[Melinurse]

Medications:
Antimyesthenic Medications
Edrophonium chloride ( Tensilon, Enlon )
Neostigmine bromide ( Prstigmin bromide )
Pyridostigmine bromide ( Mestinon )
Ambenonium chloride ( Mytelase )

Signs/Symptoms of Cholinergic Chrisis
* GI disturbances
* abdominal cramps
* nausea/vomiting/diarrhea
* increase saliva/tears
* increase bronchial secretions
* sweating
* miosis
* HTN

Medications for Parkinson's
Amantadine ( Symmetrel )
Bromocriptine ( Parlodel )
Carbidopa-Levodopa ( Sinemet )
Levodopa ( Larodopa, Dopar )
Pergolide mesylate ( Permax )
Ropinirole ( Requip )

Anticholinergics usually used with Parkinson's
Benztropine mesylate ( Cogentin )
Trihexyphenidyl HCl ( Artane )

Instruct patient taking Sinemet to eat low-protein foods, because high-protein foods interfer with medication transport to the CNS.

More later.............................................

[FavreFan, LPN]

Originally Posted by kleona

Here are some great websites. Someone might have included some of them before, but it doesn't hurt to see them again.

This is the best
http://philippinenurses.blogspot.com...20EXAMINATIONS


This one helped me a lot for infection control questions
http://www.scribd.com/doc/3213745/Re...-Control-NCLEX

This one has different videos with diseases. Very cool one
http://health.discovery.com/tools/blausen/blausen.html

This has some free tests.
http://4tests.com/exams/examdetail.asp?eid=78

Please feel free to ask if I can be any additional help.

i agree about the phillipenenurse website, and i took 2 tests yesterday....just that i was unable to get the results of those tests....kept saying i don't have pm's enabled (which i did)

[kpjr]

Can anyone help me in explaining a easier way to remember istonic, hypotnic, and hypertonic solutions. For example : Nacl 9% is .......
Any easy way to remember and which is used when ( for example if dehydrated). I just need someway to memorize it in a simple form.

[GatorRN08]

Originally Posted by Nancy LPT for now

Fifth disease aka erythema infectiosum. No treatment needed. No isolation required.

Kawasaki disease aka mucocutanous lymph node syndrome. Will see a strawberry tongue.

Hemophilia pt = Percodan is contraindicated (contains ASA)

Swan Ganz indirectly measures pressure in Lt ventricle, CVP measures pressure in Rt ventricle.

Zovirax (Acyclovir): Take with food. Treats herpes, will not cure but helps sores heal faster and relieves pain.

Hey Nancy,
If I'm not mistaken, Parvovirus B19 requires (Respiratory) Droplet Precautions and is one of the TORCH organism (O for Other: syphilis, parvovirus, etc etc) for the HOSPITALIZED client, so pregnant ladies shouldn't care for kids with 5ths. Also, I think CVP measures pressure in the R. Atrium (the recieving chamber) and the Swan is threaded through the R heart into the Pulmonary Artery. A Swan is also called a PA cath (pulmonary artery) so I'm not sure about it going to the L. Ventricle like you said.


Ok some more random facts:
- Contraindications to Breast feeding include
1) Baby has galactosemia
2) Mom Hiv +, on antiretrovirals
3) Mom on Chemo or Radiation

- Folks with Cushings are often put on enzyme inhibitors (mitotane, etc)
- Ditropan / VesiCare / Detrol (are all anticholinergic antispasmodics that aid with over active bladder)
- Byetta is an antidiabetic

[FavreFan, LPN]

Originally Posted by kpjr

Can anyone help me in explaining a easier way to remember istonic, hypotnic, and hypertonic solutions. For example : Nacl 9% is .......
Any easy way to remember and which is used when ( for example if dehydrated). I just need someway to memorize it in a simple form.

The following is a great site for visual about this topic:

http://www.authorstream.com/Presenta...pt-powerpoint/

Isotonic solutions go in and out of cells; therefore, there is no net movement of water (there are equal amounts of water entering and leaving)

Hypotonic solutions move water into the cells, causing cytolysis (the cells swell and burst)

Hypertonic solutions move water out of the cells, causing plasmolysis (the cells shrink and shrivel)

Hypotonic...........0.45% Saline (1/2 NS)
Isotonic..............0.9% Saline (NS)
5% Dextrose in Water (5% D/W)
5% Dextrose in 0.225 Saline (5%D-1/4NS)
Lactated Ringer's Solution
Hypertonic...........5% Dextrose in 0.9% Saline (5%D-NS)
5% Dextrose in 0.45% Saline (5%D-1/2NS
5% Dextrose in Lactated Ringer's Solution
10% Dextrose in Water (10% D/W)

[luckygurl]

Originally Posted by kpjr

Can anyone help me in explaining a easier way to remember istonic, hypotnic, and hypertonic solutions. For example : Nacl 9% is .......
Any easy way to remember and which is used when ( for example if dehydrated). I just need someway to memorize it in a simple form.

hi

I am posting a link that may be of help to you.

http://allnurses.com/forums/f205/pathophysiology-p-microbiology-fluid-electrolyte-resources-145201-2.html

Scroll down to post #13 and it will be the information your looking for I hope.
It is the flow chart you will need--hope it helps!!

[Melinurse]

A few more random facts..........

Hemophilia A = deficiency in Factor VIII
Hemophilia B = deficiency in Factor IX = Christmas Disease

Thalassemia Major a.k.a. Cooley's anemia is an autosomal recessive disorder. S/S are severe anemia, pallor, failure to thrive, hepatosplenomegaly, microcytic RBCs. Tx is administer folic acid as prescribed ( to stimulate making blood cells ), blood transfusions, monitor for iron overload ( caused by multiple transfusions ), genetic counseling.

Wilm's tumor is a tumor of the kidney. Do not palpate.

Alkalating Medications:
Chlorabucil ( Leukeran ) may cause gonadal suppression, hyperuricemia
Melphalan ( Alkeran )
Cyclophosphamide ( Cytoxan ) may cause alopecia, hematuria
Cisplatin ( Platinol ) may cause ototoxicity, hypokalemia, hypocalcemia, hypomagnesemia, and nephrotoxcitity.

Lactulose reduces ammonia levels and improves protein tolerance in advanced cirrhosis.

Side Effects of Antispas & Bentyl include : constipation or diarrhea, rash, euphoria, dizziness, drowsiness, weakness, nausea, headache.

Most rapid results from biscodyl happen if given on an empty stomach.

[Melinurse]

Some Cardiac Facts:

Hypokalemia can cause increase in cardiac electrical instability, ventricular dysrhythmias, & increases risk of digoxin toxicity.

CK-MB if up means myocardial damage, the elevation happens aprox. 4-6 hrs after an acute ischemic attack. Normal for CK-MB is 0-7 U/L.

Lactic dehydrogenase ( LDH ) increases within 48 hrs of myocardial infarction. Normal is 70-200 U/L.

Mitral Valve Prolapse, valve leaflets protrude into left atrium during systole.

Some Pharmacology 4 Cardiac:
ACE Inhibitors:
Benazipril ( Lotensin )
Captopril ( Capoten )
Lisinopril ( Zestril )
Enalapril ( Vasotec )
Ramipril ( Altrace )
Quinapril ( Accupril )

Calcium Channel Blockers:
Amlodipine ( Norvasc )
Diltiazem ( Cardizem )
Nicardipine ( Cardene )
Verapamil ( Calan , Isoptin )

[Melinurse]

Ok , here's some pediatrics:

Atrial Septal Defect : abnormal opening between atria which causes increased flow of oxygenated blood to go into right side of heart. Right atrial & right ventrical enlarge. May be closed using cardiac catheterization or surgically with cardiopulmonary bypass which is done before school age.

Ventricular Septal Defect: characteristic murmur, CHF is common, many times will close by itself if small-moderate defect.

Patent Ductus Arteriosus ( PDA ): characteristic machine like murmur , can be asymptomatic or s/s of CHF, wide pulse pressure & bounding pulses.

Coartication of the aorta: narrowing near insertion of ductus arteriosus. S/S of CHF in infants, HTN & bounding pulses in arms but weak or absent femoral pulses, low extremities may be cool.

Kawasaki Disease : systemic inflammatory disease, in acute stage s/s include fever, conjuctival hyperemia, red throat, swollen hands, rash, & enlarged lymph nodes. Daily weight, monitor I&O, check temperature, check heart sounds & rhythm,monitor extremities for redness, edema, and desquamation. Give ASA for fever & antiplatelet effect and give IV immune globulin to decrease coronary artery lesions and aneurysms. Monitor for bleeding & cardiac complications.

Hope I explained ok.

[FavreFan, LPN]

Originally Posted by Melinurse

Ok , here's some pediatrics:

Atrial Septal Defect : abnormal opening between atria which causes increased flow of oxygenated blood to go into right side of heart. Right atrial & right ventrical enlarge. May be closed using cardiac catheterization or surgically with cardiopulmonary bypass which is done before school age.

Ventricular Septal Defect: characteristic murmur, CHF is common, many times will close by itself if small-moderate defect.

Patent Ductus Arteriosus ( PDA ): characteristic machine like murmur , can be asymptomatic or s/s of CHF, wide pulse pressure & bounding pulses.

Coartication of the aorta: narrowing near insertion of ductus arteriosus. S/S of CHF in infants, HTN & bounding pulses in arms but weak or absent femoral pulses, low extremities may be cool.

Kawasaki Disease : systemic inflammatory disease, in acute stage s/s include fever, conjuctival hyperemia, red throat, swollen hands, rash, & enlarged lymph nodes. Daily weight, monitor I&O, check temperature, check heart sounds & rhythm,monitor extremities for redness, edema, and desquamation. Give ASA for fever & antiplatelet effect and give IV immune globulin to decrease coronary artery lesions and aneurysms. Monitor for bleeding & cardiac complications.

Hope I explained ok.

explained very well, as usual.........thank you for all the great info!! Since you were on peds, would you, or anyone else, please explain to me tetralogy of fallot? i keep re-reading it in Saunders, but getting nowhere - so confusing for me........thanks