219 Final

fluid overproduction or insufficient drainage; peripheral vision changes

eye puff test for intraocular pressure (IOP)

less severe, chronic, progressive

diabetes, FH, age, african and south american

medical emergency, complete occlusion, leads to blindness, painful

mannitol, latanoprost

causes iris to turn brown

burning in eyes; this is normal and expected

decreased HR + BP; use caution in patients with asthma

dry ears w/ washcloth or cool air, don't wear earplugs a lot, don't remove earwax

they can resolve on their own

vitamins A, E, and C and zinc; laser therapy; nothing is curative

gentle cleansing soap + water BID, benzoyl peroxide

corticosteroids

acyclovir

tanning beds, age, sun exposure, FH, genetics, smoking

temp control, protection (first line of defense), vitamin D production, drug absorption

bacterial infection; honey colored crust on ruptured vesicles; antibiotics

severely teratogenic, must use 2 forms of BC and sign form stating BC use

silvery scales, autoimmune disorder, psoriatic arthritis

Humira/corticosteroids (cause increased risk of infection)

produced in liver

lower LDLs; causes flushing- use ER niacin to prevent

stop smoking, lower saturated fats, exercise

protein binding; increases effect of warfarin and therefore bleeding risk

want LDL, VLDL, triglycerides LOW; want HDL HIGH

give at night (cholesterol more active at night); monitor for rhabdomyolysis (muscle pain/aches)

dysuria, polyuria, nocturia, hematuria, cloudy urine, foul smell, increased WBCs, abdominal cramping, fever, decreased appetite, kidney pain, confusion in elderly

upper UTI in kidneys, flank pain, fever, dysuria

creatinine clearance (contraindicated if <60)

loose clothing, wipe front to back, hydrate, pee after sex, no baths/hot tubs, fragrance free soaps

direct penetration

kidneys primarily, respiratory secondary

maximum effect with minimum harm

prevents some drugs from crossing easily

activation or inactivation of drugs by the liver when taken orally

higher risk for toxicity

decrease parasympathetic response (increases BP, HR, RR, dilates pupils, decreases digestion)

vitamin K for warfarin, naloxone for opioids

respiratory (fastest) & renal (most effective)

7.35-7.45

filtration

insulin w/ glucose, kayexalate

potassium; bananas, avocados

fast acting, treats pulmonary edema, causes increased urination, ototoxic, hypokalemia

ototoxicity

d/t immunosuppression from another infection; superinfection is one type d/t resistant bacteria

BUN and creatinine

causes photosensitivity; binds to Ca- can cause fetal harm and tooth discoloration

treat MRSA and C. diff; red man syndrome- monitor airway and slow the med

stop infusion, check airway, call doc, administer epi, antihistamine

contact precautions, treat w/ acyclovir, rash doesn't cross midline

TD4 cells, lower WBCs

secondary infection is main cause of death

peripheral edema

pulmonary edema

green halos, draw labs, digoxin immune fab

SA node, AV node, bundle of HIS, L+R bundle branches, Purkinje fibers

treat HTN; persistent, dry cough

vasodilator, monitor BP, headaches

stable: pain goes away at rest; unstable: pain doesn't go away

PT INR