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
i passed nclex first try !! i cant believe it... i just want to thank all of you who posted great infos..
especially feliz ^^ you have been very helpful... and to isobelle my study partner for the past 3 months , ill never forget you!!
tips.. study saunders kaplan and la charity's prio book thats all ^^ ( test taking strategies are more important) 60% test taking strategy 40 % memorization
the questions are tricky guys.... the questions are very simple(usually one sentence question) but when you look at the answers its seems complicated... just dont freak out.. and eliminate. have faith!!! pray!!! and study!!
im so happy and i want to cry...
thanks isobelle5287. lets watch pacquiao vs delahoya on sunday .. my treat !! eheheh
addison is skinny ( hypoglycemic, you get weight loss, you got weakness, and you get postural hypotn) and cushing is fat ( hyperglycemic, you get moon face big cheeks, and you retain a lot of Na and fluid)
I wanted to know if a mother is Rh negative can rhogram be given at 28 weeks or wait until mother delivers and give it withing 72 hours. can someone correct or help explain to me. Thanks
According to Saunders 4th edition page 395, Paragraph #3 It says: "Prevention of anti-RHo(D)= [RhoGAM] antibody formation is most successful if the medication is administered twice, at 28 weeks and again within 72 hours afterdelivery." This med is given to the mother only if she is Rh negative, meaning, she is lacking of genetically determined antigens in the red blood cells that produce immune responses. If an Rh-negative woman is pregnant with an Rh-positive fetus, her body will produce antibodies against the fetus blood. The woman will get sick if she is exposed to Rh-positive blood. The woman must receive RhoGAm if she has an abortion, exposed to positive Rh factor by blood tranfusion containing positive Rh red blood cells, bleeding during the birth process, an amniocentisis, chorionoc villus sampling (testing tissue from the placenta=CVC) abdominal trauma or bleeding while pregnant. RhoGAM is contraindicated for Rh-positive pregnant women.
I want to talk about two anticoagulants Heparin sodium and Warfarin sodium(Coumadin)
Anticoagulants prevent the extension and formation of clots and they given to clients when there is a likelihood of a clot formation such as in:
a) myocardial infarction
b) unstable angina
c) atrial fibrillation
d) deep vein thrombosis
e) pulmonary embolism
f) presence of mechanical heart valves
Heparin prevents thromboembolism.
Heparin antidote is protamine sulfate.
Heparin is contraindicated during active bleeding...remember this drug is an anticoagulant. Heparin is not contraindicated if the client is having disseminated intravascular coagulation(DIC). A client with DIC has a prolonged clotting time.
Heparin prevents thrombin conversion to fibrinogen to fibrin, so it actually prevents the clot formation by interrupting the cascade of conversions from reaching the end product which is the clot. Heparin prevents thromboembolism. Heparin therapeutic dose does not dissolve clots but prevents new trhombus formation, by interrupting the process illustrated above.
Thrombus= clot when it is in a blood vessel.
Thromboembolism= blockage of a blood vessel by a thrombus carried through the bloodstream from its site of formation.
Normal activated partial Prothromboplastin Time (aPTT) is a measurment for monitoring the safe levels of heparin by doing coagulation time lab tests while the client is on heparin. The normal value is 20-36 seconds. The coagulation results after giving to a patient a dose of heparin must be within that normal range. To be outside the range means a high risk for bleeding, or a clot formation and either way it is not safe for the patient.
If a client is receiving a continous heparin infusion a therapeutic level must be maintained---this is important. The aPTT must be 1.5-2.5 times the normal level. Meaning, let say a the aPTT of a client was
20 x 1.5= 30secs. This means the client is within a safe range for a continious heparin infusion. Activated Partial Prothrombin Time has to be measured every 4-6hrs during initial continious heparin infusion therapy and once a day after the initial period is over. A continious infusion of heparin requires an infusion pump for insuring a precise delivery of this drug. The client must be educated about bleeding prevention and against taking herbal alternative meds that may affect coagulation time. Heparin is a serious drug, my friends.
When giving heparin injection it should be subcutaneous (5/8-inch needle and 25-28 gauge) into the abdomen at a 90 degree angle do not aspirate and/or rub the injection site...remember this is an anticoagulant.
Warfarin sodium (Coumadin)
supresses coagulation by acting as an antagonist of Vitamin K
Coumadin inhibits Vitamin K from acting on four dependent clotting factors: X, IX, VII and II.
Coumadin prolongs clotting time and it is monitored prothrombin time(PT)
The difference between heparin and Coumadin is that warfarin is used for long term conditions such as heart valve damage, pulmonary emboli, etc.
the antidote for warfarin is Vitamin K (phytonadione, AquaMEPHYTON)
Normal PT is 9.6-11.8secs.
Warfarin therapeutic range is 1.5-2.0 multiplied by the control value
The control value is the normal range provided by the laboratories in which patient's results must fall under. In this case the control range is 9.6-11.8 secs.
range, it will show as a prolonged PT which may indicate a deficiency in Vitamin K, a liver disease or DIC. All of those problems place the patient at risk of bleeding. A prolonged PT time is considered abnormal. If the concentration of any of the clotting factors tested is 10% or more below the normal range that may indicate a deficiency in Vitamin K, a liver disease or DIC.
A prothrombin time that exceeds approximately 2.5 the control orstandard value would be 30 seconds or longer PT is a cause for concern for the patient will show abnormal bleeding
The upper limit of the normal value 11.8 x 2.0 = 17.7 secs, still within therapeutic range
International Normalized Ratio (INR)
Normal INR=1.3-2.0
INR= PT(test)/PT(normal or control) x the correction factor specific to the manufacturer of the thromboplastin used for doing the test.
An INR between 2-3 is normal. If the INR is below the recoomended range the Coumadin dose should be increase for the patient would be at risk of forming a clot--need a doctor's order for increasing a med dose--remember
An INR of 5 is definitely no good for that indicate a high risk of bleeding, Coumadin should be reduced. Interventions for Warfarin(Coumadin) Therapy
Monitor PT and INR
observe bleeding gums, bruises, nose bleeds, hematuria, occult blood in the stools, hematemesis and petechiae
educate patient about preventing bleeding
have handy vitamin K
Well, I hope this information demystify for you aPTT, PT and INR...it did for me. good night :zzzzz feliz3
metabolic function indicator is the bicarbonate ion (hco3-)
systematic way for analyzing blood gases:
first step acidosis vs alkalosis
look at the ph and compaire it with the normal value
if ph is
if ph is > than the normal value---alkalosis
second step: respiratory vs metabolic
look at pco2 value. if pco2 is elevated while ph is
if the pco2 does not reflect an oppositerelationship with the ph you need to move on to the next step
third step: analyzing metabolic component bicarbonate ion--hco3-
look at hco3- result and compare it against the normal value
if hco3- reflects a corresponding relationship with ph, meaning ph and hco3 are both either high or low, then you are looking at a metabolic imbalance
note: compensation has taken place, meaning, the kidneyshaveintervened to fix the problem if the ph is in the normal range 7.35-7.45.
if the ph is not within normal range, then look at the respiratory or the metabolic function indicators for figuring out what kind of imbalance you are looking at.
determining whether the imbalance has been compensated or not:
respiratory imbalance
if the condition is a respiratory imbalance, look at the bicarbonate ion lab value (hco3-). if hco3- is normal, then the respiratory imbalance is not compensated. meaning, the kidneys have not done their job, yet, for it takes some time for the kidneys to adjust to this abnormality. i am talking about healthy kidneys, by the way .
if the hco3 value is abnormal, then you are looking at a partially compensated respiratory imbalance.
metabolic imbalance
if the condition is a metabolic imbalance, look at the pco2 lab value for determining the state o compensation
if pco2 is normal, then the metabolic imbalance is uncompensated
if pco2 is abnormal, then the condition is partially compensated
hello feliz3...i took my nclex last nov19...i give praise and glory to God coz the computer shut down at Question 75 and i passed!!!...now im applying for a job hoping to get some interviews these coming weeks..I know and im sure you can make it too coz ur posting really showed that you are so smart and knows ur craft really well! Go NCLEX!!!
hello feliz3...i took my nclex last nov19...i give praise and glory to God coz the computer shut down at Question 75 and i passed!!!...now im applying for a job hoping to get some interviews these coming weeks..I know and im sure you can make it too coz ur posting really showed that you are so smart and knows ur craft really well! Go NCLEX!!!
God bless!
Coolblein
Dearest Coolblein,
I thought so!...I even congratulated you on passing the NCLEX...but what confused me is your unexpected and unrequested act of generosity for you continue posting NCLEX related information even when there is no longer a need for you to do so. Now, you do it because you're so cool ...and incredible sympathetic to others needs to top it off! You cannot help it to be that way. YOU ARE A NURSE. I am not going to even discuss you been smart for that is a given. You answered 75 tough questions for you hit "above passing" level of the NCLEX, right away and maintained it. It takes skill for doing that, Coolblein.
I thank from the heart from all of us who still working toward achieving our personal goals, and who have benefited from your postings. I'll take this opportunity to send well wishes to those who are taking the NCLEX within the next two weeks.
You'll get the job of you dreams, friend. I have no doubt about it...your success is just the stepping stone for you, Coolblein.
Thank you and congratulations, once more. You are going to be an excellent nurse for you'll hit your profession like a storm!
child having a tet spell prioriitized nursing interventions - 1. administer 100% oxygen this promote vasodilation 2. knee to chest position to facilitate increase systemic vascular resistence 3. administer morphine sulfate to relax.
I wish you the best in your career as a registered nurse. I am very glad you shared with us the good news, and send to you a sincere congratulations message on a job well done. Thanks, feliz3
PS These are for you.
:balloons: :reef::clphnds::dancgrp:
hello:
can you please give the name of a good website to find most popular med. ads in usa
SWEETDREAMERINSOCAL
64 Posts
:lghmky:
:vdgmg::gtch:
:christmastree:congrates!!!! :dancgrp:
taimanov
:anpom:
:redpinkhes:yeah: