• Generalized anxiety disorder diagnosis criteria
• Treatment of acute panic attacks
  • What are the medications for initial/first line therapy
• Inpatient treatment of depression
  • What are the therapies for patient’s that won’t eat, take meds, etc.
• When is serotonin norepinephrine reuptake inhibitor indicated, when is it contraindicated?
• Venlafaxine dosing, when is follow up? What are you monitoring?
• Endogenous depression pathophysiology is best described as?NURS 6550 Acute Care Midterm and Final Exams Study Guides
  

  NURS 6550 Acute Care Study Guide for Midterm

  Psychosocial

• Differences between panic attacks and panic disorder?
• What are Major Depressive disorder symptoms?
• Identify the primary neurotransmitter in PTSD
• PTSD diagnosis and treatment, meds (families/common meds)?
• Familiarize yourself with the side effects of Lithium
• NURS 6550 Acute Care Midterm and Final Exams Study Guides
• Common adverse effects of atypical antipsychotics
• Mental status changes in elderly… how do you evaluate?
• Assessment of Delirium in geriatric patients
• Short Confusion Assessment Method (Short CAM): what things are assessed?
• Types of dementia, know differences?
• Aricept and dosing and patient teaching?
• Vascular dementia, what is it?
• Management of disinhibition in elderly
• Physical findings when death is imminent
• Limits of pain medication on dying patient
• NURS 6550 Acute Care Midterm and Final Exams Study Guides
• Theories about successful aging…familiarize yourself with them
• Psychological abuse of elders
• Death and the anxiety related to it, who’s at risk?
• Age and suicide risk in the different age groups?
• Assessing driver safety in elderly
• Geriatric Depression Screen
• NURS 6550 Acute Care Midterm and Final Exams Study Guides

EENT

• What is acute angle glaucoma?
• Familiarize yourself with Cataracts, presentation? TRX?
• Chronic uveitis medication management
• Gonococcal conjunctivitis presentation and medication management
• Viral, allergic, bacterial conjunctivitis: know presentations and trx
• Macular degeneration presentation and S&S, trx
• NURS 6550 Acute Care Midterm and Final Exams Study Guides
• Open angle glaucoma
• Metal FB in eye, how do you evaluate and how do you remove?
• Penetrating eye injury treatment
• Corneal abrasions: eval, presentation, medications, teaching, follow up/referral?
• Orbital cellulitis: presentation, S&S
• Orbital fractures: patho and causes, teaching for post-op/or discharge?
• Different types of hearing loss and why they occur
• NURS 6550 Acute Care Midterm and Final Exams Study Guides
• Acute otitis media: causes, trx, presentation
• Vertigo, how do you evaluate and trx?
• Epistaxis: causes, trx, what to look for in complications? Infection?
• Bacterial sinusitis: treatment, presentation, when you suspect it, what is GOLD standard of dx testing…
• Tonsillitis presentation
• Epiglottitis presentation
• Familiarize yourself with diagnostic studies for evaluation eye conditions in acute situations
• Beta adrenergic antagonists: side effects
• NURS 6550 Acute Care Midterm and Final Exams Study Guides
• Cholinergic mimetics: side effects
• Prostaglandin analogs: side effects
• Osmotic diuretics: side effects
• Bells palsy: S&S, treatment, pain management
• Know causes (agents) of tonsil/throat pain
• Know epiglottis presentation, causes and treatment
• Know cranial nerves and their function
• NURS 6550 Acute Care Midterm and Final Exams Study Guides

Cardiovascular disorders

• ACS protocol: low risk vs high risk mi
• Contraindications to thrombolytic therapy in stroke and MIs
• MONA, what is it an when is it used?
• Duke criteria for infective endocarditis, presentation and treatment
• NURS 6550 Acute Care Midterm and Final Exams Study Guides
• Heart murmurs: physical exams, grades of murmurs
• Pericarditis s/sx, dx criteria and treatment
• Be familiar with different heart sounds
• Treatment and findings for acute anterior wall MI
• Monitoring wedge pressures
• Presentation and Medications for CHF
• Aortic stenosis classic presentation
• NURS 6550 Acute Care Midterm and Final Exams Study Guides
• Aortic regurgitation classic presentation
• Diastolic failure, medication management
• Thoracic aneurysm: how do you diagnosis, what is “critical “ presentation, risk factors?
• Medications for acute descending aortic aneurysm
• Treatment plans for PAD, presentation of PAD
• Risk factors for DVT, how do you evaluate and r/o
• PE risk factors, who’s at risk?
• Hypertensive urgency vs. crisis
• Secondary HTN causes
• Chronic venous insufficiency treatment
• Cardiac rehab
• Stroke treatment guidelines, when can you start tPA? When is it contraindicated?
• NURS 6550 Acute Care Midterm and Final Exams Study Guides
• Coumadin guidelines, how do you monitor, what is the goal? When do you start it?
• How to read EKGs, common leads for a MI and consider pericarditis findings…
• JNC 8 recommendations, know the recommended trx plans for various stages, when do you intervene

Respiratory

• Intermittently controlled asthma – management, recognize who to d/c, admit, etc.
• Mild asthma – management
• Rescue therapy in Asthma
• COPD – FEV1/FVC ratios, GOLD guidelines, outpt management, be able to STEP the therapy
• PE – how to diagnose, risk factors, GOLD standard for testing
• NURS 6550 Acute Care Midterm and Final Exams Study Guides
• Causes of obstructive shock
• ARDS maladaptive physiologic response, diagnostic criteria, THINK PATHO
• Septic shock – vent settings
• ARDS: what is happening with perfusion and ventilation?
• Pulmonary rehab and chronic obstructive pulmonary disease
• Spirometric assessment; what do you do?
• NURS 6550 Acute Care Midterm and Final Exams Study Guides
• Pulmonary fibrosis and what risks are associated with this diagnosis
• Pleural effusion: what does each fluid that can be found mean?
• Respiratory risk factors for surgery
• Pathophysiology of ARDS
• GOLD stages of COPD, know what stage is what
• Pulmonary function tests, be able to interpret
• NURS 6550 Acute Care Midterm and Final Exams Study Guides
• X-ray presentations and readings for pneumonia, CHF, COPD
• CURB-65 criteria, what does each part mean, what does it stand for…
• Pneumonias, types, treatments, causes, organisms
• IGRA tests for TB
• Labs to check before starting INH
• VAP
• NURS 6550 Acute Care Midterm and Final Exams Study Guides