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
These drug/food combinations should be avoided because it can cause severe reactions....
-Anti-Asthma meds such as Theophylline + caffeine: it can cause heart palpitations, nausea, and seizure.
-Lithium is affected my salt. Too little affects the effect of the drug can increase, too much, the effects decrease
-Levadopa's effect can be decreased by a high protein diet. It may take several weeks before you see any results.
-Anti-cancer drug: Procarbazine + tyramine foods are a NO NO...because it can increase your blood pressure up the roof. (MAO-Is are affected by tyramine too)
-antibiotics are affected by contraceptive meds and the intake of milk
So my take is that food that contain tyramine will always INCREASE your blood pressure and should be avoided....but my question is when are tyramine food good to have? and with what drugs (if any)? any other suggestions?
Sorry but I do feel the need to vent. I have been reluctant to post up anything as of late because I've discovered that some of my postings were used on someone's else website without giving credits to allnurses or me for a matter of fact. I've worked hard to put the notes together. I love sharing my notes because I want you all to pass this exam but please give the proper person(s) credits for their work if you are going to post it elsewhere. With that being said, THANK YOU all for posting because your notes are wonderful!!!
YOU MAY ALREADY HAVE THIS AS I'D POSTED THIS EARLIER, BUT I'VE ADDED ON...
drug/food interaction
-captopril-(take one hour before meal bc food decreases absorption of med) (watch for decrease in fasting blood sugar in nondiabetic)
-synthroid (take on empty stomach--take in the morning)
-digoxin (take on empty stomach)
-zyvox (limit tyramine food to less than 100mg a day)
-MAOIs (no tyramine)
-tetracycine (no dairy products)
-coumadin (no vit K)
-lithium (no alcohol consumption)
-benzodiazepines-Antivan (no grapefruit juice)
-cholesterol meds (no grapefruit juice)
-neostigmine (give to Myesthenia Gravis clients 45 minutes before meal to help with chewing)
-Levodopa: take with meals, low protein diet
-Most angina meds, do NOT take with food/water (nitroglycerin SL)
drug/drug interaction
(do not take together meds)
-MAOIs and SSRIs
-vasopressin (do not med with demeclocycline, epinephrine, lithium)
-atropine (monitor with digoxin because of dig. toxicity)
-atropine (do not give with potassium salts bc it may delay solid potassium passage in the GI tract which could increase risk for ulcers)
SPECIAL DIETS with these symptoms/disease/conditions:
-Gout: (no purine in diet)-eat more black cherries
-Anemia: too much milk can reduce intake of iron, high protein, high iron
-Addison: normal Na intake, low K+
-Chronic renal: low protein, low K+, high carb
-Celiac Disease: avoid "BROW" (barley, rye, oat, wheat), no gluten, high calories
-Cholycystitis: small freq meals, low fat
-Diaphragmatic hernia: increase freq of meals in small portion, high protein, low fat
-Diabetes type 1: eat 3 meals a day
-Diabetes type 2: decrease in the calories and fat, small frequent meals
-in a peds patient who has a low h/h the best approach for the nurse to do is to plan nursing care around lengthy rest periods due to the inability of rbc’s to carry o2 to the blood.
-in a patient with bulimia a nurse would expect to see a decreased k+ due to the loss of electrolytes.
-a peds patient who is postop placement of ventriculoperitoneal shunt the nurse needs to assess for abdominal distention because csf may cause peritonitis or postop ileus as a complication of distal catheter placement.
-in a malfunctioning ventriculoperitoneal shunt the infant is most likely to display irritability because of increased icp.
-after a tonsillectomy and adenoidectomy in a peds patient, increased restlessness should be reported immediately because that is a sign of hemorrhage as well as increased resp. rate and heart rate.
-in a stage two skin ulcer, it is best to apply a hydrocolloid or foam dressing as evidence shows that these best promote healing.
-tetany and parasthesia are signs of hypocalcemia as well as muscle cramps and seizures. hypocalcemia may be secondary to damage to the parathyroid gland after a thyroidectomy.
-blood urea nitrogen (bun) should be monitored closely after burns to the body since the glomerular filtration rate is decreased with fluid shift. kidney function should be monitored closely otherwise, renal failure may occur.
-the peak air flow volumes decrease about 24 hours before clinical manifestations of exacerbation of asthma.
-if a woman complaints about painless lady partsl bleeding while pregnant, she should be prepared for an abdominal ultrasound as these are signs and symptoms of placenta previa and it is diagnosed with an abd us.
-a potential complication of renal bx(biopsy)is hemorrhage; therefore, vital signs should be assessed to determine if this is happening.
medications
-beta-blockers block the release of epinephrine to the cells therefore resulting in hypotension which decreases libido and impotence.
-decadron increases the production of hcl acid, causing ulcers; therefore it should be taken with milk or food.
-pt should be monitored with coumadin therapy; the dosage is ordered daily based on the pt results. coumadin affects the vit k clotting factors.
-signs of digitalis toxicity include nausea, vomiting, abd cramps and halo vision. k+ levels should be reviewed as low k+ levels lead to digitalis toxicity. patient should be taught take adequate k+ intake.
-infusion of a unit of packed rbc’s should be a limited to a max of over 4 hours.
-pancreatic enzymes for a child with cystic fibrosis should be taken with every meal and every snack to allow for the digestion of all the food that is eaten.
-in a child who has ingested half a bottle of aspirin you would expect to see epistaxis since the asa lowers platelet levels and prolongs the bleeding time.
-when a patient is on lasix, it is essential to include in the shift report the urine output.
-lactulose will decrease lethargy if given to a patient, since this removes ammonia from the patient’s body decreasing hepatic encephalopathy which is lethargy and confusion.
-best site for injection for a 5 year old is the vastus lateralis muscle.
-dilantin causes swollen and tender gums; therefore good oral hygiene must be maintained.
-signs of tardive dyskenisia include smacking lips, grinding of teeth and “fly catching” tongue movements.
-when administering a suppository the patient should be laying on their left side. the suppository melts after 10-15 minutes therefore they can move around.
-administering epinephrine supersedes maintaining airway in the event of an allergic reaction to the flu shot. this is done when the patient has not lost consciousness and is normotensive.
foods and more
-foods rich in iron include: red meats, fish, egg yolks, green leafy vegetables, legumes, dried fruit, whole grains.
-sickle cell crisis should be symptom management; management of pain would be a priority.
-cow milk should not be given to infants younger than 1 year.
-solid food should be added at 4-6 months of age one at a time and should start with an iron fortified cereal.
-niddm patients should keep a regular schedule of meals and snacks and should be taught to read labels and make good choices about food.
-give a diet low in sodium when the patient is minimal change of nephrotic syndrome.
-when a child has had mild diarrhea for two days they should continue with regular diet and oral rehydration fluids.
-potato chips have no gluten in them therefore a child with celiac disease should have this as a snack. corn, rice, soybeans and potatoes are digestible by persons with celiac disease.
-a heart murmur would alert the nurse to a complication of ineffective endocarditis.
-a hematocrit of 60 on a patient with diabetic ketoacidosis would alert the nurse for immediate action as this means they are severely dehydrated which all systems are at risk of hypoxia from a lack of or sluggish circulation.
-in the absence of insulin, fats and proteins are broken down by the body to supply energy ketones, a by-product of fat-metabolism which can accumulate and cause metabolic acidosis.
-excessive vomiting causes metabolic alkalosis because of the loss of acid in the stomach and vice versa, diarrhea causes metabolic acidosis because of the loss of bicarbonate.
-signs of metabolic alkalosis include irritability, increased activity, hyperactive reflexes, muscle twitching and elevated pulse.
-assessment is the first step of the nursing process.
-when a child is injured and appears to have fractured a leg, assessment and inspection of the child is a priority.
-synthetic casts usually set in 30 minutes and dry in a few hours and the patient can stand up in 24 hours.
-plaster casts (thicker) take up to 72 hours to dry and set. both should be uncovered in the first 24 hours because they give off a lot of heat. applying ice can relieve itching.
-there is a strong relationship between group a streptococci and rheumatic fever usually occurring within 2-6 weeks.
-live immunizations (mmr) should be delayed for the child with kawasaki’s disease going home with immunoglobulin therapy because this may interfere with the formation of antibodies.
-tracheoesophageal fistula priority nursing diagnosis would be ineffective airway clearance and to prevent aspiration.
-in asthma attack the airways are narrowed therefore a wheezing sound results.
-slurred speech or changes in loc may be indicators of continued bleeding or extension of stroke in a patient admitted with possible cva, therefore slurred speech should be reported immediately for further testing.
-in hep c, findings may show many years later; for example having a blood transfusion 15 years ago.
-in a newborn with neural tube defect, the sac must be kept moist by applying a moist sterile nonadherent dressing before closure. they should be changed frequently to prevent drying.
-a milwaukee brace is used to correct curvature of the spine and is usually long term (1-2 years) during the growing phase of the child.
-pain related to ischemia should be the priority nursing diagnosis in a patient with a diagnosis of mi. pain increase bp, pulse, o2 demand to myocardium and anxiety.
-when expiratory wheezes are suddenly absent in one lobe in a patient with an acute asthma attack, this means an emergency because the small airways have collapsed.
-it is important to monitor hourly urine output on a patient who has had a pulseless dysrhythmia since the perfusion to the kidney was diminished, this caused for the glomerular perfusion to be diminished which can lead to pre-renal failure.
-if an infant is spitting up frequently and has a lot of gas, this may be indicative of an allergy to the formula or experiencing gerd. mucus production, irritability and restlessness are some of the signs the infant will display.
-in a newly diagnosed alzheimer’s patient the most helpful intervention would be for the nurse to help the family find effective communication strategies since this will help the family enhance their ability to relate to the patient.
-in a patient with grave’s disease (hyperthyroidism), it is important for the nurse to intervene if noted on the initial nursing assessment if the patient has exophthalmoses (protruding eye balls). this can lead to corneal abrasion or damage when the eyelid is not able to complete close over the eyeball.
-signs of neuroblastoma include irregular abdominal mass the crosses the midline, weight loss, pallor, irritability, anorexia and weakness.
-an infant with respiratory distress syndrome is unable to maintain alveolar surface tension due to the fact that the lungs did not mature completely.
-a child with fetal alcohol syndrome will most likely display
s/slike deformities in the joints, limbs and fingers, thinned upper lip, small teeth with faulty enamel and will have delayed development.
-a child with pinworm will display s/s like itching in the perianal area, bed wetting, irritability, poor sleep patterns, and short attention span.
:typing last for today ..study hard:d:yeah:goal:nurse:
3 point crutch walking is the one used for non-weight bearing (why does that word look like it is misspelled)
AGGGHHHH ADHD getting to me....look theres a cat, ohhhh I love that pen that I wrote OB notes with I have to go to the store and buy one, need it to study, dang I really need to clean out the lint filter of the dryer, oh maybe I can get a coke while looking for pens....hahahah anyone else havin this same issue while trying to study for the most important test of your career?
-in toddlers ages 1-3, separation anxiety is at its peak.
-when performing an assessment on a toddler, first approach the toddler with minimal physical contact to gain his/her cooperation, then proceed slowly with simple explanations prior to contact; be flexible.
-the dtap immunization is associated to have the most reactions like crying inconsolably, child feels very warm and shaking spells. the immunization is contraindicated if the reactions are severe or signs of encephalopathy within 7 days.
-in a couple who has experienced a miscarriage, the best therapeutic communication for the nurse to use is to help the couple begin the grieving process by sharing their feelings and use support persons.
-on the 2nd of a patient who experienced an mi, the focus should be on the daily needs and what needs to be done that day.
-when planning home care for a patient the nurse first needs to assess the cognitive ability of the patient and the availability of a caregiver.
-animal dander is very common to affect children with asthma therefore when interviewing the parents it is important to assess the child’s environment for household pets.
-a fracture in the epiphysis may result in retarded bone growth therefore one leg being shorter than the other one.
-increased amounts of folic acid prevent neural tube defects; therefore women of child bearing age should increase their consumption in dietary supplements or diet.
-for a four year old, it is best to relate time to a known event like supper, dinner, breakfast, etc. since they don’t understand time completely.
-telangientatic nevi or stork bites are small salmon patches in that disappear in 1-2 years of age.
-to prevent lead contamination in infants, let tap water run for a few minutes before filling up the bottle to mix it with formula.
-diagnosis of pediculous capitis may be made by observing whitish oval specks sticking to the hair. treatment consists of using of medicated shampoo for children over 2 years old and meticulous brushing of hair.
-the concrete operations stage consists of moral judgment and logical thinking therefore a child can make the assumption that stealing is wrong.
-the best response for the nurse to give to a client who is worried that her spouse will not come near her after a mastectomy would be “ are you worried that the surgery will lead to changes?” since this leaves a channel open for discussion.
-the most effective intervention for a withdrawn patient is to give opportunities to have interaction with one person since they feel uncomfortable in social interaction.
-the priority in accidental poisoning in children is to empty the child’s mouth to prevent further ingestion of the substance.
-more falls occur in the bedroom than anywhere else in the house, therefore to prevent falls on elderly patients, night lights should be placed in the bedroom as a priority intervention.
-all healthcare personnel should be aware of balloon allergies since this is an allergy to latex.
-the best way to protect ourselves from a patient suspected of having tb is to wear a particulate respirator mask.
-giving sips of water to a toddler who has ingested drain cleaner will help dilute the corrosive substance prior to gastric lavage.
-seclusion should only be used when there is an immediate threat of violence to staff, other patients or the patient himself. if it is not used appropriately charges against the nurse may result in unlawful seclusion and restrain even though the patient cooperated.
-if a patient had mrsa and passed away the body should be labeled with mrsa so contact precautions can be implemented.
-the immediate action by a nurse who just got stuck with a needle is to wash the site vigorously.
-a four year old can help with the care of an infant when he is supervised and helps feel the four year old not left out and encourages bonding with the infant.
-a child with severe deep abrasions over 98% of his body is considered to not survive since the deep abrasions should be thought of as 2nd or 3rd degree burns. the child is at great risk of both infection and shock.
-in accidental poisoning it is most important to identify the substance that was ingested, then the age and weight of the child to prepare the antidote that is needed and then the time of ingestion.
-if the advance directive is available when a patient comes in and is unconscious, that should be given the priority to guide the care of the patient.
-employers must provide reasonable accommodations for disabled individuals based on the americans with disabilities act.
-assertive communication respects the needs of all parties to express themselves therefore requesting a private meeting with a provider that is loudly criticizing a nurse and the nurse is the most appropriate thing to do in order to protect patients and other staff from the display.
-effective time management for a nurse manager is also setting goals and prioritization of the work.
-nurses are more satisfied with autonomy and control. this improves team morale.
-patients who were admitted voluntarily can request to be discharge any time they want in a psychiatric facility as long as they are not a threat to themselves or others.
-if a nurse is reluctant to interact with a patient, she must discuss feelings with a peer or supervisor so she can discover attitudes and feelings that influence nurse-client relationship.
-the lvn should not have the care of a patient who was newly admitted and has not had stability established.
-when large amounts of fluids are given to a patient in a short period of time the priority is to auscultate the patient’s lungs since the fluid overload may lead in worst cases to heart failure with lung congestion.
-in the glasgow’s coma scale, any score less than 13 indicates neurological impairment.
-when a psych patient is sharing his grandiose ideas, the best therapeutic approach is to listen quietly without commenting on it.
-when a patient is depressed and states a desire to not live anymore, the best approach is to ask about thoughts of hurting themselves.
-repeated actions of ocd are done to relieve anxiety.
-neologism is associated with a thought disorder and it means that the patient invents new words to describe something that no one else understands.
-in a psych setting, the nurse should limit contact to handshaking has hugging may be interpreted by the patient as sexual advances.
-the therapeutic milieu is meant to provide safety and test for grounds for patterns of new behaviors.
-a depressed patient is at highest risk of committing suicide 7-14 days after they start meds or therapy because that is when they gain the energy to go on with the plan.
-dental erosion and parotid gland enlargement are signs of bulimia since the parotid gland enlarges due to the self induced vomiting and the teeth get damaged by the acid in the stomach.
:typing last for today ..study hard:d:yeah:goal:nurse:
this thread is great:up: i read them everyday.keep posting .:typing
here some of mine that reviewed today:
*the client with emphysema will best tolerate small frequent meal with add fat and protein
*nystatin treat oral candidiasis ,also known as"thrush"------caused by the use of the steroid inhaler.
*an adverse reactions to cyclophosphamide (cytoxan) include anemia , thrombocytopenia,and cardiotoxicity.
*ethambutol (myambutol) affects visual acuity and color discrimination, particularly the color green. the nurse should instruct the client to: schedule frequent eye examination.
*vit.b(thiamine,riboflavin, and vitamin c should be increased in the burn client.
-b vitamins help release the chemical energy stored in food .
-vit.c helps to build and heal body tissue.
*the best place to detect jaundice in adark-skinned client is the hard palate.
(the sclera might appear yellow in some clients with dark skin without the client being jaundiced)
flail chest is caused by fracture of multiple adjacent ribs, causing the chest wall to become unstable and respond paradoxically. the chest in the affected side is pulled inward during inspiration and bulges outward during expiration.
5-digit system (gtpal)–
1st digit accounts for the # of times the uterus has been pregnant,
2nd is the # of term deliveries,
3rd is the # of preterm deliveries,
4th is for the # of abortions and
5th is the # of living children.
hemoglobin a1c –
7% or less indicates good control,
7%-8% indicates fair control and
8% or higher indicates poor control.
this test measures the amount of glucose that has become permanently bound to the rbc from circulating glucose.
at the end of 12 weeks gestation th
e sex of the baby can be determined by the appearance of the external genitalia.
gynecoid pelvis is a normal female pelvis and is the most favorable for successful labor and birth.
android pelvis (resembling a male pelvis) would not be favorable for labor because of narrow pelvic planes.
an anthropoid pelvis has an outlet that is adequate, with platypelloid pelvis (flat pelvis) has a wide transverse diameter, but the anteroposterior diameter is short, making the outlet inadequate.
ballottement is a technique of palpating a floating structure by bouncing it gently and feeling it rebound. in the technique used to palpate the fetus, the examiner places a finger in the lady parts and taps gently upward causing the fetus to rise. the fetus then sinks and the examiner feels a gentle tap on the finger.
12 week gestation the fundal height should be at the umbilicus
second stage of labor begins when the cervix is dilated completely and ends with birth of the neonate..
12-month-old infant –
rr: 20-40 breaths/min,
hr: 90-130 beats/min,
bp: 90/56 mmhg
toilet training – bowel control usually is achieved before bladder control. the child should not be forced to sit for long periods. the ability to remove clothing is one of the physical signs of readiness. the physical ability to control anal and urethral sphincters is achieved some time after the child is walking, between 18-24 months.
ageism is a form of prejudice in which older adults are stereotyped by characteristics found in only a few members of their group. fundamentals to ageism are the view that older persons are different from “me” and will remain different from “me”. therefore, they are portrayed as not experiencing the came desire, needs and concerns.
reye syndrome – decreasing stimuli and providing rest decreases stress on the brain tissue, checking for jaundice will assist in identifying the presence of liver dysfunction that occurs in reye’s syndrome. the vomiting that occurs is caused by cerebral edema and is a symptom of increased intracranial pressure.
ventriculoperitoneal shunt – treatment for hydrocephalus. if the shunt is broken or malfunctioning, the fluid from the ventricle part of the brain will not be diverted to the peritoneal cavity. the csf will build up in the cranial area. the result is increased icp, which then causes a high-pitched cry in the infant.
myringotomy is the insertion of tympanoplasty tubes into middle ear to equalize pressure and keep the ear aerated. parents should be instructed that the child should not blow his or her nose for 7 to 10 days.
for children younger than age 3, the auditory canal is straightened by pulling the lobe down and back.
for children older than 3, the pinna is pulled up and back.
feeding an infant with cleft palate, essr – enlarge the nipple;
stimulate the sucking reflex,
swallow and
rest to allow the infant to finish
swallowing what has been placed in the mouth.
pertussis is transmitted by direct contact or respiratory droplets from coughing. the communicable period occurs primarily during the convalescent phase.
proper steps in administering vaccines:
the nurse should first verify the order and then obtain parental consent. the nurse should also question the parents about the presence of any allergies in the child. the nurse should next prepare the injection and document the lot number (located on the medication vial) of the vaccination. the nurse then selects an appropriate site and administers the vaccination. the nurse then documents that the vaccination has been administered and provides an updated immunization record to the parents.
psoriasis occurs equally among women and men, although the incidence is lower in darker skinned races and ethnic groups. a genetic predisposition has been recognized in some cases. emotional distress, trauma, systemic illness, seasonal changes, and hormonal changes are linked to exacerbations.
cushing’s syndrome - a diet low in carbohydrates and sodium but ample in protein and potassium is encouraged for a client with
cushing’s syndrome. such a diet promotes weight loss, reduction of edema and hypertension, control of hypokalemia, and rebuilding of wasted tissue.
asterixis is irregular flapping movements of the fingers and wrists when the hands and arms are outstretched, with the palms down, wrists bent up, and fingers spread. asterixis is the most common and reliable sign that hepatic encephalopathy is developing.
cranial nerves iii (oculomotor), iv (trochlear), and vi (abducens) have only motor components and control, in a coordinated manner, the six cardinal fields of gaze. this is tested by moving an object in six directions (involving horizontal and diagonal movements). corneal reflex is the function of the trigeminal nerve (cranial nerve v). pupillary response and accommodation is the function of cranial nerve iii (oculomotor) alone.
individuals at risk for developing a latex allergy include health care workers, individuals who work in the rubber industry or those who have had multiple surgeries, have spina bifida, wear gloves frequently, such as food handlers, hairdressers, and auto mechanics, or are allergic to kiwis, bananas, pineapples, tropical fruits, grapes, avocados, potatoes, hazelnuts, and water chestnuts.
to test for kernig’s sign, the leg is raised with the knee flexed. then, the leg is extended at the knee. if any resistance is noted or pain is felt, the result is a positive kernig’s sign. this is a common finding in meningitis.
brudzinski’s sign occurs when flexion of the head causes flexion of the hips and knees.
chvostek’s sign, seen in tetany, is a spasm of the facial muscles elicited by tapping the facial nerve in the region of the parotid gland.
trousseau’s sign is a sign for tetany in which carpal spasm can be elicited by compressing the upper arm and causing ischemia to the nerves distally.
late decelerations are correlated with uteroplacental deficiency.
+ pku – offer the infant lofenalac; infant lacks enzyme necessary to convert phenylalanine to tyrosine that causes accumulation in the tissues and leads to mental retardation. lofenalac is low in phenylalanine but contains minerals and vitamins required by the infant.
codeine phosphate (paveral) – analgesic used for moderate to severe pain for hemophilia a.
terbutaline (brethine) – s/e are maternal tachycardia nervousness, tremors, headache, and possible pulmonary edema. fetal s/s includes tachycardia and hypoglycemia.
perphenazine (trilafon) – can cause extrapyramidal side effects.
thiothixene (navane) is an anti-parkinsonian agent, used to counteract extrapyramidal side effects.
procainamide hcl (pronestyl)– a/e severe hypotension or bradycardia.
ketoconazole (nizoral) – drug of choice for treatment of candidiasis (mouth pain, difficulty swallowing and a white discharge in the back of the throat.
right-sided heart failure is manifested by congestion of the venous system, resulting in peripheral edema. also there is congestion of the gastric veins, resulting in anorexia and eventual development of ascites.
gemfibrozil (lopid) – lipid-lowering agents used with patients with high serum triglyceride levels. s/e abdominal pain, cholelithiasis; taken 30 minutes before breakfast and supper.
monitor aspartate aminotransferase (ast) for liver function. normal ast 8-20 units/l and normal alt 8-20 units/l.
hydrochloride (zantac) – taken at hour of sleep.
hip spica cast – patient complaining of pain, assessment symptom of circulatory impairment from cast by pressing nail of great toe to indicate circulatory function. compare speed with which color returns with result on the opposite side. sluggish return indicates circulatory impairment; too rapid return indicates venous congestion.
addison’s disease – steroid replacement is the most important information the client needs to know.
fluoxetine hcl (prozac) is an “energizing” antidepressant; positive response would be an increased energy level and being able to participate more in milieu.
hemolytic reaction of blood transfusion – n/v, pain in lower back, hematuria. most dangerous type of reaction.
Sorry but I do feel the need to vent. I have been reluctant to post up anything as of late because I've discovered that some of my postings were used on someone's else website without giving credits to allnurses or me for a matter of fact. I've worked hard to put the notes together. I love sharing my notes because I want you all to pass this exam but please give the proper person(s) credits for their work if you are going to post it elsewhere. With that being said, THANK YOU all for posting because your notes are wonderful!!! 
i read them everyday.keep posting .:typing
vadee
78 Posts
These drug/food combinations should be avoided because it can cause severe reactions....
-Anti-Asthma meds such as Theophylline + caffeine: it can cause heart palpitations, nausea, and seizure.
-Lithium is affected my salt. Too little affects the effect of the drug can increase, too much, the effects decrease
-Levadopa's effect can be decreased by a high protein diet. It may take several weeks before you see any results.
-Anti-cancer drug: Procarbazine + tyramine foods are a NO NO...because it can increase your blood pressure up the roof. (MAO-Is are affected by tyramine too)
-antibiotics are affected by contraceptive meds and the intake of milk
So my take is that food that contain tyramine will always INCREASE your blood pressure and should be avoided....but my question is when are tyramine food good to have? and with what drugs (if any)? any other suggestions?