Let's have some fun learning. Each person should throw out 5 random facts or "things to remember" before taking your finals, HESI, NCLEX, etc.
Updated:
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....
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 ?
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:)
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.
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
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................
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
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
kocurik77
34 Posts
I found something about MAP and brain perfusion. check http://en.wikipedia.org/wiki/Cerebral_perfusion_pressure