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
Protein and vitamin C are necessary for wound healing.
Poultry and milk are good sources of protein. ( to name a few )
Broccoli and strawberries are good sources of vitamin C. ( to name a few )
Normal serum creatinine level is 0.6 to 1.3 mg/dl. The person with mild renal insufficiency would have a slightly increased level. Levels of 3.5mg/dl means possible acute or chronic renal failure.
Theophylline increases risk of digoxin toxicity and it decreases effects of both lithium and dilantin. Barbituates decrease the effects of theophylline.
If the question asks for an immediate action/response, all options might be correct so select the answer based on priorities.
Capsules & sustained release meds are not to be crushed.
After cataract surgery the person should not sleep on the operative side.
After liver biopsy the person is instructed to lay on their right side.
When giving an enema place the patient in left laying Sim's position so the enema can flow by gravity in the natural direction of the colon.
After a craniotomy keep head of bed ( HOB ) elevated 30 degrees to 45 degrees.
I'm assuming we should site a source and I'm not sure of legalities with this...
but my meds pub review lady had many good tips....
Pediatric overdose of aspirin...common, because it's pretty and sweet-tasting...question may be ER toddler took ASA...what do you expect to be done? Lavage is the quickest way (lavage not gavage...lavage is pumping the stomach, gavage is feeding)...then charcoal to absorb the remnant...then the antidote, mucomyst.
Tylenol is common overdose in teens...painful death if they succeed and if they survive, liver damage for life possible. Metabolized in liver - question will often focus on liver assessment.
Lead poisoning - focus is neuro. Chelation therapy and hydrating child.
Hydrocarbons (gasoline, kerosene), do not induce emesis - lavage.
Syrup of ipecac is no longer used so if you have an outdated nclex book, nix that baby!!!!!
i am surprised that Kaplan would state that a potential side effect of synthroid would be insomnia, instead of suggesting that this may be indicative of too LARGE a dose, which is the info found if you "google".....is Lyme disease still found primarily in Ct?
i am surprised that Kaplan would state that a potential side effect of synthroid would be insomnia, instead of suggesting that this may be indicative of too LARGE a dose, which is the info found if you "google".....is Lyme disease still found primarily in Ct?
Morte! If you open your drug book and check synthroid side effects, you'll see that insomnia is one of the major side effects. It does make sense b/c synthroid is used to treat hypothyroidism. And you remember that in hypothyroidism the body's metabolism slows down. Synthroid which is a thyroid preparation contain hormones T3 and T4 that increase the body metabolism. If you take a large dose of synthroid, not only you'll have some serious side effects (cardiovascular collapse, ...) but you may develop also synthroid toxicity and the drug may be withheld for a reasonable period of time, and you may end up in an acute care setting depending of your condition. It puzzles me you question that insomnia is side effect of synthroid b/c you know that synthroid may affects the CNS by making the patient nervous, restless, irritable and unable to sleep among other things.
What a perfect description of me in the days before taking the NCLEX!
Fact
a kilogram is 1,000 milligrams.
a milligram is 1,000 micrograms.
Put the decimals in the right spot. Triple check your calculations.
Good luck Reddy! You can do it. Make sure that you breathe and be CONFIDENT. Best of wishes. If I did it, you can do It! It is JUST a test! Believe me, regardless the all hype behind the NCLEX, I found out that it's all about your attitude and the confidence you have in yourself!
This was clear back on the third page! We can't let it drop that far!
When drawing an ABG, you need to put the blood in a heparinized tube, make sure there are no bubbles, put on ice immediately after drawing, with a lable indicating if the pt was on room air or how many liters of O2.
Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow
Before going for Pulmonary Fuction Tests (PFT's), a pt's bronchodilators will be with-held and they are not allowed to smoke for 4 hrs prior
For a lung biopsy, position pt lying on side of bed or with arms raised up on pillows over bedside table, have pt hold breath in midexpiration, chest x-ray done immediately afterwards to check for complication of pneumothorax, sterile dressing applied
For a lumbar puncture, pt is positioned in lateral recumbent fetal position, keep pt flat for 2-3 hrs afterwards, sterile dressing, frequent neuro assessments
EEG, hold meds for 24-48 hrs prior, no caffine or cigarettes for 24 hrs prior, pt can eat, pt must stay awake night before exam, pt may be asked to hyperventilate and watch a bright flashing light, after EEG, assess pt for seizures, pt's will be at increased risk
Diamox, used for glaucoma, can cause hypokalemia
Dexedrine, used for ADHD, may alter insulin needs, avoid taking with MAOI's, take in morning (insomnia possible side effect)
Cytovene, used for retinitis caused by cytomegalovirus, pt will need regular eye exams, report dizziness, confusion, or seizures immediately
INH, used to treat and prevent TB, do not give with dilantin, can cause phenytonin toxicity, monitor LFT's, give B6 along with, hypotension will occur initially, then resolve
Rifampin, for TB, dyes bodily fluids orange
If mixing antipsychotics (ie Haldol, Throazine, Prolixin) with fluids, med is incompatible with caffine and apple juice
Haldol preferred anti-psychotic in elderly, but high risk extrapyramidal side effects (dystonia, tarditive dyskinesia, tightening of jaw, stiff neck, swollen tongue, later on swollen airway), monitor for early signs of reaction and give IM Benadryl
Risperdal, antipsychotic, doses over 6mg can cause tarditive dyskinesia, first line antipsychotic in children
Levodopa, for parkinsons, contraindicated in pts with glaucoma, avoid B6
Sinemet, for parkinsons, contraindicated with MAOI's
Hydroxyurea, for sickle cell, report GI symptoms immediately, could be sign of toxicity
Zocor, for hyperlipidemia, take on empty stomach to enhance absorption, report any unexplained musle pain, especially if fever
My meds pub reviewer said that you don't need to know the Glascow Coma Scale; rather, just know that 15 is perfect and anything under 7 is a coma.
Also, the immunization chart is always changing so the boards don't feel it's fair to ask that; rather, know when not to give an immunization (like with allergies, pregnant, etc.) and to know what to tell the parents to expect after an allergy.
Guillian barre- GB - Ground to Brain. (Interestingly, an adolescent gyno recently told me that people getting the HPV vaccine are sometimes getting this...so if this helps you to remember, it's usually after an infection...)
Save the temp for last in vital signs in peds.
Someone mentioned something on Synthroid...if you overdose, you will see hyperthyroid s/s...I don't think insomnia is part of that. You are treating under production with this. I always think of metabolicc rate when I think of thyroid...Oprah has underproduction, hypo, problems with weight, tired, constipation, etc. The opposite is that you're jacked up on thyroid hormone, skinny, exophthalmos, heart racing, hupertension, big appetite, diarrhea, nervous. So, think of Oprah who reported hypothyroidism and logic it out.
I think the only thing that's worthwhile for posting is tricks to remembering things or bullet information that aren't in these books. There's no sense in rehashing what is in front of us. ...
F&F - Fat and Fractures
H&H - Hips and hemorrhage
Fosamax - for low bone density...always a key point is you have to take it in the morning when rising, drink lots of fluid (hard on kidneys) and stay upright for 30 minutes...I take Actonel and it's the same class, same thing.
DI - focus ont he boards according to meds pub reviews is that you don't want to give diuretic products to someone who's alrady dumping fluids...so check the tray - no caffine, cola, coffee, watermelon, citrus, chocolate. Vasopressin constricts and helps retain fluids.
SIADH: hypersecretion...if you have to limit a patient to 500 ml a day, don't make it a punishment...small containers, majority in waking hourse, save 30 ml for night for pain pills...daily weights...hyponatremia.
Melinurse
2,040 Posts
Protein and vitamin C are necessary for wound healing.
Poultry and milk are good sources of protein. ( to name a few )
Broccoli and strawberries are good sources of vitamin C. ( to name a few )
Normal serum creatinine level is 0.6 to 1.3 mg/dl. The person with mild renal insufficiency would have a slightly increased level. Levels of 3.5mg/dl means possible acute or chronic renal failure.