Anyone Up For Random FACT THROWING??

[CrazyScrubNurse]

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

OK your turn....

[Melinurse]

Amputation Care:

* provide routine post op care

* prevent contractures,i.e in above the knee amps, do not keep leg up after 24 hrs

* avoid letting pt sit too long with hips flexed

* have pt lay prone several time a day & position hip in extension, unless otherwise ordered

* do not elevate stump longer than 24 hrs unless otherwise ordered

* give pain meds

* stump bandages should be tight to promote prothesis fitting

* initiate active ROM when ordered

* provide stump care: look daily for signs of skin irritation, wash daily with warm water and bacteriocide soap then rinse and dry well, do not use irritating stuff like lotions, powders or alcohol.

[mystic25]

1. laminaria is a seaweed used in the dilation stage of d&c procedure,they expand in a moist environment. natural & safe method.

2. breastfeeding is always cntraindicated in pregnancy. during pregnancy, secretion of milk is inhibited; sucking can cause uterine contractions.

3. sequence in assessing newborn vital signs:

1st: rr

2nd: cr

3rd: temp.

4. during ovulation, the basal temp. drops slightly (estrogen increases)

and then rises (progesterone increases).

5. stillborn is a dead fetus more than 24 wks aog, weighing 600 or more grams.

[Melinurse]

Ok, some psych stuff:

Side Effects of MAOIs

* ortho hypotension * dizziness * restless * can't sleep * GI upset * weight gain * dry mouth * anticholinergic effects * CNS stimulation * weakness * edema *

Watch for hypertensive Crisis antidote is 5-10mg IV phentolamine

MAOIs include: Marplan, Nardil, Parnate

[Melinurse]

Regular insulin is a short acting insulin. Peak is in 2-4 hrs. Lasts 6-8 hrs.

NPH insulin is intermediate acting. Peak is in 1-1 1/2 hrs. Lasts 18-24 hrs.

Regular insulin is only one can be given by IV.

Meningitis:

S/S includes:

Headache, light sensitive, irritable, stiff neck, + Kernigs sign, + Brudinski sign, opisthotonos, vomiting, chills/fever, seizures.

Large doses of IV antibiotics.

Enforce strict respiratory ( droplet ) isolation, and standard precautions for 24 hours after starting IV antibiotic therapy.

Hope these tips help.:loveya:

[Melinurse]

Meds:

Lithium

theraputic range is small watch closely, 0.6 to 1.2 mEq/L.

Chech Lithium level every 1-2 months or with behavior change.

Some side effects:

* polyuria

* polydipsia

* mild thirst

* hand tremors

* bloating of abdomen

* weight gain

* lethargy

* headache

Watch salt intake & ensure pt getting enough.

monitor renal function

don't give diuretics with lithium

no alcohol

maintain good oral fluid intake

[tongueflip00]

I've been reading the random facts the whole day today.. and I'm enjoying it. Thanks for those who started it and to those who gave their contributions.

My BIG day will be in a week's time! Happy studying!

[Melinurse]

Thought I'd try to find some facts that have not been shared or have not been repeated too often.

PACEMAKER TEACHING:

*fundamental cardiac physiology

*daily pulse check for 1 full minute

*report any sudden slowing/speeding up of the heart rate

*importance of following up with weekly monitoring during first 1-2 months after placement & at anticipated battery depletion time

*wear loose fitting clothing around area with pacemaker

*call doctor if develop pain/redness over site

*no heavy contact sports

*carry ID card/medic alert braclette with info on model of pacemaker, rate set at, and manufacturer

*remind of need for periodic hospitalization for battery changes or possible unit replacement

PE ( Pulmonary Embolism )

Risk factors:

* venous thrombosis * immobility * post-op pts. * trauma * pregnancy * CHF * obesity * oral contraceptives

Signs/Symptoms:

* pleuritic chest pain

* severe dyspnea

* feeling of doom

* tachypnea & tachycardic

* hemoptysis

* shock ( if huge )

* low pCO2, increased pH ( from hyperventalating )

* fever

* rales/crackles

RISK for DIABETES:

* genetics/family hx

* obesity

* race ( African-American, Native American, Hispanic, Asian, Pacific Islanders )

* over 40 yrs

* had an impaired fasting glucose or impaired glucose tolerance before

* HTN

* High cholesterol and triglycerides

* hx of gestational diabetes

Good luck to grouchybuthappy!!! Today is the big day.

[amazingaloha]

Awesome thread! This would be a great help to remember stuff. I'll throw 5 facts later. Will try to figure out which one hasn't been thrown yet.

Keep it going.....:)

[Melinurse]

getmore, even repeats of stuff is great because no 2 people put it out there the same way. So if you read a post by one person and it does not sink in or you don't get it, you can read post 2 or 3 and get it.

Bupropion ( Wellbutrin ) is a tricyclic antidepressant

* tell pt. takes several weeks to take effect

* watch for increased mood/energy level, may attempt suicide!

* give with food or milk

* assess for urinary retention

* monitor for bowel movements

* give preferably at bedtime

* may lower effectiveness of antihypertensives

* side effects: anticholinergic effects, lower GI motility, dilated pupils and blurred vision, ortho-hypotension, sedation, photosensitive

[Melinurse]

Blood Transfusion Reactions:

* chills * sweating * thready, rapid pulse * pallor * cyanosis * muscle aches, back pain * chest pain * headache * rash/hives * aprehension * n/v and diarrhea

Reactions that are not immediate include:

* fever, jaundice, low Hct level

If a reaction happens the pt. should be closely monitored for life-threatening symptoms. The infusion is stopped immediately & the doctor is called!!!! The blood bag and the tubing must be returned to blood bank with an explaination of the reaction. Nurse must stay with pt. during first 15 minutes of transfusion. Also, if the temperature goes up by 2 degrees from the baseline during an infusion this could be a reaction.

:typing More later............................................... Keep the thread going.........................

[tongueflip00]

ELECTROLYTES

1. Na- Hypo (Below 135)

Symptom: irritability, apprehension, confusion, postural hypotension, tachycardia, tremors, seizures, coma

Intervention/Tx: Administer IV saline sol, restrict water intake

Na- Hyper (Above 145)

symptom: thirst, dry mucous mem, restlessness, agitation, postural hypotension, switching, seizures

Intervention/Tx: Administer oral fluids or dextrose 5%, restrict oral sodium intake

2. K- Hypo (Below 3.5)

symptom: thirst, dry mucous mem, restlessness, agitation, postural hypotension, switching, seizures

Intervention/Tx: Administer K

K- Hyper (5.1)

symptom: irritability, anxiety, paresthesias, weaknessof lower extrem, diarrhea, adbominal cramps

Intervention/Tx: eliminate oral and parentheral K intake, administer K wasting diuretics

3. Ca- Hypo (Below 8.6)

symptom: numbness and tingling of fingers and circumoral region, hyperreflexia, muscle cramps, seizures

Intervention/Tx: Administer ca salts, calcium gluconate, diet high in ca and vit d

Ca- Hyper (10)

symptom: lethargy, weakness, depressed reflexes, anorexia, nausea, vomiting, back pain

Intervention/Tx: prevent with wt bearing exercise, hydration, calcitonin prevents bone resorption

4. Mg- Hypo (Below 1.6)

symptom: muscle tremors. hyperactive deep tensdon reflexes, confusion, seizures, cardiac dysrhythmias

Intervention/Tx: Administer Mg PO or IV

Mg- Hyper (2.6)

symptom: muscle tremors, hypoactive deep tendon reflexes, decreased rate and depth of respirations, cardiac arrest

Intervention/Tx: administer, calcium chloride, calcium gluconate to oppose effects on cardiac muscle, increase fluids

5. PO4- Hypo (Below 2.7)

symptom: confusion, coma, rhadbomyolosis, muscle weakness

Intervention/Tx: oral supplement, diet- high in phosphorous,

PO4- Hyper (4.5)

symptom: muscle problems, tetany, calcium-phosphate precipitates in skin, soft tissue, cornea, blood vessels

Intervention/Tx: identify and treat underlying cause diet- restrict foods and fluids high in phosphorous, adequate hydration, phosphate-binding agents

[CocoKat]

I want to add this up to Melinurse's Blood transfusion..her version is really good, i just want to add some input =)

* Hemolytic rxn (most dangerous) --> pain in lower back, N/V, hematuria

--> D/C transfusion, open up the NS

*Febrile rxn --> HA, fever, chills, nausea

--> D/C transfusion, may give ASA

*Allergic rxn --> urticaria, pruritis, fever

--> D/c, give Benadryl, O2

*Fluid Overload --> D/c, HOB up, O2

****for the most part of blood transfusion rxn, always open up the NS =)