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
to this thresd. I have read the whole thread and taken notes. It is some really good stuff in this thread. Good Luck to those who are getting ready to test and Congradulations to those that have already passed.
Well Here is my facts to add:
INTERVENTIONS FOR COPD (using ABCDEF)
A-Aminophylline
B-Brochodilators
C- Chest Physiotherapy
CORTICOSTEROIDS
D- Deliver oxygen at 2 liters
E- Expectorants
F- Force Fluids
Tuberculosis ( Meds) Use RISE
R-Rifampin
I-Isoniazid (INH)
S-Streptomycin
E-Ethambutol
Care of Client After Masectomy
(BREAST)
B-Bp not on affected side
R- Reach recovery
E-Elevate affected side
Exension and flexion exercise- initialy (Squeeze a ball)
A-Abduction and external rotation should not be initial exercise
S-SBE- Once a month- about one week after period
T-To promote a positive self image
TURPS
T-Tubes
U-Urinary output
R- Red drainage
P-Pieces of clots
S-Spasms
Meniere's Disease
Administer diuretics to decrease endolymph in the cochlea, restrict sodium, lay on affected ear when in bed.
TRIAD
-vertigo
-Tinnitus
-Nausea and vomiting.
Well thats all I have for now will post more later. You all keep posting it helps to remember when you are trying to tell it or TYPE it to someone else.
pheochromocytoma: neuroendocrine tumor of the medulla of the adrenal glands. This causes andincreasedsecretion of catecholamines (epinephrine, and norepinephrine) Signs and Symptoms same as body's Sympathetic Nervous System Response:
>Elevated HR
>Elevated BP
>Palpitations
>Anxiety
>Diaphoresis
>Headaches
>Pallor
>Wt. Loss
>Elevated Blood Glucose Level (due to catecholamine stimulation of lipolysis)
Chovstek's sign- Tap facial nerve 2 cm anterior to earlobe just below zygomatic arch. Twitching of facial muscles indicates tetany.
Trousseau's sign- Inflate BP cuff to 20mmHg above Systolic. Carpal spasms w/in 2-5 mins indicates tetany.
Abnormal Breathing Patterns:
Cheyenne stokes- "Dead man breathing" Tachypnea with periods of apnea.
Kussmauls breathing- Deep and Fast, seen in pts experiencing Hyperglycemia also look for Fruity Breath.
The diabetes that isn't really a diabetes:
Diabetes Insipidus- Named diabetes b/c of the diuresis it causes similar to that which a person with diabetes would experience. The polyuria is caused by a deficiency of the ADH (Anti-diuretic hormone) causing the patient to excrete alot of urine. Check for Low Specific gravity, hypernatremia, Serum Osmolality may be low for . Pt will have to urinate frequency, have extreme thirst and may easily become dehydrated. Unlike SIADH (syndrome of inappropriate ADH) you want to increase fluid intake to hydrate the patient.
SIADH- Syndrome of Inappropriate ADH or as I like to think of it "Syndrome of Increased ADH". Common in patients with a damaged CNS (Central Nervous System). Excessive ADH is released from the Pituitary gland resulting in hyponatremia, concentrated urine and fluid overload.
NSAIDS like Ibuprophen (Motrin) can cause GI bleeds, never take on an Empty stomach. Think "NSAIDS take with BREAD"
No milk served with meat- Jews
Clients with physical disabilities frequently respond good to support groups
Do’s and Don’ts
Don’t pass buck
Don’t provide false Reassurance
Don’t ask why
Don’t treat psychosocial first
Do ask patient to express themselves, their concerns
INH can cause liver problems so stay away from alcohol
Risk Factors for Pneumonia Old age, bed ridden, post op, pre existing lung problems
Cane walking- Hold the cane in hand opposite of weak leg and move with weak leg. I.E. with weak right leg, advance left hand (cane) followed by right leg then left leg.
Pavlik harness- is a harness applied to young children with hip dysplasia. it goes around their mid section and over their shoulders in the front looking like a pair of suspenders. It then makes and x in the back and connects to the child's feet and ankles in the front and back. The child should wear knee high socks and a under shirt to prevent skin break down. Massage the skin under the straps daily (w/out lotions, ointments) SEE HERE
JVD (jugular vein distention) is a symptom of a cardiac tamponade, a complication of CABGs caused by blood accumulating around the heart in the pericardial sac and compressing the myocardium, atrium, and ventricles.
IF you have a female patient undergoing Peritoneal Dialysis and the output is bloody you need to determine if she is menstruating. The reason being, the dialysate is so concentrated to pull fluid from the abdominal cavity that the hypertonicity may cause blood to be pulled from the uterus through the fallopian tubes and into the effluent.
Pentoxifyline- hemorheologic Agent that improve blood flow and is used to treat intermittent claudication
Prostaglandin E is administerd to provide blood ming and also help to keep open the ductus arteriosus
Right side HF- systemic
Rhonchi are heard on expiration and clear with cough
Rabies- contact precaution
tPA- used to treat Acute MI
Thrombolytic- dissolve clots
To avoid falsely elevated serum digoxin, the nurse should wait @ least 8hrs after administering oral digoxin and @ least 6hrs after administering I.V digoxin to draw a blood sample.
A disaster plan needs to be activated when there is a life threatening situation with a large number of patients involve. A way to remember who to remove first is by using ABC
A- Ambulatory
B- Bed Ridden
C- Critical Care
You may ask why but the goal is to move the greatest number of clients.
Appendicitis- position of comfort is on the side with the legs flexed agains the abdomen. HOB should remain slightly elevated to decrease the upward spread of infection in case the rupturing of appendix occurs.
MEDS that can cause ototoxicity
Aminoglycosides
bumetanide, parenteral (Bumex)
cisplatin
erythromycin ( renal impairment and high doses)
ethacrynic acid ( Edecrin)
furosemide ( Lasix)
hydroxychloroquine ( Plaquenil)
nonsteroidal anti-inflammatory drugs (NSAIDs)
salicylates ( chronic high doses, overdose)
Vancomycin, parenteral ( high doses and renal impairment)
Drugs that can cause Nephrotoxicity
Acetaminophen ( high doses, acute)
Acyclovir, parenteral ( Zovirax)
aminoglycocides
amphotericin B, parenteral ( Fungizone)
analgesic combinations containing acetaminophen, asprin, or other salicylates in high doses, chronically
ciprofloxacin
cisplatin ( Platinol)
methotrexate ( high doses)
nonsteriodal anti-inflammatory drugs ( NSAIDs)
rifampin
sulfonamides
tetracyclines ( exceptions are doxycline and minocycline)
vancomycin, parenteral (Vancocin)
Drugs that can cause Hepatotoxicity
ACE inhibitors
acetaminophen
alcohol
iron overdose
erythromycins
estrogens
fluconazole ( Diflucan)
isoniazid ( INH)
itraconazole ( Sporanox)
Ketoconazole ( Nizoral)
nonsterodial anti-inflammatory drugs ( NSAIDs)
phenothiazines
Phenytoin ( Dilantin)
rifampin ( Rifadin)
sulfamethooxazole and trimethoprin ( Bactrin, Septra)
Sulfonamides
Hope this are helpful
Will post more tomorrow. Need to get back to the books
LaneRN
218 Posts
to this thresd. I have read the whole thread and taken notes. It is some really good stuff in this thread. Good Luck to those who are getting ready to test and Congradulations to those that have already passed.
Well Here is my facts to add:
INTERVENTIONS FOR COPD (using ABCDEF)
A-Aminophylline
B-Brochodilators
C- Chest Physiotherapy
CORTICOSTEROIDS
D- Deliver oxygen at 2 liters
E- Expectorants
F- Force Fluids
Tuberculosis ( Meds) Use RISE
R-Rifampin
I-Isoniazid (INH)
S-Streptomycin
E-Ethambutol
Care of Client After Masectomy
(BREAST)
B-Bp not on affected side
R- Reach recovery
E-Elevate affected side
Exension and flexion exercise- initialy (Squeeze a ball)
A-Abduction and external rotation should not be initial exercise
S-SBE- Once a month- about one week after period
T-To promote a positive self image
TURPS
T-Tubes
U-Urinary output
R- Red drainage
P-Pieces of clots
S-Spasms
Meniere's Disease
Administer diuretics to decrease endolymph in the cochlea, restrict sodium, lay on affected ear when in bed.
TRIAD
-vertigo
-Tinnitus
-Nausea and vomiting.
Well thats all I have for now will post more later. You all keep posting it helps to remember when you are trying to tell it or TYPE it to someone else.
:thnkg: Well try and post more tomorrow