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  1. Jun 8, '08 by
    Some useful comments to help understand things deeper:
    Quote from Courtney1202

    3. Hyperkalemia presents on an EKG as tall peaked T-waves
    This is only true if the tall peaked T-waves are universal (ie, on every lead). If you see tall, peaked T-waves on one subset of leads, such as the inferior leads (II, III, and AVF), it could actually indicate the onset of an acute MI.

    Also, hyperkalemia doesn't always produce T wave changes. I routinely have patients with K+ levels above 6 with no noticable EKG changes.

    4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate
    Calcium isn't an antidote for hypermagnesemia. Renal filtration is how excess Mg is removed-- that or of course dialysis.

    Instead, calcium helps to stabilize the electrical gradients of muscle and nerve cells, which helps to prevent dysryhthmias.

    Also, Calcium gluconate is only one available form. Calcium chloride is much more potent.

    Hope this helps!
    Rachelwhs2013, istanbul, ivorygirl623, and 16 others like this.
  2. Jun 8, '08 by
    Quote from nicole_rn2B


    1. dont give beta blockers to anyone with respiratory problems i.e asthma, copd.
    Actually, don't give non-selective beta blockers to anyone with respiratory problems. The B1 selective blockers such as metoprolol don't cause respiratory complications, as they don't antagonize the B2 receptors in the smooth muscle of the respiratory tree.
    cmsorra, akanini, istanbul, and 13 others like this.
  3. Jun 8, '08 by
    MI Treatment
    MONA

    M-Morphine pain reduce O2 consumption
    0-Oxygen
    N-Nitroglycerin
    A-Aspirin

    KbmRN, TDeniseRN, fofanah, and 44 others like this.
  4. Jun 8, '08 by
    Methylene DUDE!!!! We are just trying to scratch the surface here not take the MCAT!!!! AAGGGHHHH info overload! Thanks for the corrections but, we are concentrating on the NCLEX...ya know, what ANY new RN would know. Bring it down to the kindergarten level or else my brain is gonna explode!!!
    mzmae, matchalover, Lola75, and 36 others like this.
  5. Jun 8, '08 by
    OH and by the way....that Mag toxicity tidbit has to do with OB nursing and PIH in which the mother is getting Mag and the treatment IS Calcium Guconate 10ml of 10% solution given SLOW IV push (usually by the Doc) over 3 minutes to avoid arrythmias, bradycardia, and v-fib.
    *I guess I should have said that it was a preggo. I just assumed when we students here Mag we automatically think OB> preterm labor, or PIH.
    lalita Bhandari, PinkNBlue, JArnoldSN, and 11 others like this.
  6. Jun 8, '08 by
    i don't have 5 facts to contribute at the moment but heres one:

    24 hours after thyroidectomy, watch for s/s of thyroid storm not for decreased levels of thyroid hormones
    luckystudentnurseRN, istanbul, livinlife1257, and 11 others like this.
  7. Jun 8, '08 by
    Quote from Courtney1202
    Methylene DUDE!!!! We are just trying to scratch the surface here not take the MCAT!!!! AAGGGHHHH info overload! Thanks for the corrections but, we are concentrating on the NCLEX...ya know, what ANY new RN would know. Bring it down to the kindergarten level or else my brain is gonna explode!!!
    /shrug I just finished my first year and that's the level of stuff we were expected to know on our tests.

    I don't expect us to be held to the same level of knowledge as doctors, but I think it would be important to know what the Calcium actually does versus "It's an antidote," which it isn't.
    Meredith09, Multicollinearity, Old and New, and 9 others like this.
  8. Jun 8, '08 by
    1.hyperglycemia= t.i.r.e.d

    t-tachycardia
    i- irritability
    r- restless
    e- excessive hunger
    d- diaphoresis

    2.posturing- deceberate(brainstem problem)- hands like an "e", decorticate (cord problem)- hands pulled in toward the cord

    3.tetralogy of fallot- have child squat to increase return to heart. just remember fallot=squat

    4. cant sign consent after preop meds are given...call doctor if not signed

    5. rubella (german measles)-airbone contact precautions, 3 day rash

    6. rubeola (red measles)- droplet contact precautions, koplik spots in mouth
    mzmae, cmsorra, SingBrina, and 44 others like this.
  9. Jun 8, '08 by
    Quote from Courtney1202
    OH and by the way....that Mag toxicity tidbit has to do with OB nursing and PIH in which the mother is getting Mag and the treatment IS Calcium Guconate 10ml of 10% solution given SLOW IV push (usually by the Doc) over 3 minutes to avoid arrythmias, bradycardia, and v-fib.
    *I guess I should have said that it was a preggo. I just assumed when we students here Mag we automatically think OB> preterm labor, or PIH.
    yes the TX for mag tox is calcium gluconate..i remembered that from OB so you are correct:spin:
    Last edit by Surgical_RN08 on Jun 8, '08 : Reason: to add two words
    Christina08, ivorygirl623, tolerantgirl, and 4 others like this.
  10. Jun 8, '08 by
    Quote from nicole_rn2b
    1.hyperglycemia= t.i.r.e.d

    t-tachycardia
    i- irritability
    r- restless
    e- excessive hunger
    d- diaphoresis

    2.posturing- deceberate(brainstem problem)- hands like an "e", decorticate (cord problem)- hands pulled in toward the cord

    3.tetralogy of fallot- have child squat to increase return to heart. just remember fallot=squat

    4. cant sign consent after preop meds are given...call doctor if not signed

    5. rubella (german measles)-airbone contact precautions, 3 day rash

    6. rubeola (red measles)- droplet contact precautions, koplik spots in mouth
    sorry guys but my #1 should have been hypoglycemia = tired not hyerglycemia correction!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!
    cmsorra, Christina08, luckystudentnurseRN, and 18 others like this.