ide, oppoite

163.

What i the correct wa to ue a walker?

pick it up, et it down, and walk to it

164.

What i a ig NO when it come to walker?

Do not tie elonging to the front of the walker

165.

What i the correct wa to get up from a chair uing a walker?

Hold on to chair, tand up, then gra walker

166.

What i the difference etween a non­pchotic peron and a pchotic

peron?

a non­pchotic peron ha inight (know the're ick and that it'

meing them up) and i realit aed (the ee realit the ame wa

a ou) and a pchotic peron ha no inight and i not realit­aed. 

167.

Deluion

a fale, fixed elief or idea or thought. There i no enor component

168.

What are the 3 tpe of deluion?

Paranoid/Perecutor, Grandioe, & Somatic

169.

Paranoid or Perecutor Deluion

fale, fixed elief that people are out to harm ou

170.

Grandioe deluion

Fale, fixed elief that ou are uperior

171.

Somatic deluion

Fale, fixed elief aout a od part

172.

Hallucination

a fale, fixed enor exerience

173.

What are the 5 tpe of hallucination?

auditor (hearing), tactile (feeling), viual (eeing), gutator (tating),

and olofactor (melling)

174.

Illuion

a miinterpretation of realit. It i a enor experience

175.

What i the difference etween illuion and hallucination?

With illuion there i a referent in realit (omething to which the

can refer to)

176.

When dealing with a patient experiencing deluion, hallucination or

illuion, firt ak ourelf, "What i their prolem?" (what are the different

prolem that could e going on?)

functional pchoi, pchoi of dementia, and pchotic delirium

177.

What are the different tpe of functional pchoi?

chziophrenia, chzioaffected (mood diorder thought proce), major

depreion, and mania

178.

With a functional pchoi the patient ha the potential to learn realit.

How can ou teach realit to a functional pchotic?

1. acknowledge feeling

2. preent realit

a. poitive­ what i realit

. negative­ what i not realit

3. et a limit

4. enforce the limit

179.

Pchoi of dementia

People with Alzheimer', Wernicke', Organic rain Sndrome, and

dementia. Thi patient ha a rain detruction prolem and cannot

learn realit

180.

How do ou deal with a peron with Pchoi of Dementia?

1. Acknowledge feeling

2. Redirect­ get them to expre the fixation that the are expreing

inappropriatel to appropriatel

181.

Pchotic Delirium

Temporar epiodic econdar dramatic udden onet of lo of realit

due to chemical imalance (UTI, throid imalance, electrolte

imalance)

182.

How do ou deal with a patient with Pchotic Delirium?

1. Acknowledge feeling

2. Reaure them of afet and temporarne

183.

What are the different tpe of looening of aociation?

Flight of idea, word alad, neologim

184.

Flight of idea

Stringing phrae together (looel aociated phrae; tangentialit)

185.

Word alad

Throw word together

186.

Neologim

Making up new word

187.

Narrowed elf­concept

When a PSYCHOTIC refue to change their clothe or leave the room.

*don't make a pchotic do omething the don't want to do

188.

Idea of reference

You think everone i taking aout ou

189.

Dementia hallmark

Memor lo, inailit to learn.

*Functional can teach, dementia cannot

190.

Alwa acknowledge ______________

Feeling

191.

What are the 3 "Re'"?

Reaure

Redirect

Realit

192.

Diaete mellitu

An error of glucoe metaolim

193.

Diaete inipidu

Dehdration, polurethane, poldipia

194.

Tpe I Diaete Mellitu

Inulin dependent (not producing inukin)

Juvenile onet

Ketoi prone

195.

Tpe II Diaete Mellitu

Non inulin dependent (od reiting inulin)

Adult onet

Non ketoi prone

196.

Sign and mptom of diaete mellitu

Poluria (pee a lot)

Poldipia (drink a lot)

Polphagia (eat/wallow a lot)

197.

Treatment for Tpe I Diaete Mellitu

3. Diet (calorie from car)

1. Inulin

2. xercie

198.

Treatment for Tpe II Diaete Mellitu

1. Diet

3. Oral hpoglcemic

2. Activit






























































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