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....

legal responsibilites of the nurse:eek:

nurse practice act

good samaritan law

mandatory reporter of abuse

malpractice

negligence

torts

breach of duty

standard of professional practice

everybody give the definitions:eek:

ü Medical management of esophageal varices include vit K, vasopressin, and Inderal

ü Others Endoscopic sclerotherapy and Sengstaken-Blackmore tube

ü Uses of degoxin : increase cardiac output, decrease heart rate, and increase myocardial contraction

ü Rales often noted at the base of the lungs in pts with congestive heart failure and athelectasis expanding upwards (sign of pressure on the lungs)

ü S1 and S2 heart sound are noted as a result of normal valve closure

ü S1 mitral and tricuspid S2 aortic and pulmonic.

What is Ejection fraction?

ü Ejection fraction is measure of myocardial contractility, percentage of blood emptied from the ventricle during contraction.

What is Lou Gehrig's disease?

ü Lou Gehrig's disease is a progressive motor neuron disease which cause progressive muscular atrophy and it is deadly

informed consent- consent given by the client that is based on adequate informaion to consider risks and benefits of offered services

advocacy- process by which the nurse assists the patient to grow and develop toward self-actualization

advanced directives- a document in which a competent person is able to express his wishes reguarding future health care including all lifesaving measures and designates another person to make desisions if they become unable to do so

living will- declaration of what the person finds acceptable or would refuse under identified situations that may occur in the future, legal document

durable power of attorney- designation of another to make decisions (mostly financial ) when the client is unable to do so independently

make sure a copy of all advanced directives are put in the clients chart, if they do not have any advanced directives make sure they understand their rights

power- the ability, strenth, and capacity to do somthing

[color=#48d1cc]influence- control over people and their actions

[color=#48d1cc]types of power- reward

[color=#48d1cc]coercive

[color=#48d1cc]legitimate

[color=#48d1cc]referent

[color=#48d1cc]expert

[color=#48d1cc]influence tactics

[color=#48d1cc]ingratiation

[color=#48d1cc]conformity pressure

[color=#48d1cc]foot in the door

[color=#48d1cc]door in the face

[color=#48d1cc]guilt

[color=#48d1cc]nursing intervention: the power of influence is aimed at accomplishing well-defined goals preferably as a team:argue::no:

[color=#48d1cc]everybody throw some more nursing management stuff:typing

serum electrolytes

sodium 135-145

potassium 3.5-5.0

calcium 8.5-10

magnesium 1.8-2.4

phosphorus 2.5-4.5

creatinine 0.5-1.5

bun 10-20

glucose (fasting) 70-100

abg's

ph 7.35-7.45

paco2 35-45

po2 less than 80

hco3 (bicarb) 22-26

sa02 90-100%

cbc

rbc males 4.6-6.2

females 4.2-5.4

wbc 4800-10,800

hemoglobin males 13-18

females 12-16

hematocrit males 45-52%

females 37-48%

hase2ooo when do you test?:Crash:

Buck Skin Traction-

- Used to alleviate muscle spasms and immobilizes a lower limb by maintaining a straight pull on the limb with the use of weights. A boot appliance is applied to attach to the traction. Wts are attached to the pulley and hang free! No more then 8- 10 pds. Elevate the foot of the bed to provide the traction. Remove the clients foam boot 3 x a day to inspect skin. Turn client to unaffected side. Back care is q 2 hr to prevent pressure sores. Ask the client to dorsiflex the foot of the affected leg to assess the fxn of the peroneal nerve.

Prinicpal reason for the use of rantidine hydrochloride (Zantac) in a client with pancreatitis? Pancreatic enzymes are activated by an acidic ph. Interstital pancreatitis is characterized by a swelling of the gland and the escape of its digestive enzymes, lipase, and amylase into the surrounding tissue. And into the peritoneal cavity, causes necrosis. Zantac decrease the production of hydrochloric acid, pancreatic enzymes are activated by an acidic ph.

wbc 5,000- 10,000

a school aged child should gain 4- 6.5 pds and 2 inches in height a yr

if a NG tube is clogged, do not irrigate without a order !

erikson-

infancy= sence of trust

toddler= sence of autonomy- controlling self

adolescence= sence of ID and intimacy

ph of urine- 4.5-8

tracheostomy improves breathing capabilites. provide and maintain an airway, permits the removal of tracheobronchia secretions when the client is unable to cough productively

thrombophlebitis- clot in the vein with inflammation of the wall

manifestations- edema in affected limb

local swelling, bumpy, knotty

red tender local induration

positve homan's sign (not reliable)

interventions- bed rest

elevate leg and apply warm mist compresses

administer anticoagualnt therapy

anti embolism support hose

pain meds

increase fluids

encourage deep breathing

assist with rom

what could have caused it-

stasis

hypercoagulability

damage to blood vessel/trauma

pregnancy or estrogen (oral contraceptives)

malignancy or obesity

aortic aneurysm is watched until it gets above 5cm then rate of rupture increases so surgery is required

types of shock

cardiogenic shock-failure of the heart to pump adequately

hypovolemic shock- decreased blood volume

neurogenic shock- increased size of vascular bed due to loss of vascular tone

anaphylactic shock- hypersensitvity reaction

septic shock- systemic reaction vasodialation due to infection

general manifestations

tachycardia

tachypnea

oliguria

cold damp skin

color ash, pallor

metaboloic acidosis

hypotension

decreased loc

septic shock- initially warm, flushed, fever:bluecry1:

how about that kidney!

regulates acid base balance

regulates bp: renin

secretes erythropoietin

converts vitamin d to active form for absorbtion of calcium

excretes water soluable drugs and drug metabolites

throw me some more gu facts!!!:typing

hase2ooo when do you test?:Crash:

thank u for asking

I am planning 30 days from now.

Specializes in ER/Long Term Care.

Analyzing arterial blood gas results;

norms

pH= 7.35-7.45

PC02= 35-45 mm Hg

HC02= 22-27 mEq/L

PO2= 80-100 mm Hg

acidosis, pH decreased

alkalosis, pH elevated

Respiratory function indicator is the Pc02

Metabolic function indicator is the bicarbonate ion HC02

Respiratory acidosis; pH is decreased, the Pc02 elevated

Respiratory alkalosis; pH is increased, the Pc02 decreased

Metabolic acidosis; Ph and HC02 decreased

Metabolic alkalosis; Ph and HC02 elevated

Respiratory imbalances:

HC02 determine the state of compensation

Normal HC02; uncompensated

Abnormal HC02; Partial compensation

Metabolic imbalances:

PC02 determine the sate of compensation

Normal PC02; uncompensated

abnormal PC02; partial compensation

ex: Respiratory acidosis uncompensated; pH-7.12, PC02-90, HC02-22.

Rspiratory alkalosis compensated; pH-7.45, PC02-30, HC02-22

B/c pH within the norm makes it compensated even if HC02 is within the norm.

Some causes of:

Respiratory Acidosis- asthma, atelectasis, brain trauma,bronchitis emphysema, pneumonia...

Respiratory Alkalosis- fever hyperventilation, hypoxia, pain...

Metabolic Acidosis- diabetes mellitus/diabetic ketoacidosis, high-fat diet, severe diarrhea, malnutition...

Metabolic Alkalosis- diuretics, excessive vomiting or GI suctioning, massive transfusion of whole blood, infussion of excess sodium bicarb...

:sstrs: