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
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.
Addison's - "add to"...
SORRY - I meant to say INSOMNIA IS A PART OF THAT!!!!!! Sorry for the confusion.
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.
You just said that hyerthyroidism (Grave's Disease) will cause pts to be "nervous, heart racing" does it not make sense that a pt like that would also suffer from insomnia? And sense they would go into hyperthyroidism when their Synthroid levels get too high that would be a side effect of Synthroid toxicity. Hint, remember that Synthroid should always be taken in the morning to counter act the side effects of insomnia. If pt complains of not sleeping, ask them what time of day they are taking their dose.
i'm preparing for the nclex lpn and i'm having a huge problem understanding fluids & electrolytes. any pointers i would really appreciate it
thank you in advance
hey tropical sunshine,
i am posting a link that has a fabulous fluids flow chart. it is post #13 on the page by vickyrn. the flow chart is 1 page, but it has everything you need to know about the different kinds of ivf, hypotonic, isotonic, and hypertonic. i know this isn't everything about fluids and eletrolytes together, but everything about the different types. hope it helps. good luck.
i am attaching a word document on lab values. it was sent to me via my personal email when i took the nclex this past march (unsuccessful). please use it if you like. please also be aware that the values may differ slightly depending on the study source you use, but it should be fairly close in number. i wish everyone preparing for the nclex the very best of luck.
Any pointers i would really appreciate it
studymom39
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