Anyone Up For Random FACT THROWING??

[CrazyScrubNurse]

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....

[hase2000]

oh my gash!

it just is wonderful it boosted my confidence. i hope i will come back and join you guys soon

[hase2000]

congra!!!!!!!!!

[isobelle5287]

Goodluck pancha and thanks for the very helpful tidbits of infos you posted! =)

[isobelle5287]

Colostomy deodorizing diet - beet greens, parsley, buttermilk, yogurt

Cryosurgery - local applicatn of liquid nitrogen to isolated lesions; swelling & tenderness of treated area when skin thaws; followed by hemorrhagic blister formatn in 1-2 days; site is cleaned with hydrogen peroxide

Fibrinolysin & desoxyribonulease (Elase) - debriding agent; wound should be cleansed with sterile solutn & gently patted dry; only thin layer is applied then covered with petrolatum gauze

Dextranomer - cleansing agent effective in wet wounds only

Dakin's solution -Na hypochlorite for irrigating & cleaning necrotic wounds or purulent wounds; should NOTcome in contact w/ healing/normal tissue & should be rinsed off immediately if used for irrigation; cannot be used for packing purulent wounds bec. it is inactivated by copious pus

Mafenide (Sulfamylon) - used for burn client; avoid systemic effect - (symptom is hyperventilation r/t acid-base imbalance)

Sutilains (Travase) - moisten wound (i.e. leg ulcers) w/ NS, then apply thin film extending 1/4 - 1/2 in. beyond areas to be debrided; then apply loose thin dressing; should be refrigerated

Isotretinoin - can elevate triglyceride levels; NO vit. A during treatmt bec it can produce gen. intensification of vit. A toxicity

[zaylee]

so ur saying to prevent crisis, choose hydration, but if the question states "pt in crisis" choose pain meds??

in the 2nd edition of saunders the implentation:

1. administer 02

2. administer analgesics as prescribed but avoid Demerol dt risk of seizures

3. maintain hydration oral and IV

4. maintain comfortable position so the extremities extended to promote venous return and HOB no more then 30 degrees.

My powerpoint from school says HYdraton first, go figure

did anyone else use qbank ? There have been several questions like this?

Saunders Comp. 4th ed:

sickle cell anemia

prevention of crisis- maintain normal hydration

Tx of crisis: O2, hydration, pain management, bed rest

Kaplan: states, during crisis provide analgesics (PCA with morphine sulfate)

and hydration (3-5L of IV fluids/day for adults; 1600ml/m2/da for a child)

In the real world both are done at the same time but for the

test hydration 1st according to Maslow's, physiological needs before

psychosocial need.

[NY2008]

[color=#993300]sickle cell disease

[color=#993300]caution:

[color=#993300]the vasoocclusive crisis is the only crisis type that causes the pt to have pain.

[color=#993300]

[color=#993300]morphine is the drug of choice for acute pain is sickle cell anemia.

[color=#993300]

[color=#993300]meperidine is contraindicated due to the possibility of control nervous system stimulation in the pts.

[NY2008]

[color=#993300] scd--nursing management

[color=#993300]1.acute crisis—o[color=#993300]2[color=#993300] therapy, rest, fluids, transfusion therapy for aplastic crisis.

[color=#993300]2.hydroxyurea(droxia); antisickling agent lessens the sickling process, decreases incidence of crises.

[color=#993300]3.preventive care—adequate fluid intake, treatment of infections, antibiotics, folic acid, pt education.

:typing......

[joaks, BSN, RN]

Thanks for the congrats everyone !

[jsamples]

drugs for bradycardia and decreased bp

isoproterenol

dopamine

epinephrine

atropine

mnemonic- idea:p

[jsamples]

initial effects of lithium

fine tremor:sniff:

transient nausea:bluecry1:

drowsiness, lethargy:yawn:

loose stools and abdominal discomfort:eek:

polyuria:imbar

thirst:sniff:

weight gain, fatigue:zzzzz

teach pateint that these adverse reactions are common

interventions for all adverse reactions

observe for changes in manifestations

lithium work up: thyroid, renal, ekg

check blood levels

lower doses in geriatrics

no caffiene:no:

[jsamples]

lithium blood level- 0.8-1.2 meq/l

:)therapeutic above 1.5 meq/liter

toxic 2.0 meq/liter (lethal)

[jsamples]

:up:five rights of delegation

right person

right task

right supervision

right circumstance

right instruction

nonmaleficence- obligation to do no harm:no:

:saint:beneficence- the obligation to do good for other people:loveya:

autonomy- the right to make ones own decisions:no:

fidelity- the obligation to be faithful to agreements and responsibilites:bow:

justice- obligation to be fair to all people

ana code for nurses- guidelines to use when giving client care which out line the nurses reponsibility to the client, the nursing profession, and assist the nurse in ethical decision making

ethical decision making- a process in which the nurse, the client, the clients family, and the health care team make decisions taking into consideration personal and philosophical viewpoints, the ana code for nurses and ethical principles

ethical dilemmas- an ethical issue for which 2 opposing viewpoints can each be supported by sound ethical principle