Let's have some fun learning. Each person should throw out 5 random facts or "things to remember" before taking your finals, HESI, NCLEX, etc.
Updated:
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....
actually avoid cantaloupe because of its high peroxidase activity ( no idea what it means ) not vit. C - http://www.nursingcenter.com/library/JournalArticle.asp?Article_ID=800657 in this article it is said vit C causes false negat. results, in http://health.yahoo.com/digestive-diagnosis/fecal-occult-blood-test-fobt/healthwise--hw227116.html it says to avoid it but nothing about positive or negative false effect. It also says about fish, it is confusing, hope it'll help
M.O.N.A. the remedie you give for a MI
>Morphine (usually 2 mg IVP)
>Oxygen
>Nitro (usually sub lingual)
>Asprin
Advice from a New RN (1yr in practice)
Memorize this and don't forget it.
Had a pt with active chest pain, unresponsive. Thats the cocktail of choice. Then of course a Cosmopolitan....for u after work.. lol
Good luck to all on ur boards
Biggest piece of advice do practice questions till ur blue...then do some more:yeah:
From 2005 thread:
1. ca channel blockers:
A ction - block ca access to cells
H ypotension, headache
E dema
C onstipation
K now to watch for worsening of CHF and heart block
2. blockers s/e
B radycardia
L ibido decrease
brOnchospasm
C HF, conduction abnormalities
K nown hypotension
E xhaustion, emotional depression
R educed recognision of hypoglycemia
3. alpha 1 and 2 blockers: doxazosin, prazosin, terazosin;
A ction - block alpha adrenergic receptors in ANS causing vasodilation, lower
BP
S yncope,sexual dysfunction common
I ncreased drowsiness, HR, orthostatic hypotension
N eed to recline 3-4 hours after 1st dose
others:
4. diuretic
D iet - low sodium, increse potassium intake, unless taking potassium sparing
I ntake & output, daily weight
U ndesirable effects - fluid and electrolytes imbalance, dizziness, hypotension
R eassess BP, HR, electrolytes
E lderly care - monitor for decreased kidney function (excretion of drugs)
T ake AM, if bid before 6pm, prevent nocturia
I ncreased orthostatic hypotension
C ancel alcohol use
5. ACE inhibitors (enarapril, lisinopril)
A ct - prevent conversion of angiotensin I to II
P ruritus
R ash
I ncreased hypotension. tachycardia, angioedema, cough, infection
L ousy taste, headache
6. ARB (losartan, valsartan)
A ct - prevent angiotensin II to bind to its receptors
A dminister with or without food (watch GI upset)
R enal function monitor!!! (elderly!!!)
B lock vasoconstriction (lower BP)
S ubstitutes of sodium and potassium DO NOT USE
7.Loop diuretics
A ct - rapid diuresis, block chloride pump in ascending loop of henle, causing decrease reabsorption of sodium and chloride,
L oss effectivness if given with NSAIDs
I ncrease action of anticoagulant
H ypokalemia - monitor closely
O totoxicity
H yperglycemia - moniotr blood glucose
information from ATI tests:
*After 48hrs after sugery, 101 temp= infection.
*Hepatic cell destruction from processess such as liver cancer cause an increase in serum LDH. Scleral jaundice present in liver disease d/t accumulation of bilirubin.
*Exophthalmos is protusion of eye beyonds its normal position with in the bony orbit. Common with hyperthyrodism.
*to prevent urinary tract infection or urinary stasis, post void for rehab program r/t spinal cord injury is 60-100ml.
*addisons disease: profound weakness, low cortisol levels,
*Dopamine hydrochloride (Intropin) adverse reactions: Hypertension- sign of overdoes.
*dumping syndrom prevented by avoiding liquids at meal times.
*potassium foods: cantaloupe, potatoes, bananas
*infected wound that has lg amt of prulent exudate= dry gauze dressing b/c its absorbant and can be used on wounds with purulent exudate.
* wet to dry dressing are used for aggressive mechanial debridement of a necrotic wound to obtain a wound bed with pink healthy tissue.
* Esophageal varices result from portal HTN as blood form the liver backs up and enters the esophageal and gastric vessels. Bleeding of the esophageal varies is a Life threatening situation.
Early deceleration---fetal head compression
Variable decelerstion--cord compression
Legionnare's disease--standard precautions
Croup--contact
Causes for Decrease in Albumin---infection, ascites, alcohol, burn, cirrhosis
Increase in Albumin----Dehydration, diarrhea, Multiple Myeloma
C. Difficle--contact
Increase in Co2 equals Decrease in PH
Intra ocular pressure--10-21
Contour tube---(intestinal)---no irrigations
Care for Bucks Traction----Remove foam boot 3 times a day, turn pt to unaffected side, dorsiflex foot on afftcted side, elevate foot of bed, and back care every 2 hrs.
Tai Chi---increases balance and coordination
(correct me if any mistakes)
Thanks to Melinurse I took a look at CK MB. It is tested along with total CK to find out if pt. had a heart attack. CK = damage to heart or other muscle. CK MB = distinguishes between these muscles. reference values depend on many factors ( gender, age...) and CK MB can be elevated in pt. having problems with breathing ( chest muscles have more CK MB than other muscles ), kidney failure, alcoholism, hypothyroidism or chronic muscle dis. in pt. without having had heart attack. RELATIVE INDEX = value CK MB is elevated and the ratio CK MB to CK reaches more than 2,5 - 3, that show that heart .was likely damaged. Also severe damage to skeletal muscles will increase CK MB but it won't cause high relative index.
Here are few tests ( if ineteredsted in ), unfortunatelly without unswers, just to know if you now http://www.staffsourceonline.com/med_a.asp http://www.staffsourceonline.com/lpn.asp http://www.staffsourceonline.com/cna.asp http://www.staffsourceonline.com/rn.asp
4x4country try this http://iws.ccccd.edu/jswegle/rnsg%201523/fluid%20and%20electrolytes.htm
4x4country this one looks good too , better explained less facts http://rn.modernmedicine.com/rnweb/article/articledetail.jsp?id=158213
CrystalClear75, BSN, RN
624 Posts
Here's a nice little video on infection control....lesson # 16
http://deptets.fvtc.edu/nursing/index.htm