AANP Adult gerontology primary care
nurse practiotioner study guide
Exam Review 2023
Pheochromocytoma - ANS-small vascular tumor of the adrenal
... [Show More] medulla, causing
irregular secretion of epinephrine and norepinephrine, leading to attacks of raised blood
pressure, palpitations, and headache. Tx with Alpha blockers
Rovsing's Sign - ANS-Palpation in LLQ ilicits pain in RLQ indicates appendicitis
NYHA classes of Heart Failure - ANS-I No limitation of physical activity. Ordinary
physical activity does not cause undue fatigue, palpitation, dyspnea (shortness of
breath).
II Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity
results in fatigue, palpitation, dyspnea (shortness of breath).
III Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity
causes fatigue, palpitation, or dyspnea.
IV Unable to carry on any physical activity without discomfort. Symptoms of heart failure
at rest. If any physical activity is undertaken, discomfort increases.
Step-wise Approach to Asthma Diagnosis & Treatment - ANS-Step 1- Mild Intermitten
FEV1/PEF > 80% predicted. Symptoms <2 days/week. Albuterol as needed.
Step 2- Mild presistent Asthma (FEV1/PEF > 80% predicted. Symptoms > 2 days/week.
Albuterol as needed. Low dose ICS ex Flovent. Alt cromolyn, montelukast, nedocromil,
theophylline.
Step 3- Mod presistent (FEV1 or PEF 60-80% predicted. Daily Symptoms. SABA plus
low dose ICS or med dose ICS or low dose with leukotriene inhibitor (singulair,
theophylline, zileuton).
Step 4- Severe presistent asthma (FEV1/PEF <60% predicted. Symptoms most of day.
High dose ICS plus long acting B2 agonist plus oral steroid daily (prednisone).
Peak Expiratory Flow Rate (HAG):
Green Yellow Red Zone: - ANS-PEF based on Height Age Gender. Blow hard using
spirometer highest value recorded.
80-100% expected volume Green Zone maintain or reduce meds
50-80% expected volume Yellow Zone increase maintenance therapy. Or Having
exacerbation.
Below 50% expected volume Red Zone call 911 give epinephrine inj.
PPD - ANS-Neg- No firm bump forms at the test site, or a bump forms that is smaller
than 5 mm (0.2 in.).
A firm bump that is 5 mm (0.2 in.) in size suggests a TB infection in people who are in a
high-risk group. HIV, immunocompromise, exposed.
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