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
Hi all, I have a question? Is regular insulin withheld before surgery? I know oral diabetics are withheld 48 hrs before surgery. I remember in nursing school they were talking about it. A little confused!:typing By the way Feliz, you are great with all of your outstanding info. Did you take your edxam yet? Best wishes. I'm taking mine for the third time and you r on targert with all of your info.Thank u every much:heartbeat:yeah:
Hi all, I have a question? Is regular insulin withheld before surgery? I know oral diabetics are withheld 48 hrs before surgery. I remember in nursing school they were talking about it. A little confused!:typing By the way Feliz, you are great with all of your outstanding info. Did you take your edxam yet? Best wishes. I'm taking mine for the third time and you r on targert with all of your info.Thank u every much:heartbeat:yeah:
Hi love2beanurse,
I remember that same question coming up on one of my online discussions when I was in school. We concluded that whether a diabetic patient would have or not insulin before surgery it depends on how long is the surgery, when is the surgery, morning, afternoon, etc., the kind of procedure involved, the onset, peak, duration of the type of insulin and the last time the patient ate a meal. Regular insulin is relatively short acting for its onset is 30-60 minutes, its peak is 2-5 hours and its duration 5-8 hours. Regular insulin covers the patient's insulin needs for meals eaten within 30-60 minutes. Usually when a person is going to have a surgery in the morning the person is NPO by midnight even earlier depending on the procedure. I have a post in this web site where I wrote information on several types of insulin, but I do not remember the number of that particular post, by the way.
As for your second question, no I have not taken the NCLEX, yet. I have an impending right eye surgery, but the insurance keeps changing the ophthalmologist to perform it. In the meantime, while I have no choice but to reschedule the date I will sit for the NCLEX, I keep studying. I will make a win-win situation for me, and I will share what I am learning with all of you. Best wishes to you when you take the NCLEX. feliz3
Do you mean in Saunders or just any Med Surg book?
I found the table you are inquiring about on Brunner & Suddarth's Textbook of Medical-Surgical Nursing. 10th edition by Suzanne C. Smeltzer and Brenda Bare. pp 2116-7. I believe any med-surg textbook would have a table listing infectious diseases an their specific precautions. feliz3
Please, check my post on page 289 on Delegation for I made some additions to the scope of practice of LVNs. I also wrote down my sources which were "missing in action" when I wrote the post a few days ago. As some of you may know I write what I've learned about delegation from the point of view of the BON of my own state which is California. If the reader is from another state, the scope of practice might be slightly different for an LVN/LPN. Please consult the BON of your own state on that matter. Best, feliz3
I remember that same question coming up on one of my online discussions when I was in school. We concluded that whether a diabetic patient would have or not insulin before surgery it depends on how long is the surgery, when is the surgery, morning, afternoon, etc., the kind of procedure involved, the onset, peak, duration of the type of insulin and the last time the patient ate a meal. Regular insulin is relatively short acting for its onset is 30-60 minutes, its peak is 2-5 hours and its duration 5-8 hours. Regular insulin covers the patient's insulin needs for meals eaten within 30-60 minutes. Usually when a person is going to have a surgery in the morning the person is NPO by midnight even earlier depending on the procedure. I have a post in this web site where I wrote information on several types of insulin, but I do not remember which one is that, by the way.
As for your second question, no I have not taken the NCLEX, yet. I have an impending right eye surgery, but the insurance keeps changing the ophthalmologist to perform it. In the meantime, while I have no choice but to reschedule the date I will sit for the NCLEX, I keep studying. I will make a win-win situation for me, and I will share what I am learning with all of you. Best wishes to you when you take the NCLEX. feliz3
Hi Feliz, Thanks for your input. I hope the insurance company can get on the right track with your eye surgery. Insurance companys are always a pain in the butt. Take care and thanks again:redbeathe:yeah:
Here are a few facts I got in class today from an awesome professor
It is related to Dopamine(Inotropin)
In low dose form you get a dopaminergic effect
results in renal and messentary vasodilation
In moderate dose you get a beta affect
2-10mcg/kg/min
No longer have vasodilation with kidney and mesentary but have a beta affect
beta 1 (1 heart)
causing increase automaticity(the unique ability of every cell to stimulate the heart)
increasing heart rate
increasing contractility
this increases the urinary output and decreases the preload
if b/p is still low
Alpha range primarily in the blood vessels
10-20mcg/kg/min
causes vasoconstriction which increases the b/p, increases resistance that increases afterload and increases the work load of the heart
so....
dopamine is titrated according to heart rate and blood pressure
Next note
with increased vasoconstriction it decreases o2 to cells and this results in anaerobic metabolism which causes increase lactic acid
Next note
With levophed their is a direct affect on alpha(blood vessels) it causes a real hard clamp down on the vessels it is strictly a vasopressor, it has a dramatic effect, problem it can decrease o2 to vital organs
Here are a few facts I got in class today from an awesome professor
It is related to Dopamine(Inotropin)
In low dose form you get a dopaminergic effect
results in renal and messentary vasodilation
In moderate dose you get a beta affect
2-10mcg/kg/min
No longer have vasodilation with kidney and mesentary but have a beta affect
beta 1 (1 heart)
causing increase automaticity(the unique ability of every cell to stimulate the heart)
increasing heart rate
increasing contractility
this increases the urinary output and decreases the preload
if b/p is still low
Alpha range primarily in the blood vessels
10-20mcg/kg/min
causes vasoconstriction which increases the b/p, increases resistance that increases afterload and increases the work load of the heart
so....
dopamine is titrated according to heart rate and blood pressure
Next note
with increased vasoconstriction it decreases o2 to cells and this results in anaerobic metabolism which causes increase lactic acid
Next note
With levophed their is a direct affect on alpha(blood vessels) it causes a real hard clamp down on the vessels it is strictly a vasopressor, it has a dramatic effect, problem it can decrease o2 to vital organs
These are interesting notes, thanks for sharing. feliz3
I have a question? A pt with HIV and a pt with hep belongs in what type of isolation room? I think its a private room and the nurse has to follow standard percautions. What do you think:coollook:
love2banurse
53 Posts
Hi all, I have a question? Is regular insulin withheld before surgery? I know oral diabetics are withheld 48 hrs before surgery. I remember in nursing school they were talking about it. A little confused!:typing By the way Feliz, you are great with all of your outstanding info. Did you take your edxam yet?
Best wishes. I'm taking mine for the third time and you r on targert with all of your info.Thank u every much:heartbeat:yeah: