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.

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OK I know this sounds stupid but I have a friend that gets really freaked out before big tests like finals, HESI, NCLEX, and usually we get together and a few days before I start throwing out random facts at her. On 2 different tests she said the only way she got several questions was from the random facts that I threw at her that she never would have thought of!

SOOOOO..... I thought that if yall wanted to do this we could get a thread going and try to throw out 5 random facts or "things to remember". NCLEX is coming and the more I try to review content the more I realize that I have forgotten so......here are my 5 random facts for ya:

OH and BTW these came from rationales in Kaplan or Saunders no made up stuff:

1️⃣ A kid with Hepatitis A can return to school 1 week within the onset of jaundice.

2️⃣ After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine.

3️⃣ Hyperkalemia presents on an EKG as tall peaked T-waves

4️⃣ The antidote for Mag Sulfate toxicity is ---Calcium Gluconate

5️⃣ Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact.

Oh, ohh, one more...

? Vasopressin is also known as antidiuretic hormone

OK your turn....

can someone help me understand acute and chronic renal failure. i'm testing on monday.

hey kind-hearted08,

i wish you all the best on your exam on monday. i am uploading 2 files on acute and chronic renal failure that i found on another thread. i tried to just pm them to you but just no way to attach the files without copying and pasting, which is too much info for that. so here they are, hope they help. i know renal failure in my mind, but its so long for me to explain each on here without going into very specific stuff which would take all day, so i hope you read these files and then if you still can't, maybe you could ask certain questions, and we can kinda narrow down what exactly your needing. :) happy studying!!

p.s. these are notes someone else uploaded, and i just saved them to my desktop. :)

jadu1106

arf-revised.doc

crf-revised.doc

- Vit. K is a coumadin antangonist because it promotes bllod clotting.

- Calicum gluconate is the antidote for mag. sulfate excess.

- protamine sulfate is the antagonist of heparin

- rheumatoid arthitis: nursing interventions; assist with heat application and ROM excercises to reduce swelling, increase circulation

- substance abuse clients have a limited ability to tolerate anxiety, and have low frustration toleratance, and use drugs to excape from difficult feelings

- ibuprofen is contraindicated in active bleeding ulcer disease

- prothrombin time is 9-12 secs, theurapeutic range is 1.25- 2.5 times to control

- glipizide (Glucotrol)- is a sulfonylurea used to tx Diabetes type 2, contraindicated if client has allergy to sulfonamide

- perniouscious anemia: common complications: what procedure to order: Gastroscopy d/t more prone to gastric cancer and generally lasts 1-2 hr.

- hypernatremia: DI is a causeative agent

- cirrhosis: prone to bleeding : do not give IM injections

- graves disease: hyperthyrodism

- anxiety associated with anger. Fear coexists with anxiety

Specializes in LTC, case mgmt, agency.

The renal clearance test is used to determine the kidney's ability to clear/remove a substance from the plasma in 1 minute.

Acute pyelonephritis is a sudden inflammation of the interstitial tissue & renal pelvis of one or both kidneys.

When preparing for CBI ( continuous bladder irrigation ) such as after a TURP, use a triple lumen urinary indwelling catheter.

The most common site for renal calculi formation is in the kidney. Infection can occur with renal calculi from urinary stasis caused by obstruction. That is why we increase fluids. ( unless contraindicated )

Urgency, difficulty, burning, and frequency are common symptoms of a UTI.

Cardiac glycosides such as digoxin should be held before hemodialysis. Hypokalemia is an electrolyte that shifts during dialysis and hypokalemia can cause digoxin toxicity.

:typing

Specializes in LTC, case mgmt, agency.

Glipizide may cause adverse skin effects like itching, rash, and photosensitivity.

Aminoglycosides are ototoxic and may cause tinnitus, vertigo, and hearing loss.

Oxytocin nasal spray is used for stimulation of lactation in breast-feeding mothers.

Salicyclates may interact with insulin to cause hypoglycemia.

For pt. teaching if taking risperidone ( Respiradol ), advise pt. to notify doctor of increased bruising/bleeding.

Fluorouracil may be used to treat liver cancer.

Anorexia nervosa is an eating disorder where there is self-starvation, emaciation, nutritional deficiencies, metabolic changes. Typically, the pt. is hypotensive & dehydrated. They are at risk for circulatory collapse.

Laxis is ototoxic also and NSAIDS

Just want to say thank you all for sharing their 2cents. I've been reading them...and I tell you it is fabulous!!! I'll post mine soon.

Specializes in LTC, case mgmt, agency.

Emphysema:

Carbon dioxide retention, hypoxia, & respiratory acidosis.

Signs & symptoms:

-anorexia

-fatigue

-weight loss

-breathless, cough, sputum production, flaring of nares, uses accessory muscles to breath, increase rate & depth of breathing, dyspnea

-resonance to hyper-resonance, normal to decreased fremitus

Sometimes refered to as Pink Puffers

Cares Include:

-give meds as ordered. Bronchodilators, Antimicrobials, Corticosteroids

-help in removal of secretions

-improve ventilation

-employ/teach pursed lip breathing

:typing Anybody with some cardiac facts? Include nursing cares...........................................................................................................................................................

What are some causes of hypervolemia?

CHF

RF

IVF with NA

Alka seltzer

Fleet's Enema

Aldosterone

ADH

:typing

to melinurse:

[color=#993300]myocardial infarction (mi)

[color=#993300]assessment—major symptoms vary, depending on whether pain, shock or pulmonary edema dominates the clinical picture.

[color=#993300]1.chest pain

[color=#993300]2.dypnea

[color=#993300]3.nausea & vomiting

[color=#993300]4.apprehension,restless,fear of death

[color=#993300]5.acute pulmonary

[color=#993300]6.cardiac arrest

[color=#993300]7.shock

[color=#993300]8.oliguria

[color=#993300]9.low-grade fever

[color=#993300]10.wbc increase within 2days,disappears in 1 week

[color=#993300]11.esr elevated

[color=#993300]12.ck-mb elevated after mi; appears 3-6hrs; peaks 18-24hrs; lasts 3 days.

[color=#993300]13.ldh appears 12-24hrs; peaks 48-72hrs; lasts 6-12days.

[color=#993300]14.troponin pears in 4-12hrs; remains elevated for up to 2weeks.

[color=#993300]

[color=#993300]:typing anothers coming soon......

plan/implementation

1.provide thrombolytic

2.relieve pt’s family’s anxiety

3.bedrest to decrease stress on heart

4.monitor v/s

5.monitor i&o

6.cerefully monitor iv fusion

administer meds

1.beta block

2.morphine sulfate for pain

3.dysrythmics—quinidine,lidocaine, verapamil.

4.anticoagulant—heparin, coumadin.

prevent complications

1.dysrythmics

2.shock

3.chf

4.pe

5.recurrent mi.

teaching

1.healing not complete for 6-8 weeks

2.modify lifestyle:

a).stop smoking b).reduce stress c).decrease caffeine d).modify intake of calories, sodium and fat

3.maintain regular physical activity

4.meds schedule and side effects

:typing......

some facts 4 now

1.when you see coffee-brown emesis, think peptic ulcer

2.anytime you see fluid retention. think heart problemsfirst.

3.an answer that delays care or treatment is alwayswrong

4.for pvd remember dave (legs are dependent forarterial & for venous elevated)

more to come..........

meningitis symptoms

the most common symptoms of either form of meningitis include:

  • fever.
  • severe and persistent headache.
  • stiff and painful neck, especially when trying to touch the chin to the chest.
  • vomiting.
  • confusion and decreased level of consciousness.
  • seizures.

other symptoms of meningitis include:

  • sluggishness, muscle aches and weakness, and strange feelings (such as tingling) or weakness throughout the body.
  • eye sensitivity and eye pain from bright lights.
  • skin rash.
  • dizzy spells.