NR 601 / NR601 Primary Care of the Maturing and Aged Family Practicum Midterm Review | Rated A Complete Guide | Latest 2021/2022 | Chamberlain College

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NR 601 / NR601 Primary Care of the Maturing and Aged Family Practicum Midterm Review | Rated A Complete Guide | Latest 2021/2022 | Chamberlain College 1. What are signal symptoms of depression? ... - Feeling sad - Discouraged - Lack of pleasure in usual activities - Unmotivated - Low energy - Sleep/appetite disturbances 2. The symptoms of depression may encompass what 4 domains? - Affect/mood - Cognition - Physiological - Behavior 3. What is treatment goal for depression? - Full remission and recovery 4. What are first-line meds for depression? - SSRIs: - fluoxetine (Prozac) - sertraline (Zoloft) - paroxetine (Paxil) - citalopram (Celexa) - escitalopram (Lexapro) - flovoxamine (Luvox) 5. What is transient insomnia? - Lasts a few nights. - Related to emotional stress. - Usually resolves w/out meds when elderly adapts to or removes change. 6. What is short-term insomnia? \ - Similar to transient insomnia. - Lasts <1mo - Related to acute medical/psychological condition or to persistent situational stress. 7. What is chronic insomnia? - Lasts >1mo - Results from age-related changes in sleep/chronic stressors. 8. What is treatment for insomnia? - Avoid caffeine for 12hrs before bedtime. - D/C ETOH/unnecessary sleep-interrupting drugs. - OTC melatonin or Rx ramelteon can be tried; if ineffective, initiate short-acting sedative-hypnotic like zolpidem (Ambien) or zaleplon (Sonata) at lowest dose before desired bedtime for 1wk or less. - Suggest spacing dose to every other day to avoid SE. - If benzos used, temazepam (Restoril) is relatively short-acting; if ineffective, re-eval dx and restructure treatment modalities. 9. What are signal symptoms of polymyalgia rheumatica? - New onset stiffness/aching in neck, shoulders, pelvic girdle. - Unable to get out of bed in the morning w/out extreme difficulty. - Difficulty lifting arms over head. 10. What are common lab findings in polymyalgia rheumatica? - Elevated ESR and CRP - Normochromic, normocytic anemia - Thrombocytosis 11. What is treatment for PMR? - If s/s are only of PMR and not of GCA as well, start low dose prednisone 10-20mg/day and taper dose. 12. What are signal symptoms of rheumatoid arthritis? - Morning stiffness - Joint deformities - Rheumatoid nodules - Symmetrical inflammatory polyarthritis 13. What are diagnostic tests for RA? - Rheumatoid factor (RF) - ESR - CRP - Erosive dz and raised RF indicate seropositive RA 14. What is treatment for RA? - Drug management is for symptom/dz control. - For symptoms: - Corticosteroids - Analgesia - NSAIDs - For dz control: [Show More]

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