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
Here is a fact on something I haven't seen before thought it may help!!!
Blood draws are to be in this order R/T additives in the tubes (don't want to cross the additives it may give false readings or inappropriate readings on other test)
1. red top-blood bank
2. blue top-coagulation
3. green top-electrolytes
4. Lavender top- hematology
5. gray top-glucose
Keep up the great work! I passed all my classes for this quarter! Woohoo!!!
good afternoon ladies and gentlemen, i finally downloaded the nclex plan and found that i really didn't know everything about disaster planning :eek:so i have been hard at work making notes. reference brunner & suddarth's medical-surgical nursing (11th ed.) (2008) i will post parts in different posts.
radiation exposure= due to nuclear weapons, nuclear reactor incidents, or exposure to radioactive samples, exposure to radiation is affected by time, distance, and shielding
*types of radiation exposure:
-external radiation: all or some of body is exposed; no decontamination, not a medical emergency
-contamination: exposure to radioactive gases liquids or solids; immediate medical management prevent incorporation
-incorporation: uptake of the radioactive material into the body
radiation decontamination=[color=#00b050]nurses should follow these steps: triage outside the hospital, cover floor and use strict isolation precautions to prevent the tracking of contaminants, seal air ducts and vents, waste is double bagged and put in a container labeled radiation waste, staff protection (water-resistant gowns, 2 pairs of gloves, caps, goggles, masks, and booties, and other devices), patients are surveyed for radiation and directed to the decontamination area, each patient is decontaminated with a shower outside the ed, water, tarps, towels, soap, gowns, all the patient's belongings, etc., must be collected and contained, patients are surveyed and showered again as necessary, showering should be performed so as not to contaminate clean areas with runoff from the showering, [color=#00b050]biologic samples: nasal and throat swabs; blood, internal contamination requires additional treatment: catharsis and gastric lavage with chelating agents
[color=#00b050]thyroid gland can be somewhat protected is administered stable iodine (potassium iodide or ki before or after exposure
radiation injuries (acute radiation syndrome (ars): dose of radiation determines if it will develop)
*entire body affected
* signs and symptoms determine predicted survival
[color=#00b050]*[color=#00b050]non-modifiable risk factors affects the outcome
[color=#00b050]*[color=#00b050]1. nausea and vomiting that persists for 24 to 48 hours
[color=#00b050]-[color=#00b050]improbable survivors are acutely ill with nausea, vomiting, diarrhea, and shock; ominous=high fever w/bloody diarrhea
[color=#00b050]*[color=#00b050]2.
[color=#00b050]*[color=#00b050]3. lymphocyte count 48 hours after exposure can help predict outcome
another posting!reference brunner & suddarth's medical-surgical nursing (11th ed.) (2008) i will post parts in different posts.
chemical weapons chemical substances= quickly injury and/or death = panic and social disruption (nerve agents, blood agents, vesicants, pulmonary agents), agents vary in volatility, persistence, toxicity, and period of latency (limitation of exposure and evacuation then decontamination as close to the scene as possible)nerve agents=sarin and soman organophosphates=inhibit cholinesterase= [color=#00b050]cholinergic symptoms progressing to loss of consciousness, seizures, copious secretions, apnea, and deathtreatment: supportive care, atropine, benzodiazepine, and pralidoxime =decontaminate with copious amounts of soap and water or saline for at least 20 minutes, blot; do not wipe off, plastic absorb sarin gasblood agents=cyanide=inhibits aerobic metabolism, [color=#00b050]inhalation-tachypnea, tachycardia, coma, seizures[color=#00b050],-->[color=#00b050]respiratory arrest and failure, cardiac arrest, death,treatment and decontamination=sodium nitrite, sodium thiocyanate amylnitrate, or hydroxocobalaminpulmonary agents=phosgene chlorine=separation of alveoli from capillaries=[color=#00b050]pulmonary edema and bronchospasms treatment and decontamination=airway management, ventilatory support, bronchoscopyvesicants (lewisite, sulfur mustard, nitrogen mustard, and phosgene) =[color=#00b050]cause blistering and burning (bullae), eyes (pain photophobia, lacrimation,
last one of the series!! reference brunner & suddarth's medical-surgical nursing (11th ed.) (2008)
emergency operations plan- [color=#00b050]required by jcaho-practiced twice a year•components of the plan:= activation response, internal/external communication plan, plan for coordinated patient care, security plans, identification of external resources, plan for people management and traffic flow, data management strategy, deactivation response, post-incident response, plan for practice drills, anticipated resources, mass casualty incident planning, education for all of the above triage=sort patients to determine priority care needs and send to location for their needs treatment•non-disaster situations, health care workers assign the highest priority and allocate the most resources to the most critically ill•disaster situations with large numbers of casualties, decisions are based on the likelihood of survival and the consumption of resources–immediate: (red) 1 life threatening injuries, can survive with minimal help progress is rapid(sucking chest wound)–[color=#ffc000]delayed: (yellow)2 significant injuries, can wait hours(fractures, eye injuries)–[color=#00b050]minimal: (green) 3 minor, delayed hours or days (small lacerations, minor burns)–expectant (black) 4 extensive unlikely to survive unresponsive w/ multiple injuries, 60% burnspsychological effects after a disaster (depression, anxiety, somatization, ptsd, substance abuse, interpersonal conflicts, and impaired performance)=[color=#00b050]active listening and emotional support, provide information, refer to therapist or other resources, discourage repeated exposure to media regarding the event, encourage normal activities and social rolescritical incident stress management (cism) programs that include education, field support, defusing, debriefing, demobilization, and follow-up components•persons with ongoing stress reactions referral to mental health specialistspersonal protective equipment (ppe)–level a: self-contained breathing apparatus (scba) and vapor-tight chemical-resistant suit, gloves, and boots–level b: high level of respiratory protection (scba) but lesser skin and eye protection; chemical-resistant suit–level c: air-purified respirator, coverall with splash hood, and chemical-resistant gloves and boots–level d: typical work uniform
reference brunner & suddarth's medical-surgical nursing (11th ed.) (2008) i will post parts in different posts.
feliz3
:yeah:
feliz3
rirsri
63 Posts
Assessment of Cardiac Tamponade( this is accumulation of fluid in pericardium of the heart)
1. Distant or muffled heart sound
2. Jugular vein distention
3. falling of blood pressure followed by pulsus paradoxus(drop in inspiratory BP and increase of 10MM HB)