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....
Aloha! I am new here...and i love this thread! Thanks for starting it!:redpinkhe
Here are some facts that from the questions i've just done:
--In complete heart block, the AV node blocks all impulses from the SA node, so the atria and ventricles beat independently, b/c Lidocaine suppresses ventricular irritability, it may diminish the existing ventricular response, cardiac depressant are contraindicated in the presence of complete heart block.
--administrate Glucagon when pt is hypoglycemia and unresponsive
--Bromocriptine (Parlodel) or Dantrolene (Dantrium) is used for CNS toxicity
--Ibuprofen (Motrin) S/E includes epigastric distress, nausea, occult blood loss, peptic ulceration, use cautiously with history of previous gastrointestinal disorders.
--Aminophylline (Truphylline) use with Propranolol (Inderal) may decrease metabolism and lead to toxicity
--Antianxiety medication is pharmacologically similar to alcohol, is used effectively as a substitute for alcohol in decreasing doses to comfortably and safely withdraw a client from alcohol dependence
-- Tagamet decrease gastric secretion by inhibiting the actions of histamine at the H2-receptor site, constipation is a common side effect of this med, should increase fiber in diet. Take with meals and at bedtime.
--elderly clients and clients with renal problems are most susceptible to CNS side effects (confusion, dizziness) of the medication
Medication is my weak part, and i am testing next Monday, June 30. What should i do in these last 2 days? Study more meds...or???
HELP!
Screenings for Fetal Problems
1st TRIMESTER (Chorionic villis sampling, US scan)
2nd TRIMESTER (AFP screening or Quad Screening,Amniocentesis)
3rd TRIMESTER (kick counts,Nonstress Test,Biophysical Profile, Percutaneous Umbilical Blood sampling, Contraction Stress Test )
Ultrasound screening -can be lady partsl or Abdominal (in latter make Her drink water to fill bladder)
-Confirms viability
-Indicates fetal presentation
-Confirms multiple gestation
-Identifies placental location
-Measurements can be taken to confirm/estimate gestational age
-Identify morphologic anomalies
Chorionic villis sampling
8-12 weeks
for early diagnosis of genetic, metabolic problems
Amniocentesis -13-14 weeks
Is done under US scan to obtain a sample of amniotic fluid for direct analysis of fetal chromosomes, development, viability and lung maturity
AFP
15-18 weeks-Maternal Blood Drawn
AFP also called =Quad marker screening:
-maternal serum alpha fetoprotein (MSAFP),
-human chorionic gonadotropin (HcG),
-unconjugated estriol (UE),
-and inhibin A
low AFP-Down syndrome
high-Spina bifida
it is not an absolute test if it is abnormal -further investigation is recommended
Kick counts (tests Uretro placental capability)
Same time every day mother records how often she feels the fetus move
if mininum 3 movements are not noted within an hour's time, the mother is encouraged to call her physician immediately!
Nonstress Test
checks FHR and mother detects Fetal movements.
Contraction Stress Test -tests perfusion between Placenta and Uterus (basically O2 and CO2 exchange)
-IV accessed and performed in a labor and deliver unit under electronic fetal monitoring
contractions initiated by Pitocin or nipple stimulation
the desired result is a "negative" test which consists of three contractions of moderate intensity in a 10 minute period without evidence of late decelerations
the test is done to detect problems so if it is Positive (persistent late decelerations
) then-CS
how is done:
The electronic fetal monitor is placed on the maternal abdomen for 20-30 minutes
Each time the fetus moves, FHR should accelerate 15 beats/min above the baseline for 15 seconds
A reactive (good) test =>2 accelerations in FHR occur with associated fetal movement
Biophysical Profile (BPP)
identification of a compromised fetus and consists of 5 components:
-fetal breathing movement
-fetal movement of the body or limbs
-fetal tone (extension or flexion of the limbs)
-amniotic fluid volume index (AFI) visualized as of fluid around the fetus
-reactive non-stress test
each component 0-2, 8-10-desirable.
Percutaneous Umbilical Blood sampling -like amniocentesis but cord punctured
-chromosomal anomalies, feta karyotyping, and blood disorders
Evrywhere where woman's abdomen is punctured informed consent is needed, and risks like amnionitis spontaneous abortion, preterm labor/delivery, and premature rupture of membranes must be explained. If she Rh--she may be RHoGAM given.
Everybody have a nice weekend! be more confident and less anxious, and me too) :paw:
Screenings for Fetal ProblemsAmniocentesis -13-14 weeksIs done under US scan to obtain a sample of amniotic fluid for direct analysis of fetal chromosomes, development, viability and lung maturity
Determination of lung maturity through amniocentesis is done at the last trimester of pregnancy
:paw:
Determination of lung maturity through amniocentesis is done at the last trimester of pregnancy:paw:
where is it written?
"Amniocentesis may be done after 13-14 week of pregnancy. Performed to determine genetic disorders, metabolic defects, and FETAL LUNG MATURITY"
Saunders 4ed, p.291
same in mosby
:paw::paw:
Determination of lung maturity through amniocentesis is done at the last trimester of pregnancy:paw:
it is also may be partially correct but it is NOT ONLY limited to 3rd timester, the key word it is MAY BE DONE starting anywhere after 13-14 weeks, thus, it may be done whenever they need it to be done after that time.
NICU_JULY
4 Posts
Aloha! I am new here...but really love this thread!
Here is some facts from the questions i've just done:
--In complete heart block, the AV node blocks all impulses from the SA node, so the atria and ventricles beat independently, b/c Lidocaine suppresses ventricular irritability, it may diminish the existing ventricular response, cardiac depressant are contraindicated in the presence of complete heart block.
--administrate Glucagon when pt is hypoglycemia and unresponsive
--Bromocriptine (Parlodel) or Dantrolene (Dantrium) is used for CNS toxicity
--Ibuprofen (Motrin) S/E includes epigastric distress, nausea, occult blood loss, peptic ulceration, use cautiously with history of previous gastrointestinal disorders.
--Aminophylline (Truphylline) use with Propranolol (Inderal) may decrease metabolism and lead to toxicity
--Antianxiety medication is pharmacologically similar to alcohol, is used effectively as a substitute for alcohol in decreasing doses to comfortably and safely withdraw a client from alcohol dependence
-- Tagamet decrease gastric secretion by inhibiting the actions of histamine at the H2-receptor site, constipation is a common side effect of this med, should increase fiber in diet. Take with meals and at bedtime.
--elderly clients and clients with renal problems are most susceptible to CNS side effects (confusion, dizziness) of the medication
...oh well...meds are my weak part...
and i am testing next Monday, June 30...what should i do in this last 2 days???