April 2008 NCLEX test takers, COME ON IN!

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Per the request of janina08 ;) I've started the April NCLEX takers support group. When do you take it? What are you using to study? Would anyone like to review any of the systems/meds that he/she feels weakest on? Let's keep each other in our prayers and good thoughts as we go through one of the biggest experiences of our lives. :) :nurse:

for the math question:

always remember this formula doctor's order/on hand*quantity, the same formula always when it comes to adult. therefore 60mg/15mg=4codeine and -60/325mg=1.8 the answer is 4codeines 2aspirins you have the round the 1.8

hope i helped

God bless

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Specializes in geriatric, ltc, telemetry, med-surg.

In regards to the aspirin: it is considered to be grx even though it only = 600 I know that sounds stupid but I had that back in LPN school and that is what the instructor told us. Hope this helps.:confused::confused:

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Hi group,just pray for me because my exam is on 10 of April and I still late in my study.

I am following the schedule of Saunders,I am now in week 4 only..

What can I do?I am having allergy in my eyes and I need some break,I am blamung myself each time I open my PC..

Good luck,

RNAFFAH,

I don't know how to thank you, we probably would have spent months compiling all that info. You are a Wonderful Person and We all Thank You!!!:bowingpur:bowingpur

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Hi group,just pray for me because my exam is on 10 of April and I still late in my study.

I am following the schedule of Saunders,I am now in week 4 only..

What can I do?I am having allergy in my eyes and I need some break,I am blamung myself each time I open my PC..

Good luck,

RNAFFAH,

I don't know how to thank you, we probably would have spent months compiling all that info. You are a Wonderful Person and We all Thank You!!!:bowingpur:bowingpur

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Specializes in Clinical Nursing and OR Nursing.

i will pray for your success, thank u so much for the posts, i believe you can pass the test just continue what you're doing, study, study, study..practice test everyday:typing

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I pray for you too ranffah, you are a nice person, God bless you to pass the nclex exam, you will make it and will be a rn soon, we know it for sure.

Thanks for your posts to help us.

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Specializes in ONcology.

Hello April Test takers.....

My test is on April 3rd (A week from Today.... ewwwww) i need all the prayers and moral support that i can get from all of you......

i'm nervous..... and distracted in many ways.... got done with Suzzane's 2nd tip this morning.... but just found out that my mom has a renal cyst and they are going to do biopsy to rule out cancer..... please pray for me so i can pass this exam and one less thing to worry....

good luck to you all

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In regards to the aspirin: it is considered to be grx even though it only = 600 I know that sounds stupid but I had that back in LPN school and that is what the instructor told us. Hope this helps.:confused::confused:

what do you mean? Please explain :confused:

X = 10

grx?

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God bless u and ur mom kano :) just have faith in Him and ull see.. :nuke:

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Good luck rnaffah and rizapride and Kano. Mine is alos same day as rnaffah. I believe in prayers. Please pray for me also. Yesterday I was bit down after doing the questions, so I wanted to do otehr things and not books. But I decided to turn to God and pray and it helped. Coz, I sat down and did some more questions. I'm just planning to focus on lots of questionf for the next couple of days and lab values.

Does anyone have the latest lab values? Or where can u get the latest lab values?

Some say K+ = 3.5 -5.5

others K+ = 3.5-5.1

Thanks Guys for all your support. I pray for all of us everyday.

I forgot someone asked me where thequestion was from: It was from Kaplan book, yes.

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XPO in the med question confused me. Did that meant X PO?

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Specializes in ICU.

:thankya:medications affecting the cardiovascular system::thankya:

adrenergic agonists:

  1. examples: epinephrine, dopamine, dobutamine, isoproterol
  2. dopamine cause renal vessels to dilate, others lead to vasoconstriction, increased heart rate, increased myocardial contractility, bronchodilation, decreased nasal congestion (due to vasoconstriction)
  3. side effetcs: increase heart rate, vasoconstriction, increased oxygen demand leading to angina, dysrhythmias
  4. don't give to pt with tachydysrhymias, or v. fibrillation. al

alpha adrenergic blocker:

  1. examples: minipress aka prazosin, cardura aka doxazosin
  2. used to treat hypertension, doxazosin may decrease symptoms of bph
  3. side effects hypotension
  4. take with food but avoid otc nsaids b/c decreases antihypertensive effects

alpha adrenergic agonists:

  1. examples: catapress, tenex, aldomet
  2. used for hypertension
  3. side effects: dry mouth, sedation, rebound hypertension (so don't just stop taking the meds with talking to dr.)

beta blockers- end in-lol

  1. used to decrease hr, myocardial contractility and rate of conduction through av node.
  2. used for angina, hypertension, dysrhythmias, mia and heart failure
  3. causes bradycardia (if bp is less than 60 then hold meds) decreased cardiac output, av block, hypotension,
  4. propranolol causes bronchoconstriction
  5. theses drugs can masks the signs of hypoglycemia!!!!!

ace inhibitors end in -pril

  1. used for hypertension, heart failure mi and diabetic and nondiabetic neuropathy
  2. causes orthostatic hypotension, cough, hyperkalemia, rash and angioedema. also causes neutropenia.. think about it like this... ace inhibitors causes angioedemia, cough and excessive-potassium .

angiotension ii receptor blocker ends in -sartan

  1. used for hypertension, stroke, diabetic neuropathy (vasodilation).
  2. causes angioedema (skin wheeling and swelling of tongue), fetal injury

calcium channel blockers end in -pine

  1. used vasodilation by blocking calcium channels in blood vessels.
  2. used for angina pectoris and hypertension. verapamil is also used for cardiac dysrhythmias
  3. side effects: reflex tachycardia, peripheral edema, toxicity, hypotension, constipation

hypertensive crisis:

  1. examples: sodium nitroprusside, hyperstat
  2. side effects: hypotension, cyanide poisoning and thiocyante poisoning
  3. sodium nitroprusside may have slightly brown color but discard if it is blue, red or green and don't mix other meds with sodium nitroprusside

nitroglycerine:

  1. used for stable angina
  2. side effects: headache, hypotension, reflex tachycardia, tolerance,
  3. if you give it with viagra it could result in life threatening hypotension! also alcohol use and contribute to antihypertensive effects
  4. sublingual: take at first sign of chest pain, use prior to activity that will cause chest pain, place under tongue and allow to dissolve, store in cool dark place, and discard after 24 months.
  5. transdermal: patch should not be cut, place on hairless area and rotate sites,. wash skin with soap and water and dry thoroughly before placing patch, remove patch at night so that you don't develop tolerance
  6. if pain is unrelieved in 5 mins then call 911, client can take up to two more doses at 5 minute intervals.

digoxin (cardiac glcosides)

  1. used to increase force of myocardial contraction but decrease heart rate so ventricles have more time to fill.
  2. treats heart failure and atrial fibrillation.
  3. side effects dysrhythmias, monitor potassium b/c hyperkalemia and lead to dig toxicity, monitor dig level to ensure that it is between .05-.08
  4. side effects_ gi: n/v, anorexia, abdominal pain, fatigue, weakness, diplopia, blurred vision, yellow-green or white halos around objects
  5. ace inhibitors increase risk of hyperkalemia which decreases effects of digoxin, quindine increase risk of dig toxicity if used concurrently.
  6. notify dr if heart rate is less than 60 bpm in adults, 70bpm in children and 90bpm in infants before taking meds.
  7. treat bradycardia with atropine

read antidysrthmic drugs.... it is complex....

meds to control cholesterol end in -statin

  1. side effects- heptoxicity, myopathy, peripheral neuropathy

meds to control triglycerides include lopid, lofibra, tricor

  1. side effects: gall bladder stone, mypopathy, hepatoxicity
  2. take meds 30 mins before breakfast and dinner

bile acid sequestants- questran and colestid:

  1. used to lower cholesterol, decreases ldl
  2. side effetcs are constipation
  3. don't give to someone with biliary disease

if anyone notices any major errors, or any additional information that you think we should know for the exam, please post on thread. :typing

notes taken from ati book- pharmacology

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