Anyone Up For Random FACT THROWING??

[CrazyScrubNurse]

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....

[zayuhKAY]

If you have SSN then you can see your name on website anything from 3-10 days and sometimes longer, depends if your file is complete as Ca will allow you to sit even if file isn't. If no SSN then have to wait for snail mail

what's an SSN?

[jadzcare]

i got style on how to remember electrolytes...

hypocalcemia - prolonged st

prolonged qt

hypercalcemia - shortened st

widened t

hypokalemia- prominent u

inverted t wave

st depression

hyperkalemia- tall peaked t

flat p

widened qrs

prolonged pr

hypermagnesia - widened qrs

prolonged pr

hypomagnesia - tall t wave

depressed st

[kum001]

SSN is a Social Security Number.

[kum001]

In addition to DROPLET PRECAUTION:

*Maintain spatial separation of 3 feet between infected patient and visitors. Door may remain open.

Airborne

*keep door closed*

THANK YOU december...

varicella zoster and chicken pox are same thing. varicella zoster causes chicken pox and shingles.

[feliz3]

Facts for the day taken from Saunders 4th edition pages 591, 596

• herpes zoster=shingles which is an acute viral infection of the nerve structore caused by varicella-zoster. Herpes zoster is contagious ti individuals who have not had chickenpox.
  
• Localized herpes zoster requires standard and contact precautions
  

This section of the post was copied from the notes posted by Emmanuel Goldstein who posted his notes on October 17, 2007. Thank you, Mr. Goldstein. feliz3

Re: herpes zoster precautions Zoster vesicles follow a nerve path; in disseminated zoster, the lesions are wide-spread and don't follow a particular nerve tract. (think chicken-pox) Disseminated *herpes zoster can be spread via airborne route because it can infect the lungs (and other organs) as opposed to being limited to the nerve root *which is common with shingles/herpes zoster. *(added by me)

We put our immunocompromised patients in airborne/contact for both types; they are at highest risk for disseminated type.

http://www.cdc.gov/ncidod/dhqp/gl_isolation.html

Appendix A lists all the CDC guidelines for isolation. I printed off a copy and keep it on my clipboard

Now, I will continue with my notes from Saunders over shingles or herpes zoster feliz3

• in a patient with a history of chickenpox, shingles is caused by the reactivation of the varicella zozter virus.
  
• Shingles can occur during any imunocopromised state in a client
  
• the dormant herpes zoster virus is located in the dorsal nerve root ganglion of the sensory cranial and spinal nerves.
  
• Herpes zoster is contageous to individuals who have not have chickenpox
  
• pregnant women should avoid contact with patients with chickenpox
  

Diagnosis of shingles is determined by:

a) visual examination

b) skin cultures

c) skin stains that identify the organism

d) antinuclear antibody blood tests that produces positive results

Assessment:

a) unilaterally clustered skin vesicles along peripheral sensory nerves on the trunk, thorax and face--areas were the lessions are found when shingles is localized

b) fever

c) burning and neuralgia

d) pruritus

e) paresthesia

Interventions:

a) isolate the client because the exudate from the lessions contains the virus; therefore, strict standard and contact precautions are a must.

b) assess neurovascular status and seventh craneal nerve (facial) function

c) assess for signs and symptoms of infection

d) keep the blisters intact if formed

e) assist patient with acetic acid compresses, cool, wet compresses, and tepis baths as prescribed

f) prepare to assist physician with a nerve block using lidocaine (Xylocaine) if prescribed

g)administer antiviral agents, analgesics, antianxiety agents, antipluritic, and corticosteroids

h) use and air mattress and a bed craddles and keep the environment cool for warm and touch aggravates pain

i) prevent the patient from scratching the lessions

j) instruct the patient to wear lightweight, loose clothing and to avoid wool and/or synthetic clothing

That's all folks... feliz3

[acissej]

hi feliz3!

i just want to add something from the same appendix a that you've posted.

it says there:

herpes zoster (varicella-zoster) (shingles)

1.disseminated disease in any patient or localized disease in immunocompromised patient until disseminated infection ruled out --->airborne and contact precaution

2.localized in patient with intact immune system with lesions that can

be contained/covered ---> standard precaution

from: appendix a, pages 102-103 (cdc.gov)

thanks for the informative post feliz3!

[Gretel01]

helloooooooooooooo!!!!!!!!! I have some details with electrolites balance,have somebody any tips to learn about that more easily,Imean like mnemonics...i'm soo scared with that...thankyou

[feliz3]

helloooooooooooooo!!!!!!!!! I have some details with electrolites balance,have somebody any tips to learn about that more easily,Imean like mnemonics...i'm soo scared with that...thankyou

Please, see post 272 in there some people have shared excellent tips for remembering the effects of electrolytes imbalances. feliz3

[acissej]

severe acute respiratory syndrome (sars)

type of precaution: airborne, droplet, contact

note: airborne precautions preferred; droplet if aiir unavailable. n95 or higher

respiratory protection; surgical mask if n95 unavailable; eye protection

(goggles, face shield); aerosol-generating procedures and “supershedders” highest risk for transmission via small droplet nuclei and large droplets. vigilant environmental disinfection (see http://www.cdc.gov/ncidod/sars)

i have less than 2 weeks left before my exam :typing

[acissej]

-when stress is severe, corticosteroids are essential to life. before and during surgery, dosages may be increased temporarily.

-aspirin has properties that can alter the clotting mechanism and should be discontinued at least 48 hours before surgery.

-ace inhibitor should not be given with meals (ends with -pril)

-buspar may be administered without regard to meals, and the tablets may be crushed.

-acetaminophen doesn't irritate the gastric mucosa.

-acetaminophen can be used for headache when the client is using nitroglycerin.

-serum lithium concentration is assessed approximately every 2 to 4 days during initial therapy, and at longer intervals thereafter. side effects of lithium are nausea, tremors, polyuria, and polydypsia. -->monitor intake and output!

-red neck sydrome is a s/e of vancomycin. the client may experience chills, fever, flushing of the face or trunk, tachycardia, syncope, tingling, and an unpleasant taste in the mouth. the corrective action is to administer the medication more slowly. an antihistamine such as diphenhydramine (benadryl) may be administered as well.

-glucocorticoids have three primary uses: replacement therapy for adrenal insufficiency, immunosuppressive therapy, and anti-inflammatory therapy.

-baclofen is the only skeletal muscle relaxant that can be administered intrathecally within the spinal column.

-oral antidiabetics are usually administered before breakfast.

-for clients taking antabuse, take note of these sources of hidden alcohol. these include foods (soups, sauces, vinegars), medicine (cold medicine), mouthwashes, and skin preparations (alcohol rubs, aftershave lotions).

-the normal chloride level is 98 to 107 meq/l. the normal sedimentation rate is 0 to 30 mm/hr.

-clumping, frosting, and precipitates are signs of insulin damage. in this situation, because potency is questionable, it is safer to discard the vial and draw up the dose from a new vial. [color=olive]nph insulin is cloudy but not clumpy!

“if any of you lacks wisdom, he should ask god, who gives generously to all without finding fault, and it will be given to him.”- james 1:5

[feliz3]

These facts are taken from NCLEX-RN Reveiw Pearls of Wisdom 2nd ed. by Sherry L. Gossman and other three authors

• A client who has had Hepatitis B cannot donate blood, ever
  
• After giving vasopressin to a client it is expected to see changes in the urine output such as a decrease in urine output for up to 24-96 hours
  
• the best position for a client after having a pneumonectomy is supine or on the operative side with the head of the bed elevated
  
• common adverse effects of tamoxifen citrate (antineoplastic) that should be taught to the client are lady partsl bleeding, hot flashes and weight gain
  
• hemorrhage and respiratory obstruction are the most common complications of a thyrodectomy
  

Best, feliz3 :typing

[acissej]

-increased glycoside toxicity with: hypercalcemia, hypokalemia, hypomagnesemia

-carbamazepine (tegretol) is not just an anticonvulsant, antimanic and antipsychotic.. it is also used to treat trigeminal neuralgia.

-aspirin: low-grade toxicity is characterized by ringing in the ears, generalized pruritus (which may be severe), headache, dizziness, flushing, tachycardia, hyperventilation, sweating, and thirst.

-aspirin: marked toxicity is manifested by hyperthermia, restlessness, abnormal breathing pattern, convulsions, respiratory failure, and coma.

-propofol is an anesthetic agent that is used to provide continuous sedation in a client receiving mechanical ventilation. it is diluted only with 5% dextrose (d5w).

-hand-foot syndrome (palmar-plantar erythrodysesthesia) is characterized by redness, tenderness, and possibly peeling of the palms and soles. the areas affected can become dry and peel, with numbness or tingling developing. it is a side effect, which can occur with several types of chemotherapy or biologic therapy drugs used to treat cancer [example: capecitabine (xeloda®)]

-zidovudine, the drug for hiv, is neurotoxic (watch out for: ataxia, fatigue, lethargy, nystagmus and seizures). common side effects of this drug are headache and nausea. cbc also done periodically to check for anemia and granulocytopenia.