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Nurse Practitioner Certification Examination and Practice Preparation 4th Edition, Fitzgerald, 2015 | Nurse Practitioner (NP) School Study Aid
Erikson’s Theory of Psychosocial Development - Stage 1 (Infancy)
- Age
- Infancy (Birth to 18 months)
- Basic Conflict
- Trust vs. Mistrust
- Important Events
- Feeding
- Virtue
- Hope
- Freud Stage
- Oral
2 mins
Erikson’s Theory of Psychosocial Development - Stage 2 (Toddler)
- Age
- Toddler (1-3 Years)
- Basic Conflict
- Autonomy vs. Shame and Doubt
- Important Events
- Toilet Training
- Virtue
- Will
- Freud Stage
- Anal
1 min
Erikson’s Theory Of Psychosocial Development - Stage 3 (Preschool Age)
- Age
- Preschool (3-5 Years)
- Basic Conflict
- Initiative vs. Guilt
- Important Events
- Exploration
- Virtue
- Purpose
- Freud Stage
- Phallic
1 min
Erikson’s Theory Of Psychosocial Development - Stage 4 (School Age)
- Age
- School Age (6-12 Years)
- Basic Conflict
- Industry vs. Inferiority
- Important Events
- School
- Virtue
- Competence
- Freud Stage
- Latency
2 mins
Erikson’s Theory Of Psychosocial Development - Stage 5 (Adolescence)
- Age
- Adolescent (12-18 Years)
- Basic Conflict
- Identity vs. Role Confusion
- Important Events
- Social Relationships
- Virtue
- Fidelity
- Freud Stage
- Genital
2 mins
Erikson’s Theory Of Psychosocial Development - Stage 6 (Young Adulthood)
- Age
- Young Adult (20-30 Years)
- Basic Conflict
- Intimacy vs. Isolation
- Important Events
- Romantic Relationships
- Virtue
- Love
1 min
Erikson’s Theory Of Psychosocial Development - Stage 7 (Adulthood)
- Age
- Adulthood (Age 30 - 65 Years)
- Basic Conflict
- Generativity vs. Stagnation
- Important Events
- Career & Parenthood
- Virtue
- Care
1 min
Erikson’s Theory Of Psychosocial Development - Stage 8 (Older Adult)
- Age
- Older Adult (65+ to Death)
- Basic Conflict
- Integrity vs. Despair
- Important Events
- Reflection on Life
- Virtue
- Wisdom
1 min
Cataract
- Mechanism
- Age-related
- Assessment
- No Pain
- Cloudy Opaque Lens
- Decreased Visual Acuity
- Occurs Gradually
- Treatment
- Surgery
1 min
Age-Related Macular Degeneration (AMD)
- Mechanism
- Dry (nonexudative)
- Wet (exudative)
- Signs and Symptoms
- Scotomas
- Blurred, Darkened Vision
- Loss of Central Vision
- Distortion of Vision
- Considerations
- Drug Therapy
- Surgery
- Low-vision Assistive Devices
2 mins
Phenytoin
- Indications
- Status Epilepticus
- Tonic-Clonic Seizures
- Mechanism of Action
- Blocks Na+ Channel Activation
- Inhibition of Glutamate Release
- Class IB Antiarrhythmic
- Side Effects
- Teratogenic
- Macrocytic Megaloblastic Anemia
- Induce Cytochrome P450
- Drug-induced Lupus
- Neuropathy
- Hirsutism
- Gingival Hyperplasia
1 min
Proton Pump Inhibitors (PPIs)
- "-prazole" Suffix
- Indications
- Zollinger-Ellison Syndrome
- Gastritis
- Peptic Ulcer
- Gastroesophageal Reflux Disease (GERD)
- Mechanism
- Inhibit H+/K+/ATPase
- Side Effects
- Hip fracture
- Pneumonia
2 mins
Trimethoprim
- Mechanism of Action
- Bacteriostatic
- Inhibits Bacterial Dihydrofolate Reductase
- Causes Sequential Block of Folate Synthesis
- Used in Combination with Sulfamethoxazole
- Combination Used For Recurrent Urinary Tract Infections
- Indications
- Shigella
- Salmonella
- Pneumocystis Jiroveci Pneumonia
- Side Effects
- Decrease in Red and White Blood Cells
- Alleviated with Leucovorin Rescue
2 mins
Warfarin
- Mechanism of Action
- Interferes with Vitamin K-dependent Clotting Factors
- Extrinsic Pathway
- Bridge with Heparin
- Indications
- Chronic Anticoagulation
- Side Effects
- Bleeding
- Necrosis
- Cytochrome P450
- Contraindications
- Pregnancy
- Antidote
- FFP + Vitamin K
2 mins
Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
- Indications
- Depression
- Diabetic Peripheral Neuropathy
- Duloxetine
- Panic and Anxiety
- Venlafaxine
- Mechanism of Action
- Inhibits Reuptake of Serotonin and NE
- Side Effects
- Hypertension
- Insomnia
- Nausea and Vomiting
- Decreased Libido
1 min
Tricyclic Antidepressants (TCAs) Overview
- Mechanism of Action
- Blocks Serotonin and NE Reuptake
- Lipid-soluble
- Side Effects
- Adverse CNS Effects
- Anticholinergic
- Antihistamine
- Tri-C: Convulsion, Coma, Cardiotoxicity
- Blocks Alpha1 Receptors
2 mins
Tricyclic Antidepressants (TCAs) Indications
- Indications
- Major Depression
- Bedwetting
- Fibromyalgia
- OCD
- Drugs
- -Iptyline or -Ipramine Suffix
- Amitriptyline
- Desipramine
- Clomipramine
- Imipramine
- Nortriptyline
2 mins
Gabapentin
- Primary Indication
- Seizure Treatment
- Secondary Indications
- Peripheral Neuropathy
- Postherpetic Neuralgia
- Bipolar Disorder
- Migraine Prophylaxis
- Characteristics
- Inhibits Voltage-Gated Ca2+ channels
- Designed as a GABA Analog
- Side Effects
- Ataxia
- Sedation
2 mins
Codeine
- Mechanism
- Opioid Receptor Agonist
- Indications
- Mild to Moderate Pain
- Cough Suppressant
- Side Effects
- Sedation
- Constipation
- Miosis
- Considerations
- Close Monitoring When Breast Feeding
- Often Combined with Non-Opioids
2 mins
Morphine
- Mechanism
- Opioid Receptor Agonist
- Indications
- Pain
- Myocardial Infarction
- Side Effects
- Nausea and Vomiting
- CNS Depression
- Biliary Colic
- Constipation
- Increased Intracranial Pressure (ICP)
- Pupillary Constriction
- Hypotension
2 mins
Risperidone (Risperdal)
- Mechanism
- Atypical Antipsychotic
- Indications
- Schizophrenia
- Bipolar Mania
- Autism-Associated Irritability
- Side Effects
- Extrapyramidal Symptoms
- Hyperprolactinemia
- Gynecomastia
- Galactorrhea
- Amenorrhea
- Prolonged QT
- Considerations
- Intramuscular Long Acting (Depot) Form
2 mins
Benzodiazepines Overview
- Indications
- First Line for Status Epilepticus
- Anesthesia Induction
- Anxiety
- Eclampsia
- Detoxification
- Mechanism of Action
- '-zepam' and '-zolam' Suffix
- Increase Frequency of Cl- Channel Opening
- Side Effects
- Decrease REM Sleep
- CNS Depression
- Dependence
- Antidote
- Flumazenil for Overdose
2 mins
Glyburide and Glipizide (2nd Generation Sulfonylureas)
- Mechanisms
- 2nd Generation Sulfonylureas
- Blocks Potassium Channels in Beta Cells
- Stimulate Release of Insulin
- Indications
- Type 2 Diabetes
- Side Effects
- Hypoglycemia
- Considerations
- More Potent
- Beta Blockers Reduce Effects
- Avoid Alcohol
- Avoid Breastfeeding
2 mins
Calcium Channel Blockers (Verapamil and Diltiazem)
- Mechanism of Action
- Slows AV Conduction
- Indications
- Angina Pectoris
- Arrhythmias
- Essential Hypertension
- Side Effects
- Bradycardia
- Hypotension
- Constipation
- Peripheral Edema
- Gingival Hyperplasia
- Nursing Consideration
- Medication Education
2 mins
Haloperidol (Haldol)
- Mechanism
- High Potency Antipsychotic
- Indications
- Migraine
- Schizophrenia
- Side Effects
- Extrapyramidal Symptoms
- Weight Gain
- QT Prolongation
- Restlessness
- Considerations
- Caution in Seizure Patients
- Neuroleptic Malignant Syndrome
2 mins
Meperidine (Demerol)
- Mechanism
- Opioid Receptor Agonist
- Indications
- Moderate to Severe Pain
- Post Anesthesia Shivering
- Side Effects
- Tremors
- Constipation
- CNS Depression
- Sedation
- Considerations
- Short Term Administration
- Increased Risk Serotonin Syndrome
- Does NOT cause Miosis
- Renal Failure Increases Toxicity Risk
2 mins
Urge Incontinence
- Symptoms
- Strong Urge To Void
- Unable To Void Quickly Enough
- Nocturia
- Increased Frequency
- Small Volume Voids
- Pathophysiology
- Increased Detrusor Muscle Activity
- Treatment
- Avoid Caffeine & Alcohol
- Anticholinergics
- Mirabegron
- Botox
- Sacral Neuromodulation
2 mins
Alzheimer's Disease Assessment (Early Symptoms)
- Risk Factors
- Advanced Age
- Early Signs and Symptoms
- Poor Judgment and Decision-Making
- Difficulty Having a Conversation
- Inability to Manage a Budget
- Losing Track of the Date or Season
- Misplacing Things
1 min
Alzheimer's Disease Assessment (Late Symptoms)
- Late Signs and Symptoms
- Memory Impairment
- Wandering Behavior
- Confabulation
- Perseveration
- Lack of Abstract Thinking
- Severe Cognitive Decline
1 min
Alzheimer's Disease Interventions
- Diagnostic Tests
- PET Scan and CT
- Mini-Mental State Examination
- Interventions
- Drug Therapy
- Safe Environment
- Moderate Exercise
- Behavioral Modification
- Assistance with Functional Independence
- Assistance and Support for Caregiver
2 mins
Pressure Ulcers
- Risk Factors
- Prolonged Immobilization
- Neurologic Disease
- Decreased Level of Consciousness
- Classification
- Stage 1: Intact Skin with Non-blanchable Erythema
- Stage 2: Partial Thickness Skin Loss
- Stage 3: Full-thickness Skin Loss without Fascial Involvement
- Stage 4: Full-thickness Skin Loss with Fascial Involvement
- Management
- Wound Care
- Surgery
- Considerations
- Septicemia
- Osteomyelitis
- Prevention
3 mins
Delirium
- Mechanism
- Rapid Onset
- Reversible
- Assessment
- Hallucinations
- Decline in Cognition
- Short Attention Span
- Rapid Speech
- Change in Activity Level
- Mood Swings
2 mins
Causes of Dementia
- Reversible Causes
- Intoxication or Medications
- Depression
- Normal Pressure Hydrocephalus
- Vitamin B12 Deficiency
- Metabolic Conditions
- Irreversible Causes
- Lewy Body Dementia
- Prion Disease
- Pick's Disease
- AIDS Dementia
- Alzheimer's Disease
- Multi-infarct (Vascular) Dementia
2 mins
Donepezil
- Indications
- Alzheimer's Disease
- Mechanism of Action
- Acetylcholinesterase Inhibitor
- Increased Acetylcholine
- Side Effects
- Nausea and Vomiting
- Dizziness
52 secs
5 A's of Alzheimer's Disease
- Agnosia
- Anomia
- Aphasia
- Apraxia
- Amnesia
1 min
Memantine
- Indications
- Alzheimer's Disease
- Mechanism of Action
- NMDA Receptor Antagonist
- Prevents Excitotoxicity
- Side Effects
- Confusion
- Hallucinations
1 min
Monoamine Oxidase Inhibitors (MAO-Is)
- Indications
- Atypical Depression
- Mechanism of Action
- Increase Levels of Amine Neurotransmitters
- Drugs
- "Takes Pride In Shanghai"
- Tranylcypromine
- Phenelzine
- Isocarboxazid
- Selegiline
1 min
Selective Serotonin Reuptake Inhibitor (SSRI) Overview
- Indications
- Depression
- Anxiety
- Mechanism of Action
- Selective Serotonin Reuptake Inhibitors
- Drugs
- Paroxetine
- Sertraline
- Escitalopram
- Fluoxetine
- Side Effects
- Sexual Dysfunction
- Serotonin Syndrome
- Treat with Cyproheptadine
2 mins
Selective Beta-1 Blockers
- Characteristics
- "-olol" Suffix
- Drug Names
- Beta-1 Selective
- Atenolol
- Esmolol
- Metoprolol
- Partial Beta agonists
- Acebutolol
1 min
Nonselective Beta-Blockers
- "-olol" Suffix
- Nonselective
- Propranolol
- Timolol
- Nadolol
- Partial β Agonist
- Pindolol
- Nonselective β with α Blocking
- Carvedilol
- Labetalol
2 mins
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