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....
Thanks for your help LanePN
Here's some randomness...sorry so disorganized! just a few things I have jotted down from doing questions..Hopefully they make sense and feel free to correct me or add anything else you can think of!!
Pericarditis
*chest pain, dry cough, fever, fatigue, anxiety.
Tx w/ steriods, pericardiocentesis, antibiotics, colchicine.
Myocarditis
*Chest pain, CHF sx, palpitations.
BPH
*weak urine stream, heard to start urination, dysuria, nocturia, frequency.
Labs to look for w/ dehydration
*increased specific gravity, increased urine and serum osmolarity, HYPERnatremia (think less water...so the sodium becomes very concentrated) increased HCT, BUN....Anyone think of any I have forgotten??
ACE inhib
*dizziness, HA, hypotension.
Pulm embolism
*low grade fever, tachycardia, blood tinged sputum.
COPD
prolonged expiratory phase.
Tension Pneumo
*trachea deviate to opposite side ( I remember it like OP-opposite=pneumo, same=atelectasis.) hypotension and bradycardia.
Albuterol
*tachycardia, nervousness, insomnia, anxiety.
Hip fracture
*Fractured leg shorter, externally rotated, adducted.
Radiation
*Stomatsis(irriation of mucous membrane), Xerostomia(dry mouth) and dysgeuia(decreased taste)
*protrusion of ileal conduit=stoma prolapse.
*Take nystatin after meals.
*lower lung sounds-vesicular close to trachea(but not directly over)=bronchial
*Multiple mylomas=increased immunloglobins expected.
COMMON DRUGS THAT SHOULD NOT BE CRUSHED
Trade name Generic Name
Cardizem..........................................diltiazem hydrochlride
Depakote.........................................divalproex sodium valproic acid
EES................................................erythromycin ethylsuccinate
E-mycin...........................................erythromycin base
Erythromycin ...................................erythromycin estolate
Feosol.............................................ferrous sulfate
Glucotrol XL......................................glipzide
Klor-con...........................................potassium chloride
K-tab...............................................potassium chloride
MS Contin.........................................morphine sulfate
Phazyme...........................................simethicone
Prilosec.............................................omeprazole
Prozac..............................................fluoxetine hydrochloride
Slow-K..............................................potassium chloride
Theobid.............................................theophylline
Theo-Dur...........................................theophilline
:ancong!: Got any tips for the rest of us. Good Luck in your new field of work.Now set back and relax you deserve it:tbsk:
I am taking mine soon and I am scard to death. The anxiety level is creeping up more every day:sofahider
Believe that you can do it and stay positive. Do something relaxing the day before. Take your time reading the questions, I read each of my questions twice before answering. Do not change your answers. I had about 5 labs questions, 7 SATA's, 4 calculations...i think I got two wrong...and tons of priority, infection, and delegation questions. Brush up on your lab values and medications, if your need to.
Good luck, you will make it!
Here are a few facts I came across while doing questions.
Brown pigmentation around the ankles of patient indicates venous insufficeny
Cloudy outflow during peritoneal dialysis indication of infection and needs to be reporeted to MD
Afte colonoscopy a patient should report rebound tenderness. Abdominal cramping, fatigue and passage of liquid stool are all normal findings after colonoscopy.
A patient with pertussis should be in a private room, mask and under droplet precautions.
Hydromorhone ( Dilaudin) can Cause urinary retention.
Respite care important for caretaker of Alzheimer's patient to allow for physical and emotional rest.
Antihistamines can cause urinary retention and exacerbate symptoms of BPH.
Applying pressure to the inner cantus of the eye prevents overflow of medication into the nasolacrimal duct and possibly systemic absorption.
Ethical dilema- Determination of facts. identify possible solutions, consider patients wishes.
An Increase in peak expiratory flow rate indicates that airway restriction is resolving ( asthma patient)
Salem sum tube- turn patient every 2 hours to promote emptying of stomach contents.
Fatigue, abdominal bloating and persistent dyspnea of patient with COPD contributes to patients inability to maintain adequate nutrition.
Serosanguienous drainage beyond post-op day 5 may indicate dehiscence; therefore surgeon should be notified.
There is no need for a parent of a child who is HIV positive to notify the childs daycare provider.
INDERAL- serious side effect decrease heartrate due to blockade of betta1 receptors in the heart.
Bulima patient with bloody emesis due to esophageal tears due to purging.
Pacemaker spikes on T wave indicate that the pacemaker is not capturing appropriately and should be adjusted for this patient.
A patient who is having muscle spasm while in traction should be repositioned to see if the spasms decrease.
REASONS FOR UNCONSCIOUSNESS ( skin Color)
RED- Stroke or increase in blood pressure
BLUE- Respiratory or cardiac arrest
WHITE- Shock or Hemorrhage.
BETA BLOCKERS
B-bronchospasm( do not give to asthma, bronchial constriction patients)
E- elicits a decrease in cardiac out put and contractility.
T- treats hypertension
A- Av conduction decreases
T- tenormin ( atenolol) hypertension & angina
L- Lopressor ( metopolol) hypertension & angina
C- Corgard ( naldolol) hypertension & angina ( renally excreted)
Glomerulonephritis- fever, periorbital edema, weakness, and chills caused by grop B strep.
It is normal for a patient that has had dialysis to have a slight fever afterwards due to the dialysis solution being warmed by the machine.
Positive sweat test indicative of cystic fibrosis.
After thyroid surgery- maintain airway keep a trach kit at patients bedside, check for bleeding, be sure to check at sides and back of neck due to gravity and teach patient to support their neck.
:typing Will try and post more tomorrow. Back to the books
A bit about B-Vitamins
B-1 (thiamine) and all B vitamins - Alcoholic (to prevent Wernicke's encephalopathy and Korsakoff's syndrome.
B-6 (pyridoxide hydrochloride) -TB patient (Pt is likely on INH which can cause peripheral neuropathy, dizziness, and ataxias, B-6 can prevent these unwanted affects).
B-9 (folic acid) - Pregnant pt to prevent neural tube defects in fetus
B-12 (cobalamine) - Pernicious anemia (autoimmune disease that attacks the parietal cells preventing intrinsic factor from being released, which is needed to absorb B-12.
Happy Studying :typing
LaneRN
218 Posts
For two classes of the drugs I can show you a way that is helping me.
Protease Inhibitors
indinavir ( Crixivan)
nelfinavir ( Viracept)
ritonavir ( Norvir)
saquinvir ( Invirase)
If you notice all end in vir
Nucleoside or Reverse transcriptase inhibitors
didanosine ( Videx)
lamivudine ( Epivir))
stavudine ( Zerit)
zalcitabine (HIVID)
zidovudine ( Retrovir)
Notice all of these end in (ine)
Hope this helps