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....

[kocurik77]

I found something about MAP and brain perfusion. check http://en.wikipedia.org/wiki/Cerebral_perfusion_pressure

[Silverdragon102, BSN]

i am confused need help

what is difference between myocardial ischemia and myocardial infraction?

what is difference between hypoxia and hypoxemia?

Tell us what you think then we can guide you?

[Razor25]

myocardial ischemia is lack of blood in myocardial tissue and myocardial infraction or heart attack when there is lack or oxygen supply (which indirectly means lack of blood in myocardial tissue)

on the other hand when i tried to look for hypoxia and hypoxemia i found same lack of oxygen... so is there any different or both are same ?

[kocurik77]

HYPOXEMIA - low O2 in arterial blood

HYPOXIA - low O2 availability to an individual tissue or organ, indicates poor tissue perfusion

ISCHEMIA- restriction of blood supply to a muscle, usually due to narrowing ( artery coronary disease ). people can live with ischemia of heart muscle that causes chest pain known as angina pectoris. It can be also SILENT ISCHEMIA some people have it without knowing about it. There is a lack of O2 and nutrients , that may produce symptoms but it's not as serious as infarction.

INFARCTION- is complete blockage of blood supply that causes not only ischemia but also death of muscle tissue = HEART ATTACK

Hope it helped a little:)

[kocurik77]

I have also read that hypoxia = SATURATION less than 95%, hypoxemia = PO2

I am not sure but it seems to me that when hypoxemia occurs the body can still use mechanisms ( increase breathing, heart rate...) to prevent hypoxia of organs.

Please let me know if I am wrong.

[duling]

What I've learned today in my review :)

1.Tagamet- to be taken at bed time

2.Dilatin- Aside from the regular visit to the dentist, when given IV can only be given w/ normal saline,to be kept in room temperature, AE agranulocytocis and aplastic anemia, client will need freq. CBC

3.Side effect of ZYPREXA development of parkinson

4. Client taking Methotrexate should avoid multi Vitamins because they contain Folic Acid( antidote of Methotrexate)

5.Client taking Isoniazid should have negative sputum within 3 months.

3.

[sujag]

hi friends

something about burns

Explain the rule of nines as it relates to total body surface area (TBSA) and nutritional goals for burn patients. ?

The rule of nines allows for the determination of the area of the body affected by a burn or burns to be determined. The body is categorized into percent as follows; the arms from shoulder to finger tips are 4.5 percent each, the torso (anterior and posterior) is 18 percent, the legs are each 9 percent, and the head is 4.5 percent. The posterior torso includes the buttocks in the 18 percent, while the anterior torso does not include the groin area. The anterior groin area is designated as 1 percent. A patient who has experienced a burn will require an increased number of kilocalories daily. To calculate the daily requirements of kilocalories for a burn patient add 25 kilocalories times the kg of normal body weight of the individual and 40 kilocalories times the percentage of total body surface area burned; this is referred to as the Curreri formula for adults with burns.

more to come

[NEW2009]

wow,i found here! thank you for everyone!

[sujag]

some more

Briefly explain esophagitis and its treatment ?

Esophagitis is an inflammation of the esophagus. (Clinical note: itis as a suffix always refers to inflammation) Esophagitis can be caused by bacterial or viral organisms. Other forms of esophagitis include inflammation caused by reflux of gastric content, and taking medications such as daily pill ingestion. Esophagitis is a self-limiting disorder in the individual who is not immune compromised. Esophagitis is treated with antimicrobial agents depending on the organism. Fungal, bacterial or viral agents are all utilized as necessary. Viscous lidocaine is often used as a method of controlling the pain that is associated with esophagitis. Clear liquid or bland diets are utilized to decrease irritation and maximize nutrition.

Briefly discuss the normal physiological changes of the nervous system in the older adult ?

The nervous system of the older adult age sixty-five and up will begin to experience dilatation of the cerebral ventricles, loss of neurons, and a decrease of 5 to 7 percent in brain weight. The older individual will have impaired vision that includes decreased transparency of the lens, decreased pupil size, and altered vitreous humor. The older adult will have a decrease in the ability to hear high-pitched, high-frequency sounds, as well as a decrease in the ability to smell and distinguish odors. The older individual will have decreased tactile sensation, and slower reaction time related to slower conductivity of impulses. The older adult will begin to experience memory changes such as decreased short-term memory. Many older adults who experience short-term memory loss will retain the long-term memory.

more to come................

[jadzcare]

Nurses must assume what the physician will order first:

DKA-----Initiate fluid replacement first ( IV .9% normal saline)

Hemophilia A-------- transfuse Factor VII

Ventricular Fibrillation (UNRESPONSIVE)-----Defibrillate 200j (300j:360j)

if unsuccessful ------CPR

Sickle cell anemia---------- 0xygen 100% Fi02 (HHOP)

ARDS (acute respiratory distress syndrome)-----(O2 nonrebreathing mask)

if no improvement w/ nonrebreather mask----intubate /mechanical ventilator

Pulmonary edema (sx. asses breath sound--crackles)----------tx: Furosemide

MI (chest pain)----------tx.morphine

Skin test reaction(SOB,anxious,reddened blotches,dizzy)-administer epinephrine

tenision pneumothorax-----------------chest tube

[marikris]

this is really helpful thanks!

mine is: remember "afil" drugs is contraindicated with ones takin nitrates..okidok? one of the things i remembered in my courses of reviews.

[sujag]

hi friends i had these in my bullets may be from this site only but i hope this helps

Fractures:

Immobilize joint above andü below fracture

Cover open fracture with cleanest material availableüü Check temperature, color, sensation, capillary refill distal to fracture

ü Close reduction—manually manipulate bone or use traction

Buck’s Traction

Use to relieve muscle spasm of leg and backü

If used forü muscles spasms only, they can turn to either side.

If used for fractureü treatment, only can turn to unaffected side.

Use 8-20 lbs of weight, ifü used for scoliosis will use 40 lbs of weight.

Elevate head of bed forü countertraction or foot bed

Place pillow below leg not under heel or behindü knee.

Russell’s Traction

Sling is usedü

Check for poplitealü pulse

Place pillow below lower leg and heel off the bedü

Don’t turnü from waist down

Lift patient, not the legü

Cervical Tongs

Neverü lift the weights

No pillow under head during feedingsü

Balanced Suspension Traction

For femur realignmentü

Maintain weights hangingü free and not on floor

Maintain continuous pullü

Halo Jacket

ü Maintain pin cleansing

Casts

Don’t rest on hard surfaceü

Don’tü cover until dry 48+ hours

Handle with palms of hands not with fingersüü Keep above level of heart

Check for CSMü

Fractured Hip

• Assessments

Leg shortened

Adducted

Externally rotated

• Implementation

Care after a total hip replacement

• Abduction pillows

• Crutch walking with 3-point gait

• Don’t sleep on operated side

• Don’t flex hip more than 45-60 degrees

• Don’t elevate head of the bed more than 45 degrees

Amputations

• Guillotine (open)

• Flap (closed)

• Delayed prosthesis fitting

Residual limb covered with dressing and elastic bandage (figure eight)

• Figure-8 doesn’t restrict blood flow, shaped to reduce edema

Check for bleeding

Elevated 24 hours (AKA-pillow, BKA-foot of bed elevated)

Position prone daily

Exercises, crutch walking

Phantom Pain: acknowledge feelings, that pain is real for them