Anyone Up For Random FACT THROWING??

Let's have some fun learning. Each person should throw out 5 random facts or "things to remember" before taking your finals, HESI, NCLEX, etc. Students NCLEX Article

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You are reading page 8 of Anyone Up For Random FACT THROWING??

lasko08

25 Posts

nicole_rn2b said:
morphine is contraindicated in acute pancreatitis because is causes the spasms but the demerol is the drug of choice. at least thats how I learned it.

let me know if this has changed

I agree, I double check. morphine is contraindicated. demerol is the doc (drug of choice). I hope theresa reads this before her exam. good luck theresa. I'll keep u in my prayers.

MedSurgRNiowa

54 Posts

Thank you to all for catching that error! I looked in my notes and sure enough, that is how I have it written. I fixed it in my notes and the posts following my post should alert everyone.

Sorry for the mix up. I know that I will not forget that if I get it as a test question.

No morphine for pancreatitis....Demerol is drug of choice. (Don't tell my hubby, he is a pharmacist...oops!)

orchids8

50 Posts

I would say "sputum culture" in Saunders

lasko08

25 Posts

I am making note cards on sx/s of electrolyte imbalances....I have a terrible headache....but here are more facts....

if you see Mg/Ca, think MUSCLE first. Mg and Ca act like SEDATIVES.

HYPOCALCEMIA (not enough sedatives)

+ trouseau and + chovstek's sign

incr DTR

stridor, laryngospasm

swallowing problem=aspiration

BURN pt.

Carbon monoxide poisoning is the MOST COMMON airway injury.

Carboxyhemoglobin : blood test to determine carbon monoxide poisoning.

Treat burn pt with fluid replacement therapy;Check hourly to make sure you are not overloading them with CVP= measures the right atrial pressure.

use the PARKLAND FORMULA with fluid replacement thx for the first 24 hours.To calculate fluid replacement properly you also need to know the pts wt and TBSA affected.

1st 8 hr= 1/2 total volume

2nd 8 hr= 1/4 total volume

3rd 8 hr= 1/4 total volume

lasko08

25 Posts

I finished doing ALL the questions on my Mosby CD and just wondering how you guys are studying for the NCLEX. my exam is coming up soon and besides the pharm that I need to go over, I still feel like I don't know anything. so I thought I'd go back on doing the content.any suggestions....please help...I'm getting anxious yldhdbng

CrazyScrubNurse, BSN, RN

1 Article; 99 Posts

Specializes in ER/ OR/ PACU and now Occupational Health.
theresa1166 said:
These are just some random facts for my upcoming PN exam on Friday:no:

No meperidine (Demerol)to pancreatitis pt. b/c is causes spasms in the Sphincter of Oddi

This was the last question on our HESI. As I remeber it, with pancreatitis you should give Demerol if you don't know the cause of the pancreatitis because it is MORPHINE that will cause the Sphincter of Oddi to spazm if there is gallbladder involved. Usually Morphine is used if you know that gallbladder is not involved. :eek:

Reidme

41 Posts

Let me jump in here since I'm studying for the NCLEX as well. Think it's a great idea to share random questions.

Rubella is spread by droplets....

The benefit of a venturi mask- oxygen can be regulated to deliver between 24 and 50%.

Shilling test is done to detect pernicious anemia.

Shift to the left in WBC differential - reflects bacterial infection

Pneumocystis carinii pneumonia is caused by - Protozoal infection.

Open-angle glaucoma is characterized by Halo and blurred vision

Detached retina- floater or sensation of a curtain or veil over the visual field

Good lung down- position a patient with right side pneumonia , with the left side dependent

Atrial fibrillation might require synchronized cardioversion

Ventricular tachycardia require defribillation

Second degree heart block- needs a pace maker

Surgical_RN08

177 Posts

Specializes in Medical, Surgical.

respiratory syncytial virus- contact precautions

systemic lupus erythematosus- butterfly rash on nose and cheek. avoid sunlight

with dic...get worried if you see blood oooze from the iv line. notify doctor

tegratol- tx for seizures..watch for drowsiness, n/v, blurred vision, h/a.

kayexalate- may be ordered for a high potassium level

december2905

217 Posts

Good lung down- position a patient with right side pneumonia , with the left side dependent

I'm confused with this, can someone please explain the rationale to me...thank you...

december2905

217 Posts

therapeutic level

10-20 mcg/ml

theophylline

acetaminophen

phenytoin

chloramphenicol

10-21 mmhg - normal intraocular pressure

I'mANurse!

62 Posts

Specializes in NICU.
december2905 said:
good lung down- position a patient with right side pneumonia , with the left side dependent

I'm confused with this, can someone please explain the rationale to me...thank you...

you want to position the good lung down to increase blood flow to the good lung and maintain perfusion

Bonnie Nurse

111 Posts

Specializes in Critcal Care.

One of the most useful tools is to decide on several plans of action for a particular situation in order to anticipate needs of the patient. For example, what would be your first course of action for a patient on 6 liters nasal cannula whose PO2 is 56, pH of 7.34? I have found that it's useful to know basic facts, but decision trees based on possible changes in your patient's condition are better. With this one, you better get consent from family for intubation. Try a high FiO2 mask in the meantime and get respiratory to suction. Draw another blood gas and compare. If the patient is breathing at a high rate, he can't keep it up for long. Make sure HOB is at 45 degrees. Watch PO2 sats, HR, and respiration trends. It's much easier to snatch one back from the edge than after they've fallen in.