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
SPINAL NERVES cross tracts as opposed to CRANIAL NERVES… if you are paralyzed on the left, your right brain is screwed up. HOWEVER, if your left eye doesn’t constrict it’s your LEFT BRAIN that’s screwed up (Get it? Cuz the cranial nerves don’t cross tracts but the spinal nerves that innervate your skeletal muscles do..)
Most likely for things to go down the Right Bronchus cuz it’s shorter, fatter and more vertical. If after intubation, there are decreased breath sounds/ decreased lung expansion on the left, it’s probably b/c the person who intubated put the ETTube down too far, past the carina (where it’s supposed to be) and it’s in the right bronchus.
Kids with spina bifida are more prone to latex allergies
Pregnant women can not administer Ribavarin (for RSV)
Mumps can lead to male infertility
BNP (B type natriuretic peptide) should be
RAST radioallergosorbent test measures Ig E for latex allergy
6L Nasal Cannula is the most you can give, anything above that really doesn’t improve oxygenation. 1L NC = 24% Fi02, 2 L = 28%, 3 L = 32% …get it? Keep adding four until you get to 6L = 44% Fi02
Nonrebreather give you the most Fi02, Venturi allows you to give the most precise amount, Face tent is use with facial trauma/burns
Incentive spirometer – tell patient to inspire, hold, get floater-thing to about 600-900 then exhale.. 10X per hour awake. Pt must be able to breathe spontaneously and make a tight seal around the mouthpiece.
Yearly Occult blood tests are good to catch colon cancer (I would be hesitant to pick colonoscopy over occult blood tests).
With Hepatitis, early signs include bone pain (arthalgia) and flu like symptoms
T tube to drain bile. Normal output/day = 500 – 1000cc. Clamp before meals so pt can use bile to digest food.
With pneumonia, you will hear BRONCHIAL sounds in areas of consolidation.
BiPAP = CPAP and PEEP
ARDS is often unresponsive to increased 02 – intubate. Placing prone may help.
some I came up with a couple sayings to help me with the whole addisons/cushings separtion. the aren't very grammtrically correct. so this might be helpful for a few and useless for others but I thought I'd share
Addisons
our sons often get emotional kicking over violets
(what this tells you:hyposecretion, hypoglycemia, hyperklemia, hypovolemia(think dehydration-lethargy,weakness, fatigue), emotional disturbances. I tried to incorporate sons to make it tie with addisons)
Addisons crisis
Adding events kills our grandsons opportunity to overcome normal sickness
(what this tells you: the overall meaning is that adding an event i.e. trauma, infection, stress, or surgery, causes addisons crisis which is life threatening. specifically with addisons crisis you have: hyperkalemia, hypoglycemia, hypotension, hypokalemia, shock)
let me try again. accidentally submitted and then computer failure when editing
some i came up with a couple sayings to help me with the whole addisons/cushings separtion. the aren't very grammtrically correct. so this might be helpful for a few and useless for others but i thought i'd share
addisons
our sons often get emotional kicking over violets
(what this tells you:hyposecretion, hypoglycemia, hyperklemia, hypovolemia(think dehydration-lethargy,weakness, fatigue), emotional disturbances. i tried to incorporate sons to make it tie with addisons)
addisons crisis
adding events kills our grandsons opportunity to overcome normal sickness
(what this tells you: the overall meaning is that adding an event i.e. trauma, infection, stress, or surgery, causes addisons crisis which is life threatening. specifically with addisons crisis you have: hyperkalemia, hypoglycemia, hypotension, hyponatremia, shock)
addisons tx
the "add a sone" is a great way to remember to add a steriod. i've tweaked it to include the common initially presecribed steriod solu-cortef
add a sone suffering crisis
(add steriod solu-cortef)
cushings
causes of cushings
increased all cushions to help prevent an abnormal adrenal
during clinical practice, igave someone with bad cushings really positive treatment after their radiation
(what this tells you: decreased calcium, potassium, increased glucose, sodium, wbc, removal pituitary tumor, adrenalectomy, radiation. the their is it make it more grammatically correct, you can omit it if you like. )
of course you can use the standard addisons down (decreased). cushings up (increased). i just wanted to come up with something more specific to help if they threw to hypers or hypos in there that i couldn't figure out. and with the potassium it's opposite. also, referring to secretion. addisons has two words add & son so glucocorticoids and mineralocorticoids. cushings, i think of it as one word and the g - just glucocorticoids.
Pancreatitis is a painful inflammatory condition where it's enzymes are prematurely activated and results in autodigestion. Some of the most common causes are: gallstones, alcoholism, trauma, viral infection, genetics, etc.
Nursing Priorities:
1. control pain and promote comfort
2. treat/prevent fluid & electrolyte imbalance
3. reduce pancreatic stimulation while maintaining adequate nutrition
4. prevent complications
5. provide client teaching re: disease process, prognosis, treatment needs
Give meds as ordered which usually include: narcotic analgesics, sedatives ( valium, antispasmodics like atropine ), antacids ( maalox ), may also give Prevacid or Tagamet, etc.
:heartbeatI love this thread. What an awesome way to study!:yldhdbng:100 times better than beating it into our heads!
levothyroxine (synthroid)--thyroid preparation. give at breakfast to prevent insomnia.
carbamazepine (tegretol)--interferes with contraceptives. se: photosensitivity.
isoniazid (inh)--se: peripheral neuropathy (administer pyridoxine vit. b6), rash, urticaria, and swelling of the face, lips, and eyelids.
carbamazepine (tegretol)--prevention of seizures and relief of pain in trigeminal neuralgia. trigeminal neuralgia (tic douloureux) is an agonizing pain that may result in severe depression and suicide.
clonidine (catapres-tts)--a centrally acting alpha-adrenergic for htn; se: drowsiness, sedation, orthostatic hypotension, heart failure. if patch used be cautious around microwaves results in burns, dispose of carefully, and heat will increase medication absorption leading to toxicity.
autologous blood--may give blood 5 weeks before surgery; can give 2 to 4 units of blood; may have to take iron pills
carbidopa/levodopa (sinemet)--used to treat symptoms of parkinson's disease. take immediately before meals and high-protein meals may impair effectiveness of medication. reduces rigidity and bradykinesis and facilitates client's mobility.
doxycycline (vibramycin)--a tetracycline taken at regular intervals but not within 1 hour of bedtime because it may cause esophageal irritation. use another method of birth control, do not take antacids within 1-3 hours of taking medication, and may cause photosensitivity.
albuterol (proventil)--a bronchodilator. se: tremors, headache, hyperactivity, tachycardia. use first before steroid medication so opens up bronchioles for steroid to get in. wait one minute between puffs of the inhalers for best effect.
topiramate (topamax)-- an anticonvulsant. should drink 2000-3000ml of fluid daily to prevent kidney stones. side effects: orthostatic hypotension, ocular symptoms, blindness, and decrease effects of hormonal contraceptives.
propranolol (inderal)--a beta-blocker may mask symptoms of hypoglycemia
phenazopyridine (pyridium)--acts on urinary tract mucosa to produce analgesic or local anesthetic effects. se: bright orange urine, yellowish discoloration of skin or sclera indicates drug accumulation due to renal impairment.
trimethoprim-sulfamethoxazole (bactrim)--most common se : mild to moderate rash (urticaria)
aminoglycosides are ototoxic.
butorphanol tartrate (stadol)--analgesic for moderate/ severe pain; se: change in bp, bradycardia, respiratory depression.
The 2 main types of childhood bone tumors are osteosarcoma and Ewing sarcoma.
Osteosarcoma, the most common, origionates in bone-producing mesenchymal cells & is mostly located in the distal end of the femur or proximal end of tibia.
Ewing sarcoma origionates from cells within bone marrow space & is most often located midshaft of long or flat bones. Ewing sarcoma is more common in males and most often diagnosed between the ages of 5 and 15. Pain is the usual presenting symptom of both osteosarcoma and Ewing's sarcoma.
Legg-Calve-Perth's disease ( Perth's disease ) is one of the most common osteochondroses. This disease is characterized by epiphyseal necrosis or degeneration of the head of the femur followed by regeneration or recalcification.
Physiologic jaundice of the new born is due to mild hyperbilirubinemia that subsides in a week or two. Pathologic jaundice is due to severe hyperbilirubinemia and can cause brain damage.
Biliary atresia is a congenital malformation of the bile ducts that obstructs bile flow. Atresia causes jaundice, cirrhosis, and liver failure if it is not surgically corrected.
Wilson disease causes defective copper uptake and metabolism. Unexcreted copper accumulates in the liver, brain, kidney, and corneal cells.
Hans Selye identified 3 structural changes in rats subjected to repeated stresses: elargement of the cortex of the adrenal gland, atrophy of the thymus gland & other lymphoid tissues, and GI ulceration. The General Adaptation Syndrome ( GAS ), has 3 stages: alarm, adaptation, and exhaustion.
During sleep the body is actively engaged in restoring and repairing itself. Sleep deprivation can cause profound personality changes and changes in level of functioning.
Keratitis is a bacterial or viral infection of the cornea that can lead to corneal ulceration. Photophobia, pain, and tearing are common symptoms.
Clinical manefestations of brain abcess include headache, nuchal rigidity, confusion, drowsiness, and sensory and communication deficits. Treatment includes antibiotic therapy and surgical drainage.
Multiple Sclerosis is a relatively common degenerative disorder involving CNS myelin. The demyelination is thought to result from an immunologenetic-viral cause. Viruses or other antigens may directly attack the myelin or provoke a hypersensitivity reaction.
Symptoms of MS : optic neuritis, intellectual & emotional changes, seizures, dysphagia, hemiparesis, motor ataxia, hypotonia, asthenia, nystagmus, dysarthria, spastic paresis, bowel & bladder dysfunction, paresthesias.
read on another thread about maple syrup syndrome in a 2 day old infant? anybody with a random fact on that one? i honestly do not remember ever hearing of that one. how is tx? what are signs & symptoms?
[color=dimgray]hey melinurse,
[color=#696969]how are you doing today? thanks for all your posts...you mentioned something about maple syrup syndrome. well i had never heard of it either so i googled and found some information on it. its also known as maple syrup urine disease.
[color=#696969]here's a link to more info in regards to definition, s/s, tx, etc. hope it helps.
Thanks Jadu so much. I could not even find it in my pathophysiology book or my pediatrics. Even called my work and asked a peds nurse who had never heard of it.:tku::tku::tku:
* Multiple myeloma is a neoplasm of B cells and mature plasma cells. It is characterized by multiple malignant tumor masses of plasma cells scattered throughout the skeletal system and sometimes in soft tissue.
* The main signs & symptoms of multiple myeloma include recurrent infections caused by suppression of the humoral immune response and renal disease as a result of Bence-Jones proteinuria. Chemotherapy is the tx of choice. However, morality is still 3-5 years with tx.
[color=#696969]how are you doing today? thanks for all your posts...you mentioned something about maple syrup syndrome. well i had never heard of it either so i googled and found some information on it. its also known as maple syrup urine disease.
[color=#696969]here's a link to more info in regards to definition, s/s, tx, etc. hope it helps.
how is tx? what are signs & symptoms?
kouco
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