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
Dx of Tetrology of Fallot is done by chest x-ray that shows a typical boot shaped heart. An echocardiogram, 3 dimentional echocardiography, & cardiac cath help to confirm diagnosis.
s/s of TOF include: " blue spells or tet spells " relieved by having child squat. Murmur may be present. Poor growth, clubbing of fingers.
Flail chest- affected side goes down with inspiration and up during expiration. Caused by fx of multiple ribs. Monitor for shock, give O2, pain meds, TCDB(turn, cough, deep breath)
DI: (ADH decreased) Excessive urine output,dehydration,increased thirst and weakness noted. Will see a low specific gravity and high sodium levels.Monitor I/O's, VS, give Pitressin(vasopressin) a antidiuretic hormone.
SIADH:(ADH increased) Decreased urine output, change in LOC, H/A, N/V, tachycardia, lethargy. Will see a high specific gravity and low sodium levels. Administer diuretics, restrict H2O intake, hypertonic saline (3% NaCl) IV, I/O's, assess LOC.
1) Detached Regina - curtain being drawn over field, floaters, must patch BOTH EYES !
2) Cataracts - decreased Color vision, Cloudy, better vision with dim light (pupil dilation)
3) Glaucoma - halo around lights, decrease peripheral vision, intraocular pressure > 22mmHg. They see better with light. COAG (chronic open angle glaucoma has little to no symptoms, pressure in the eye gradually increases 30-50mmHg), while acute closed angle glaucoma has sudden pain and the pressure in the eye is usually higher ( 50 - 70).
4) Ishihara chart - to assess color vision (specifically red -green blindness)
5) Post op stapedectomy - vertigo, nausea, vomitting is expected
For fetal auscultations i found this help me remember the positions. All heart beats are felt at a position lower than the umbilicus. To memorise them:S=sacral O=occiput A=anterior P=posteior
S A
O P
O A
Just decide which one is left or right, otherwise they always follow the above layout.( at least in Kaplan Questions)
Pt. safety: safe nursing prevents injury to the pt. by keeping side rails up, keeping the bed in its lowest position & locked, and having the call light within reach. Responding proptly to pts. call lights minimizes the chances of a pt. getting out of bed alone ( if they are unsteady ) which could result in a fall.
Remember the RACE for fire safety:
R = remove pts. in danger
A = alarm
C = confine/contain
E = extinguish
The order of priority if there is a fire is to rescue/remove the patients in immediate danger first then sound the alarm.
I hope this helps.. I'm not sure of this was posted..
Management for sprain:
R- Rest
I - Ice
C -Compression
E - Elevate
Management for Sickle Cell Crisis: (In order of PRIORITY)
H - Hydration
H - Heat
O - Oxygen (why? coz if you give oxygen before hydration it doesn't make sense at all since hydrating the client would prevent further clumping of RBC's thus increasing oxygenation)
Used for angina, dysrhythmia, HTN, migraine, prevent MI, & glaucoma. Contraindicated in asthma, bradycardia, CHF, severe renal/hepatic disease, CVA, & hyperthyroid. May mask hypoglycemia so monitor diabetics closely.
Side Effects : hypotension, bradycardia, brochospasm, dizziness, hyperglycemia to name a few.
Atenolol ( Sectral )
Labetolol ( Normodyne, Vescal )
Metoprolol ( Lopressor, Toprol )
Propranolol ( Inderal )
Nadolol ( Corgard )
Hold if BP or pulse not within prescribed parameters. Call MD for orders. Follow hospital/facility policy.
For a SC heparin use a 25 to 27 gage, 3/8 to 5/8 needle to prevent tissue trauma & inadvertant IM injection.
Nancy LPT for now
27 Posts
Fifth disease (Slapped face): Pregnant and the immunocompromised should not care for these pts. Thanks Gator:wink2:
Swan-Ganz catheter: It is used to determine left ventricular function by measuring pulmonary capillary wedge pressure.
CVP: normal values 2-14cm. It is used to evaluate the right ventricular function as well as the right atrial pressure.
Huntington's Disease:
*Genetically transmitted
*ACH and GABA are deficient;resulting in a excess of DA
*Choreic movements noted.
*No cure
*Mental functions deteriorate
ALS (Lou Gehrig's):
*Loss of motor neurons.
*Pt cognitively intact while wasting away.
*No cure
*Rilutek slows progression of ALS ( by a few months)