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....

[carbaminohemoglobin]

Oops! You are right. I didn't even notice that when I re-read it. Lol. Ty jadu.

[jadu1106]

Oops! You are right. I didn't even notice that when I re-read it. Lol. Ty jadu.

No problem Grasshopper!

By the way, Congratulations on passing the NCLEX, I saw your post in another thread!!

jadu1106 :)

[carbaminohemoglobin]

Thank you, Jadu! ;]

[acissej]

I have a psy. question? When a pt. looks himself in the mirror and dosen't see himself what phys. disorder is that. I want to say Dissociative Disorder. Does any one else think other wise?:typing:D

I saw this in a Kaplan CD. It's actually called DEPERSONALIZATION.

:)

[love2banurse]

I saw this in a Kaplan CD. It's actually called DEPERSONALIZATION.

:)

Thanks acissej, are you doing the kaplan book itself and cd or the qbank.

[acissej]

Thanks acissej, are you doing the kaplan book itself and cd or the qbank.

You're welcome Love2bANurse! :)

I am doing the Kaplan Strategies book (with accompanying CD).

The 2008-2009 edition.

I will be taking my NCLEX this Feb 05. Please pray for me.

Thanks!!

[love2banurse]

You're welcome Love2bANurse! :)

I am doing the Kaplan Strategies book (with accompanying CD).

The 2008-2009 edition.

I will be taking my NCLEX this Feb 05. Please pray for me.

Thanks!!

I sure will, you'll do great:D

[ilovetomato]

Hey interesting, you learn something new everyday thanks!

thanks for sharing these fun facts!:)

[ilovetomato]

1. Hep B immune globulin and Hep B vaccine are given to infants with perinatal exposure to prevent hepatitis and achieve lifelong prophylaxis; administered within 12 hours of birth.

2. Immune globulin is given to prevent Hep A.

3. Cyanocobalamin (Vit B12) is used to treat states of vit B12 deficiency; the most common manifestation of untreated cyanocobalamin deficiency is pernicious anemia.

4. Pernicious anemia is one of the risk factor for gastric cancer.

5. child with Celiac disease: dietary management is the mainstay; eliminate all wheat, rye, barley, and oats; replaced with corn and rice; vitamins supplements, especially fat-soluble vit and folate, may be needed in the early period of treatment to correct deficiencies.

[ilovetomato]

basics that are easy to forget!

- can't take lasix if allergic to sulfa drugs.

- don't rub injection site after injecting an anticoagulant.

- clear before cloudy to prevent insulin contamination.

- anterior fontanel closes before 3 months of age.

- dilantin toxicity s/sx: lethargy, rapid eye movements, slurred speech

another way to remember clear before cloudy when drawing up insulin:

regular before nph

we are all working hard to be a rn~

[feliz3]

memory aid for remembering s/sx of increased serum potassium

normal value = 3.5-5.0 meq/l

murder

m-muscle weakness in lower extremities

u-urine, oliguria, anuria

r-respiratory distress

d-decreased cardiac contractility

e-ecg changes

r-reflexes, hyperreflexia or areflexia (flacid)

the hyperkalemia "machine" for remembering causes of increased serum potassium

m-medications: potassium sparing diuretics (aldactone, amiloride, triamterene) ace inhibitors, nsaids and prolonged use of heparin

a-acidosis: respiratory and metabolic

c-cellurar destruction: burns, traumatic injury, old blood for transfusion (hemolysis) and rhabdomyolysis, tumor lysis syndrome

h-hypoaldosteronism (addison's disease)

i-intake--excessive

n-nephrons--as in renal failure

e-excretion: impaired

management of hyperkalemia

mild:

a) before asking your patient to stand assess weakness of lower extremities--may have to put client on fall precautions

b) increase fluids -- may have to hold k supplements and restrict it from diet

c) use diuretics as prescribed

d) monitor kidney function and ecg

severe:

a) hold k-supplements

b) establish a k-restricted diet

c) monitor ecg

d) dialysis

e) administer oral and rectal kayexalate, as prescribed

f) administer regular insulin if your patient hyperglycemic---monitor blood sugar

note: potassium is normally inside the cell, but in excess it gets outside the cell and sodium moves in. sodium is normally found outside the cell. that movement of electrolytes into places they are not normally found causes a lot of physiological problems in a patient. iv insulin will increase the movement of potassium from the extracellular fluid into the intracellular fluid where k belongs. need to monitor blood sugar levels for hypoglycemia. a diabetic client is at risk for hyperkalemia.

g) administer sodium bicarbonate---controlling the metabolic acidosis

h) administer iv calcium gluconate---to antagonize the effects of a high serum potassium level on the myocardial muscle, thus protecting the patient against life threatening arrhythmias

note: if your patient is on digoxin, be careful when you give calcium gluconate iv because calcium gluconate can increase cellular excitability and risk digitalis toxicity. calcium gluconate is caustic so should be given using a large vein as in central venous catheter...in a smaller vein may cause phlebitis.

it is imperative that this client must be hooked to cardiac monitor all the time, as hyperkalemia has a direct effect in the heart rhythm.

lab tests:

a) serum electrolytes

b) calcium and serum digoxin

c) bun

d) creatinine

e) glucose

f) abg's

life threatening signs:

a) absent p-waves + widened qrs complex

b) severe neuromuscular symptoms

c) serum potassium level > 8 meq/l

best for all who are taking the nclex this month, congratulations to you all. feliz3

[ilovetomato]

1. acid is lost from the stomach (emesis) leading to metabolic alkalosis

2. bicarbonate is lost from diarrhea leading to metabolic acidosis

3. irritability (rather than lethargy) is an initial finding for cerebral hypoxia which would occur from the retained fluid in the brain that results in increased icp

4. signs of increased icp in infants include: bulging fontanel, irritability, high pitched cry, and continually cries when held; r more often slow, deep and irregular

5. the peak airflow volume decreases about 24 hours before clinical manifestations of exacerbation of asthma; it is the most important to monitor for asthma pts

6. the peak flow meter is used to measure peak expiratory flow volumes; provides useful info about the presence and/or severity of airway obstruction: green (good); yellow/red (caution and get help)

7. when a pregnant women is admitted with c/o painless lady partsl bleeding: do abdominal ultrasound because it's the least invasive diagnostic test

8. dexamethasone (decadron) increases the production of hcl, which often leads to gi ulcers; take it with food or milk

9. pancreatic enzymes are to be given to pt with cyctic fibrosis; with each meal and every snack to allow for digestion of all foods that are eated

10. if the peak flow reading is 50% less of the pt's baseline reading, give a short-acting beta-agonist immediately (rather than giving oxygen because the pt's airways need to be opened up first)