March 2008 NCLEX support group

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A thread for all those in March who are planning to take the NCLEX offering both support and any hints or tips that help

Good luck to all :D

hi guys,

can i join the group? i already scheduled to take my exam this coming march. i am taking suzanne's 1st tip plan and waiting for the 2nd tip.

i just want to share this simple and easy to remember about diet for renal failure.

high in sodium - anything processed such as tomatoe sauce, ham, bologna, anything on the can, etc.

high in potassium

fruits

apples

banana

cantaloupe, citrus (orange)

veggie

asparagus

broccoli

carrot

high in protein

happy = hamburger

to = tuna

consume = chicken

my = milk

calories = cottage cheese

sanely = soy beans

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Specializes in Cardiac/Telemetry.
hi, march 2008 nclex support group

the following is a list of topics and dates with names posted so that each one of us can read and revise as well as post any tips, mnemonics, or just any material you think will be beneficial to the group!! please follow the forum rules especially no "real" questions! but if you have a doubt or query regarding something that can be posted...if for any reason you cannot do the review or post plz let us know so that someone else can do it!!!...we can do this!!

cardiovascular or2ca 1/23

meds buttercup1/24

renal igmirnor 1/25

meds ledwards 1/26

gastrointestinal wishiwereanurse 1/27

meds halayne 1/28

endocrine heartjulz1/29

meds susie496 1/30

neurology-gwafuh1/31

meds-neem23

musculoskeletal

meds

respiratory

meds

oncology

meds

integumentary

meds

immune/hematologic

meds

eye/ear

meds

maternity

pediatric

psych

i just want to thank you guys sooo much for doing this. it is really, really starting to help me refresh a lot of what i learned in ns. :)

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Specializes in Psychiatric Nursing.

for those who just joined in, WELCOME!!!!:cheers:...please feel free to choose a system you can revise. this is for all of us in addition to the review materials we are currently working on...so far so good:) its our third day now and hope we all sustain until we are done with all the systems. everyone is free to contribute, comment, suggest or just show appreciation to our efforts...we're all in this together!!!!

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Hello March Test Takers

Looking for all the Support that I can receive from you all. I found out Yesterday that I failed the Exam for the Second time..(NCLEX-RN).:angryfire I hope to test again in March. :o

Any suggestions on studying?:idea: I've been using all the strategies I read in NCLEX books, but something is not working right. I took the test this past Wednesday. Had a lot of priority questions(who would you see first), who would you delegate?, correct statements/teaching, SATA, think I had like 6 of those, had two calculations, IM and IV.

Looking forward to communicate with you all.

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Hi, can anyone please tell me how long did you to wait to hear from Suzanne after finishing the first tip and sending her the info? Does she respond through PM before the group email?

Thank you!

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Specializes in OB/GYN/OR.

Hi

There is a sticky on top of this forum which gives instructions for her second tip...I am currently doing her plan..You have to send her a pm with those instructions then she normally responds...

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Specializes in OB/GYN/OR.

Hi guys

We are doing renal meds today....just some notes

Types of medication common in renal failure

  • To lower your blood pressure
  • To keep your red blood cells at a healthy level
  • To help keep your bones healthy
  • To replace vitamins
  • To stop your blood from clotting
  • To prevent constipation, bloating or indigestion
  • To relieve symptoms such as itching or restless legs

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Specializes in PACU.
hi guys

we are doing renal meds today....just some notes

types of medication common in renal failure

  • to lower your blood pressure
  • to keep your red blood cells at a healthy level
  • to help keep your bones healthy
  • to replace vitamins
  • to stop your blood from clotting
  • to prevent constipation, bloating or indigestion
  • to relieve symptoms such as itching or restless legs

hey guys, this is from the notes i posted. in case everyone couldnt download, i copy and pasted the treatment section. i know its not complete with all the drugs, but it gives the rationale for why the drugs are taken. i will try to post a little more later

treatment

-initially try conservative management. first attempt to detect and treat potentially reversible causes of renal failure. try to preserve existing kidney functioning and treat symptoms. use pharmacologic, nutritional management and supportive care.

-[color=olive]treat hyperkalemia, hypertension, renal osteodystrophy (restrict phosphate intake and give aluminum hydroxide to bind with phosphate so that it is excreted in the stool. calcium-based phosphate binders are being used more frequently because dementia is associated with excessive absorption of aluminum).

-do not give magnesium-based products because mg is excreted by the kidneys.

-if hypocalcemia is a problem, can give active vitamin d products.

-use erythropoiten.

-watch patients closely with medication therapy as many meds are excreted by the kidneys. digitalis preparations are excreted by the kidney but are not dialyzed out. dialysis does reduce potassium levels.

-never administer meperidine (demerol). (liver metabolizes it to normeperidine which is excreted by the kidneys. if it accumulates, may cause seizures.)

-restrict protein intake.

-water restriction. generally allow 500 to 600 ml/ day plus urine output. once people start on hemodialysis, fluid intake is adjusted so that the patient gains no more than 1 to 1.5 kg between treatments.

-sodium and potassium restrictions

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Specializes in OB/GYN/OR.

Just some notes on CRF meds

In chronic kidney disease, several medications can be toxic to the kidneys and may need to be avoided or given in adjusted doses. Among over-the-counter medications, the following need to be avoided or used with caution:

  • Certain analgesics - Aspirin; nonsteroidal anti-inflammatory drugs (NSAIDs, such as ibuprofen [Motrin, for example])
  • Fleets or phosphosoda enemas because of their high content of phosphorus
  • Laxatives and antacids containing magnesium and aluminum such as Milk of Magnesia and Mylanta
  • Ulcer medication H2-receptor antagonists - cimetidine (Tagamet), ranitidine (Zantac), (decreased dosage with kidney disease)
  • Decongestants like pseudoephedrine (Sudafed) especially if you have high blood pressure
  • Alka Seltzer, since this contains a lot of salt
  • Herbal medications

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Specializes in OB/GYN/OR.

treatment for renal infections

1)urinary tract antiseptics-(cinobac, mandelamine,nalidixic acid, nitrofurantoin)

2)fluoroquinolones

3)sulfonamides

4)ut analgesics(pyridium)

treatment of

a)urge/stress incontinence.

-anticholinergics-antispsmodics

(ditropan,pro-banthine, detrol la)

- conjugated estrogen (premarin) - conjugated estrogen may be used as an adjunctive pharmacologic agent for women who are postmenopausal with stress or mixed incontinence. oral or lady partsl form of estrogen may be used.

b)neurogenic bladder/uri retention

bethanachol chloride

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Hello group I just found out that I will be again taking over the boards in March.I cant fiqure out how to get to suzzannes pm box?I have started the first thing.Im clueless on the pm box anybody help?thanks

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Specializes in Medical and general practice now LTC.
Hello group I just found out that I will be again taking over the boards in March.I cant fiqure out how to get to suzzannes pm box?I have started the first thing.Im clueless on the pm box anybody help?thanks

If you click on Suzanne's name a drop down box will appear then click on send private message and the rest is history as they say. Any problems let me know

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