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
Treat with sclerotherapy, ice lavage via NG tube, or Sengstaken-Blakemore.
Sengstaken-Blakemore is a triple lumen NG tube, 1st lumen has a balloon to secure it in the stomach, 2nd lumen is for gastric drainage, 3rd lumen has balloon to put pressure on esophagus to stop the bleeding.
Monitor for migration of the tube/ airway obstruction!!! Keep patient NPO, monitor I&O, Monitor H&H and clotting factors, prepare to give Pitressin to induce vasoconstriction & reduce bleeding. ( to name a few )
I would add to that Melinurse. In case an emergency situation arises (i.e patient having respiratory distress d/t the sengstaken blakemore tube) always keep a scissor at bedside.
~ Omphalitis - infection of umbilical stump. Don't rely on smell to detect infection b/c umbilical stump heals thru gangrene.
~ Make sure to assess vernix and heel creases soon after baby is born cuz vernix will be wiped off and heel creases develop as soon as foot dries.
~ SQUARE WINDOW - term infants can flex wrist onto arm, preterms can only do a 90degree flexion which creates a "square window"
~ SCARF SIGN - term infants can't extend elbow past midline but preemies can, they extend hand across created a "scarf" effect since they have no resistance
~ On the Ballard Scale, score of 35 is 38 weeks, 40 is 40 weeks and 45 is 42 weeks.
~ Post-term babies are at risk for..
- Polycythemia r/t hypoxia, less 02 from placental (placental insufficiency)
- Meconium Aspiration - hypoxia relaxes anal sphinter and they poop
- Hypoglycemia - Interference with nutrient supply as placenta deteriorate
~ When performing a heel stick, put thumb over walking surface of the heal, strike later aspect of heal, wipe of 1st drop, don't smear, streak or sqeeze area (due to high ECF in infants)
~ Before infant feeds, insert gloved hand into mouth to assess palate.
~ Head circumference should be 2cm > than chest when born, but equal by 1 year.
~ Skin tags and low set ears in infants - suspect chromosomal abnormalities
~ Circumoral cyanosis in infants - see if it improves with crying. If it doesn't , report it cuz it might indicate cardiac pathology.
~ Toilet Training - when kid can communicate need to go (non verbal or verbal), holds on to please mom and doesn't let go to please self, sphincter control 18 months - 24 months (myelination of the cord is complete now), motor skill. Ability to stay dry for 2hours, can sit still on toilet for 5 - 10 mins without fussing, curiousity about older people's habits. No right or wrong time !
~ 1 TABLESPOON per year of age = a serving (so 2 year old's serving is 2 tablespoons or an ounce)
~ Toddlers should be drinking 3-4 cups of milk max, need to make sure they get nutrients from other foods.
~ Infants need 110kcal/kg/day
~ Breast milk has 20 kcals per ounce (so 20 kcal per 30 cc)
~ Breast milk has everything BUT slightly deficient in Vitamin D
~ Autosomal DOMINANT disorders :
**Marfans (prone to aneursyms, long long long people "Abe Lincoln" type folks ).
**Polydactly (too many digits)
**Achondroplastic dwarfism
** PKD polycystic kidney disease
**Huntingon (doesn't show up until 40s 50s, which is why the gene is perpetuated in the gene pool cuz when the symptoms show up in ur 40s/50s, you've probably already had kids and passed the gene along)
Autosomal Recessive
** Sickle Cell
** Cystic Fibrosis
** PKU
** Galactosemia (can't digest galactose in breast milk)
~ Shoulder and Upper back lanugo is normal for term baby and vernix in deep creases and skin folds is also ok for term babies.
I've been using this website everyday for the past couple weeks and it's AMAZING. Now I just go to "Disease List" and I quiz myself on what kinds of precautions a certain disease would require.... can't wait to MURDER the infection control questions on the NCLEX !! Just gets sticky when it says that you're going in to start an IV, put in an NG, irrigate a wound, change a dressing, etc..... I'd advise EVERYONE to bookmark this link and review it QD until the day before boards seeing as infection control questions make up a good proportion of questions asked...so I hear.
T - a couple days for me ...my time draweth nearer....
Colostomy, irrigate at the same time everyday to help establish a normal pattern of elimination
Gastric ulcer, will experience pain 30min to 1 hr after eating
Burger's Disease, vasculitis of blood vessels of extremities, pt will experience sensitivity to cold
Viasine is contraindicated with open angle glaucoma
In pts with a hx of alcohol abuse, assess for tremors, elevated temp, nocturnal leg cramps, and pain
Fetal Alcohol Syndrome babies will appear with a small head circumfrence, low birth weight, and underdeveloped cheekbones. They may need vitamins (esp B's)
CVA, pt's are at risk for corneal abbrasion due to being unable to close affected eye voluntarily
So, I'm reading about anxiety and thinking I don't have to post on this one because we all know it & are experiencing it.
Anxiety = a feeling of uneasiness, apprehension, uncertainty, or dread ( exactly how I feel about the NCLEX )
Mild anxiety = alert, can be motivating ( study is good thing feel like I'm getting it )
Moderate anxiety = focus on immediate concerns, narrow perceptual feild ( you tell everyone when your date is and you can't be bothered because you must study )
Severe anxiety = feeling something bad is going to happen ( yeah! Like I might do badly ! )
Panic = 2 days before NCLEX & 2 days after NCLEX as you wait for the results
Dumb way to remember I know, but for me it is effective. My best buddy at work told me this one yesterday. It's how she remembered anxiety when she did boards. And yes, she got a question about anxiety ( this was 15 years ago though ).
so, i'm reading about anxiety and thinking i don't have to post on this one because we all know it & are experiencing it.
anxiety = a feeling of uneasiness, apprehension, uncertainty, or dread ( exactly how i feel about the nclex )
mild anxiety = alert, can be motivating ( study is good thing feel like i'm getting it )
moderate anxiety = focus on immediate concerns, narrow perceptual feild ( you tell everyone when your date is and you can't be bothered because you must study )
severe anxiety = feeling something bad is going to happen ( yeah! like i might do badly ! )
panic = 2 days before nclex & 2 days after nclex as you wait for the results
dumb way to remember i know, but for me it is effective. my best buddy at work told me this one yesterday. it's how she remembered anxiety when she did boards. and yes, she got a question about anxiety ( this was 15 years ago though ).
:heartbeat
super cute and super funny, great way to remember it!!
I've been studying so hard and trying to work in some kinda stress relief, well a friend sent me this so I thought I'd share it with others who might feel as stressed as I do:
]]SIGNS OF MENOPAUSE:]1. You sell your home heating system at a yard sale.
]2. You have to write post-it notes with your kids' names on them.
]3.. You change your underwear after a sneeze.
]]OLD IS WHEN:]]1. Going bra-less pulls all the wrinkles out of your face..
]2. You don't care where your spouse goes, just as long as you don't have to go along.
]3. Getting a little action means I don't need fiber today.
]4. Getting lucky means you find your car in the parking lot.
]5. An all-nighter means not getting up to pee!
]]]THOUGHTS FOR A SLOW WEEK:
]]Wouldn't it be nice if whenever we messed up our life we could simply press 'Ctr Alt Delete' and start all over?
]Just remember, if the world didn't suck, we'd all fall off.
]]If raising children was going to be easy, it never would have started with something called labor!
]Brain cells come and brain cells go, but fat cells live forever.
]]But Most Of All, Remember
]]A Good Friend Is Like A Good Bra: Hard to Find, Supportive, Comfortable,
Melinurse
2,040 Posts
Esophageal Varicies:
Treat with sclerotherapy, ice lavage via NG tube, or Sengstaken-Blakemore.
Sengstaken-Blakemore is a triple lumen NG tube, 1st lumen has a balloon to secure it in the stomach, 2nd lumen is for gastric drainage, 3rd lumen has balloon to put pressure on esophagus to stop the bleeding.
Monitor for migration of the tube/ airway obstruction!!! Keep patient NPO, monitor I&O, Monitor H&H and clotting factors, prepare to give Pitressin to induce vasoconstriction & reduce bleeding. ( to name a few )
:typing More to come later.......................