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
Congradulations GatorNurse!!!!! Had to work last night and just saw you passed.
So I am posting my facts today based on the pts. I cared for last night.
Pneumonia
Can be caused by bacteria, viral & other causes such as aspiration. Some contributing factors would be smoker, immunosuppressed, etc. ( increases the risk )
Diagnostics: chest x-ray will show consolidation over affected areas ( usually in the lower lobes ) , WBCs will be elevated , pO2 will be elevated , sputum will show organism
Nursing Care:
give O2 as needed
semi-fowler's position
reposition q 2 hrs and prn
give analgesics to relieve pain with breathing ( Codeine drug of choice )
auscultate breath sounds q 4 hrs and prn
assess ABGs
encourage cough & deep breathing , chest physiotherapy as ordered
assess color, characteristics of sputum & report changes
provide adequate rest
give antibiotics as ordered
respiratory/droplet precautions and standard precautions
give antipyretics as ordered
encourage increase fluid intake and adequate nutrition
:typing Thanks for all the great facts everybody. I'll post more later.
My books say it consists of 3 disorders, chronic bronchitis, emphysema, & asthma. However, I've also heard that asthma is no longer considered part of the " COPD "? I think it depends on who you ask too. I had a doctor tell me last night asthma is considered as being COPD and another in the morning who said it's not. ( just and FYI )
I'll count it as COPD here but if you have different or heard otherwise, please post what you were taught in NS.
Risk Factors for COPD:
- smoker
- air pollution
-occupational exposure to respiratory irritant
- allergies
- autoimmunity
- infection
- genetic predisposition
- aging
Chronic Bronchitis & Emphysema = non-reversible
Asthma = reversible
Status Asthmaticus = severe,persistant asthma that lasts longer than 24 hrs and does not respond to regular therapy
Had to work last night and just saw you passed.
Jack_ICU
288 Posts
Congrats GatorNurse! I knew that you did well. Best wishes in your career!