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
Somogyi effect- rebound hyperglycemia in the morning usually caused by too much circulating insulin esp. long acting or no snack at bedtime causing blood sugar to drop around 2-3am and then counterregulatory hormones cause sugar to rise. Also called man made.
Dawn Phenomenon- early morning blood sugar between 4-8am d.t. release of rising hormones with not enough insulin to counter act. Eating breakfast if sugar is high will shut off the hormones, exercise later in the day or limit carb snacks would decrease the sugar rise. Seen in type 1 more.....
Teach patients to test blood sugar between 2-3am and if they're low=somogyi effect and if it's normal/high= dawn phenomenon
Flu vaccine - contraindication: hypersensitivity to eggs
Hepa B vaccine - contraindication: previous anaphylactic rxn to common baker's yeast
Infectious Mononucleosis - notify physician if w/ abdominal pain or left shoulder pain (could be spleen rupture); avoid contact sports if with splenomegaly
MMR vaccine - contraindication: history of allergy to neomycin
so i've only been on allnurses for a couple weeks but it helped sooo much! thank you for all the facts.
i just found out i passed nclex today. took it on tuesday. did all 265 questions-major migraine afterwards-totally thought i failed-i think everyone does though. had every topic-16 sata, 4 med. lots of questions similiar to kaplan-if anyone is doing that i think you'll be pleased with their program-i found it helpful.
i'll be sticking around though-i know i'll have a lot of questions when i start working :)
why rt shoulder hurts with cholecystitis? b/c there is an invisble connection between the gallbadder and rt shoulder. it's referred pain, when visceral branch of pain recepter fiber is stimulated, vasodilation and pain may occur in a distant body area
early indicator of lung cancer? spoon-shaped nails
most important factor in maintain adequate circulation? blood volume! an adequate transport medium to carry nutrients and gasses throughout the body as needed.
s/s of impending diabetic coma? confusion, hot, flushed, dry skin, excessive thirst, rapid pulse, increase resp rate (same as hyperglycemia)
antidepressents: affect the fxn of norepinephrine and serotonin. these neuortransmitters are directl r/t to mood disorders, drug causes balancing of chemicals
most important with chest tubes? monitor the fluctatoin in the tube= closed drainage system enable air and blood to drain from the pleural space, cessation of fluctuation may indicate blockage of the tube or that lung has re-expanded.
Cardioselective beta blockers act on the heart with little pulmonary effect. They have more effect on heart and less on lungs
Mannitol adverse effects: risk for hypervolemia with increase b/p and bounding pulse.
An immunizing agent that confers active immunity protects by stimulating the body to produce natural antibodies
Ace inhibitors may cause a chronic non-productive cough that is persistent.
Anhydrous theophylline (Theo-Dur) for chronic bronchitis. Don't take if pt is HTN. Theo- Dur can mimic the CNS and increase the heart rate, resp rate and b/p.
Baclofen (Lioprsal) is a centrally acting muscle relaxant. It reduces excessive reflex activity, spasms, and spasticity.
Prozac (Antidepressant fluoxetine) advese effect= sexual dysfxn
here are some files i found online today that i think may be helpful for some of us (i found them interesting anyway)...it may seem like repeated info for some, so use it if you like, otherwise you don't have to. i hope it helps someone.
here are some files i found online today that i think may be helpful for some of us (i found them interesting anyway)...it may seem like repeated info for some, so use it if you like, otherwise you don't have to. i hope it helps someone.
Thoracentesis prep- Take v.s., shave area around needle insertion, position patient with arms on pillow on over bed table or lying on side, no more than 1000cc at a one time. Post- listen for bilateral breath sounds, v.s., check leakage, sterile dressing.
CT- assess allergies
MRI- claustrophobia, no metal, assess pacemaker
Cardiac cath- npo 8-12hr, empty bladder, pulses, tell pt may feel heat palpitations or desire to cough with dye injection. Post- Vital signs keep leg straight bedrest 6-8hr.
Lumbar puncture- fetal postion. post- nuero assess q15-30 until stable, flat2-3hr, encourage fluids, oral anlgesics for headache, observe dressing
EEG- no sleep the night before, meals not withheld, no stimulants for 24hr before, tranquilizer/stimulant meds held 24-48hr before, may be asked to hyperventilate 3-4min and watch a bright flashing light.
Myelogram- Npo 4-6hr, allergy hx, phenothiazines, cns depressants, and stimulants withheld 48hr prior, table will be moved to various postions during test. Post- neuro q2-4, water soluble HOB up, oil soluble HOB down, oral analgesics for h/a, encourage po fluids, assess for distended bladder, inspect site.
Liver biopsy- Adm vit k , npo morning of exam 6hr, give sedative, Teach pt that he will be asked to hold breath for 5-10sec, supine postion, lateral with upper arms elevated. Post- postion on right side, frequent v.s., report severe ab pain stat, no heavy lifting 1wk.
Paracentesis- semi fowlers or upright on edge of bed, empty bladder.
Post- v.s., report elevated temp, observe for signs of hypovolemia.
Laparoscopy- CO2 used to enhances visual, general anesthesia, foley. Post- walk patient to decrease CO2 build up used for procedure.
Pyelogram- assess allergies
Sengstaken blakemore tube used for tx of esophageal varices, keep scissors at bedside.
Hemovac- used after mastectomy, empty when full or q8hr, remove plug, empty contents, place on flat surface, cleanse opening and plug with alcohol sponge, compress evacuator completely to remove air, release plug, check system for operation.
what is pih? hypertensive disorder of pregnancy occuring after the 20th week or early postpartum
after a vasectomy how many negative sperm counts should be performed before attempting unprotected intercourse? three
cervical cap can be left in place for up to how many hours? 12
what are manifestations of pelvic inflammatory disease? foul smelling, purulent lady partsl discharge, pain in abdomen and lower back, elevated temperature, nausea and vomiting
what are some manifestations of menopause?
palpitations, hot flashes, diaphoresis, osteoporosis,
what are contraindications of oral contraceptives? :crying2:age over 35,:redbeathe hypertensive, smoker:smokin:, has a history of a clotting disorder:heartbeat
pancha
16 Posts
damn this is a good post!!!!!!!!!!!!!