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....

[JessicaSN]

I haven't read the whole thread but here is something I use

Diabetes insipidus - Dries you out (high urine output ---> leads to hypernatremia and Dehydration)

SIADH (syndrome of inappropriate diuretic hormone) - makes you Soaking wet (fluid retention ---> leads to hyponatremia and Cerebral edema)

Ok, so "cerebral" doesn't start with an "s" but it sounds that way

[sweet_soul79]

I have been reading this thread so far... really really awsome!

I have a question though...

Is rubella airborn or droplet???

Confused!!

1. nebulizers used by HIV patients are cleansed with warm water after each treatment and allow it to air dry. soaked in wht vinegar and water for 30f min at the end of the day

2.SHARE support group for parents who have experienced misscarriage

3. RESOLVE support grp for infertile clients

4. CANDLELIGHTERS families who have lost child to cancer

5 FETAL ALCOHOL SYNDROME child small head circumferance, low birth wt, underdeveloped cheeks.

[pookie5676]

Ruebella is DROPLET

[ciber-1]

DO not radiate children under 8 y.o.

Insulin can be kept on room temp 1 month.

[lasko08]

PARATHYROID PROBLEMS

hyperparathyroidism= hypercalcemia=hypophosphatemia

hypoparathyroidism=hypocalcemia=hyperphosphatemia

**calcium and phosphorus are inversely related**

THYROID PROBLEMS

hypothyroid (myxedema):no energy, depress pt. everything is slow

hyperthyroid (grave's): very ENERGETIC, manic pt., everything is high

**watch out for heart problems, rhythm changes**

[Amber07]

nursebabygirl 08 said:

For those of you who have trouble with mcg/kg/min problems.

try this solution.

Exp: 7mg of dopamine in 500ml in NS ; pt is 110lbs

first convert 110lbsto kg =110lbs/2.2 kg=50kg

then change 7 mg to mcg =7000 mcg

Now plug in the numbers. 7000* 50kg*60mins

------------------

500ml

answer is 16.8 mcg/kg/min

Can someone please break this down for me a little bit. Sorry if I am slow but I can't seem to grasp mck/kg/min. Somehow I just can't get the problem to equal 16.8.

[ciber-1]

Amber07 said:

Can someone please break this down for me a little bit. Sorry if I am slow but I can't seem to grasp mck/kg/min. Somehow I just can't get the problem to equal 16.8.

Don't waste time. something is missing there, like infusion rate.

[ciber-1]

Amber07 said:

Can someone please break this down for me a little bit. Sorry if I am slow but I can't seem to grasp mck/kg/min. Somehow I just can't get the problem to equal 16.8.

posting without checking is confusing

Patient 110 lb

7mg Dopamine in 700ml NS

they want to know how much they get mcg/kg/min.

(Note-mcg!, so you have to convert mg to mcg)

you have to know:

-that 1kg=2.2lb

- to convert (mg to mcg) larger to smaller multiply by 1000

(smaller to larger divide by 1000, say mcg to mg)

Thus;

110 lb/2.2= 50kg

7mg=7000mcg

7000mcg/50kg=140mcg/kg(!)

now 140mcg/kg*60min=8400

8400

------

500ml (volume of dilutent)

=16.8

[december2905]

please help me solve this..i tried but i can't figure it out

Physician's order: add 60 mEq KCl to 1000 mL D5/W and infuse at a rate of 2.5 mEq/hr.

Available: KCl 40 mEq=20 ml

The infusion set has a drop factor of 60

How much KCl should be added to the IV?

How many mL/hr should the patient receive?

How many gtts/min need to infuse to deliver the required amount of drug per hour?

[Amber07]

ciber-1 said:

posting without checking is confusing

Patient 110 lb

7mg Dopamine in 700ml NS

they want to know how much they get mcg/kg/min.

(Note-mcg!, so you have to convert mg to mcg)

you have to know:

-that 1kg=2.2lb

- to convert (mg to mcg) larger to smaller multiply by 1000

(smaller to larger divide by 1000, say mcg to mg)

Thus;

110 lb/2.2= 50kg

7mg=7000mcg

7000mcg/50kg=140mcg/kg(!)

now 140mcg/kg*60min=8400

8400

------

500ml (volume of dilutent)

=16.8

Thank you.....thank you....thank you

This was perfect and totally helped. I see exactly what I did wrong and why it was incorrect. It was the very last step that through me for a loop.

[ciber-1]

december2905 said:

please help me solve this..I tried but I can't figure it out

Physician's order: add 60 mEq KCl to 1000 mL D5/W and infuse at a rate of 2.5 mEq/hr.

Available: KCl 40 mEq=20 ml

The infusion set has a drop factor of 60

How much KCl should be added to the IV?=30 ml

How many mL/hr should the patient receive?=41.6ml

How many gtts/min need to infuse to deliver the required amount of drug per hour?

41.6=42gtt/min

do you have answers?

[CrazyScrubNurse, BSN, RN]

december2905 said:

please help me solve this..I tried but I can't figure it out

Physician's order: add 60 mEq KCl to 1000 mL D5/W and infuse at a rate of 2.5 mEq/hr.

Available: KCl 40 mEq=20 ml

The infusion set has a drop factor of 60

How much KCl should be added to the IV?

How many mL/hr should the patient receive?

How many gtts/min need to infuse to deliver the required amount of drug per hour?

HOW MUCH KCL TO PUT IN THE BAG:

do this like your standard problem. I ALWAYS use the same formula even if it is pills:

want (order)

------ X available form

have (available)

so...... 60 mEq

-------- x 20 ml = so you would put 30 cc's in the bag

40 mEq

HOW MANY ML PER HOUR?

then you would look at your order. You have 60 mEq added to a 1000 cc bag right? So you would divide 60 into 1000 to tell you how many mEq per cc of fluid... 60 / 1000= 0.06 mEq per cc

so then you go back to that original order. Doc want you to run 2.5 mEq per hour so...

you want 2.5

------------- x 1 cc = 41.66 or 42 ml per hour

you have 0.06

HOW MANY GTT PER MINUTE?

so I would use my regular iv formula

volume to be infused X drip factor

_____________________________

time in minutes

42 x 60

-------- = 42 ggt/ min

60

OK SOMEONE CHECK MY WORK BECAUSE I HAVE HAD A REALLY LONG WEEK AND AM TIRED. AS FAR AS I KNOW THIS IS CORRECT.