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
can someone please explain the difference between primary and secondary hypertension???
here is my information on the cause of secondary hypertension...anything in blue, i have no idea what it means...if anyone wants to explain this to me, that would be great. thanks.
abcde mnemonic --cause of secondary hypertension
a: accuracy, apnea, aldosteronism
b: bruits, bad kidney
c: catecholamines, coarctation of the aorta, cushing's syndrome
I invite you to join this thread: maslow's hierarchy examples and contraindications. please list examples you may know in regards to maslow's hierarchy and when it should be thrown out the window. thanks.
1. rh negative mom gets rhogam if baby rh positive. mom also gets rhogam after aminocentesis, ectopic preganancy, or miscarriages.
2. fetus l/s ratio less than 2= immature lungs......2-3=borderline....greater than 3=good lung maturity dude!! may give dexamethasone to speed up maturity if baby needs to be delivered soon.
3. prolasped cord position knee chest or trend..call for help!! get that bottom off the cord! support cord with ya hand:eek:
4. decelerations early vs late----always good to be early but dont ever show up late. early mirrors the contraction, late comes after the contraction
5. lochia sequence...lochia rubra- red, clotty....lochia serosa...pink, brown....lochia alba..white.........should never have a foul odor!
1. pt with asthma - first give bronchodilators (opens airways) and then stuff them with steroids
2. antepartum client c/o leg cramps - teach client to dorsiflex foot
3. pt who had thyroidectomy - assess for signs of hypocalcemia (muscle twitching: positive chvostek's/trousseau's sign, tetany)
4. normal findings for a 6 month old child - sits up without support
5. delegation/supervision
rn's can assess (initial for sure, most importantly), teach, administer blood products, planning, evaluation, infusion of iv meds,
lvn's can do dressing changes, administer enemas/antibiotics, oral care and routine observation, perform fingerstick glucose readings, gathering data and observations: breath sounds and pulse oximetry, set up equipment for oxygen and suctioning, checking and observing client for signs of infection, irrigating the ear, reminding client about post-op instructions given by rn, assisting with procedures in stable clients with predictable outcomes
nursing assistant's can do vs's, baths, ambulate client, brush/floss client's teeth, record intake and output, can remind client to perform actions that are already part of the plan of care, weighing the client, taking pulse and blood pressure, reinforce dietary and fluid restrictions after the rn has explained them to the client
Test each nostril with essence bottles of coffee, vanilla, peppermint.
CN II: Optic
With patient wearing glasses, test each eye separately on eye chart/ card using an eye cover.
Examine visual fields by confrontation by wiggling fingers 1 foot from pt's ears, asking which they see move.
• Keep examiner's head level with patient's head.
If poor visual acuity, map fields using fingers and a quadrant-covering card.
Look into fundi.
For more detail, See Eye Exam.
CN III, IV, VI: Oculomotor, Trochlear, Abducens
Look at pupils: shape, relative size, ptosis.
Shine light in from the side to gauge pupil's light reaction.
• Assess both direct and consensual responses.
• Assess afferent pupillary defect by moving light in arc from pupil to pupil. unne). Optionally: as do arc test, have pt place a flat hand extending vertically from his face, between his eyes, to act as a blinder so light can only go into one eye at a time.
"Follow finger with eyes without moving head": test the 6 cardinal points in an H pattern.
• Look for failure of movement, nystagmus [pause to check it during upward/ lateral gaze].
Convergence by moving finger towards bridge of pt's nose.
Test accommodation by pt looking into distance, then a hat pin 30cm from nose.
If MG suspected: pt. gazes upward at Dr's finger to show worsening ptosis.
CN V: Trigeminal
Corneal reflex: patient looks up and away.
• Touch cotton wool to other side.
• Look for blink in both eyes, ask if can sense it.
• Repeat other side [tests V sensory, VII motor].
Facial sensation: sterile sharp item on forehead, cheek, jaw.
• Repeat with dull object. Ask to report sharp or dull.
• If abnormal, then temperature [heated/ water-cooled tuning fork], light touch [cotton].
Ok here are some pharm facts from me.. sorry if it's repeated I didn't get to read all the thread.
1. Side effect of Clozaril is extreme salivation
2. When taking Cimetidine (Tagamet), Elderly are at risk for developing confusion, so check for mental status.
3. Side effects of Lidocane are bradycardia, heart block, cardiovascular collapse, and cardiac arrest. This drug should never be admisnistered without continous EKG monitoring.
4. Foods that contain tyramine should be avoided when taking MAOIs and tranylcypromine (parnate). Ex. Aged cheese, red wine, fava beans. Fava beans contains other vassopressors that can interact with MAOIs also causing malignant hypertension.
5. Patients taking lithium need to maintain adequate intake of sodium. Serum lithium concentrations may increase in the presence of conditions that cause sodium loss.
vadee
78 Posts
can someone please explain the difference between primary and secondary hypertension???
here is my information on the cause of secondary hypertension...anything in blue, i have no idea what it means...if anyone wants to explain this to me, that would be great. thanks.
abcde mnemonic --cause of secondary hypertension
a: accuracy, apnea, aldosteronism
b: bruits, bad kidney
c: catecholamines, coarctation of the aorta, cushing's syndrome
d: drugs, diet
e: erythropoietin, endocrine disorders