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....

Specializes in LTC.

Oh heck I may as well say in here too... CONGRATS EVERYONE WHOO HOOOOO!

:yeah:

Acute Renal failure: key to know compared to Chronic is that

s/s with acute is oliguria in the oliguric phase and chronic stage I is nocturia and polyuria (occur as a result of decreased abiltiy to concentrate urine).

Special problems with renal failure (to name a few):

hypertension

hypervolemia

hypovolemia

potassium retention (give low K diet) ( tall peaked t waves)

phophorus retention (give aluminum hydroxide preps or other phosphate binders

low calcium

metabolic acidosis

anemia (give Epogen to stim RBC

gi bleeding (avoid ASA)

infection and injury

Hemodialysis:

monitor labs before, during, and after dialysis

asses for fluid overload before the procedure

assess for patency of the blood access device

weigh before and after procedure

client may eat before the procedure

Disequilibrium Syndrome:

(complication of hemodialysis)

s/s:

nausea

vomiting

headache

hypertension

restlessness and agitation

confusion

seizures

notify Doc

reduce environmental stimuli

dialyze pt for a shorter period at reduced blood flow rates to

prevent occurence

complications of peritoneal dialysis:

1. peritonitis- key is to perform sterile technique

2. abdominal pain- pain during inflow is common during first few changes. But the cold temp of the dialysate aggravates the discomfort so warm it up.

3. insufficient outflow-key is to change pt's position on the side or by ambualting

4. leakage around the catheter site- key it that it can take up to 2 weeks for the pt to

tolerate a full 2 Liter exchange without leaking around the site

5. What the outflow looks like:

may be bloody initially and then clear and colorless. BROWN=perforation. CLOUDY=peritonitis.

Types of kidney stones require either alkaline -ash or acid-ash diet:

URIC AND CYSTINE STONES =ash diet

-fruits but no cranberries, plums and prunes

milk

most vegies

rhubarb

small amounts of beef, halibut, veal, trout, salmon

CALCIUM PHOSPHATE, CALCIUM OXALATE, STRUVITE STONES= acid diet

bread, cereal, whole grains

cheese eggs

corn and legumes

cranberries prunes plums tomatoes

meat, fish, chicken, oysters

pastries

Biological warfare agent:

Botulism- serious paralytic illness caused by clostridium botulinum (death can

occur within 24 hours).

-spread thru air or food (improper food canning) or via a contaminated wound.

-CAN'T spread person to person

-s/s abd. cramps, diarrhea, n/v, double vision, blurred vision, drooping eyelids, hard time swallowing or speaking, dry mouth and muscle weakness.

-if dx is early, food- borne and wound borne can be trx with an antitoxin that blocks the action of the toxin circulating in the blood.

-other trx= induce vomitting, enemas, penicillin

-no vaccine avail.

Specializes in icu.

congrats jsamples!!!!

Priority in the event of a FIRE:

R-A-C-E

R=rescue

a=alarm

c=confine

e=extinguish

"PASS" to use a fire extinguisher

P= pull the pin

A= aim at the base of the fire

S= squeeze the handles

S= sweep the fire from side to side

CONGRAUTLATIONS RECENT RN'S!!! well done!

guberka1972 and jsamples!!

congrats on passing the nclex~!!! :yeah: :yeah: :up: :up:

now back to the thread........................