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

Specializes in Med/Surg.
hey guys! for those of you who did/are doing suzanne's tip. just wondering... how long did it take for you to do the first tip? a month? and besides doing that, are you guys also doing practice questions ?thanks everyone! :D

I'm currently doing Suzanne's plan, I started doing the first tip while in school but I stopped so I could concentrate on graduating. So I would say that it took me no more than a month to do the first tip, needless to say I had to read most of the chapters.

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SLE drugs

Azathiorine (Imuran)- Glucocorticoid sparring effect

Corticosteroids (Deltasone)- high dose to treat exacerbation and low dose to treat symptoms when other meds do not work.

Cyclophosphamide (Cytoxan)- Immunosuppressive treatment, used for severe cases due to the side effects.

Hydroxychloroquine sulfate (Plaqueril)- antimalarial to prevent exacerbation, given with meals or with milk. Ocular toxicity and causes retinopathy thus pt needs eye exam after 6months of treatment.

NSAIDs – controls fever and athralgia

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Specializes in My first yr. as a LVN!.

:loveya::heartbeat:heartbeat:loveya:

Happy Valentines Day ! I need to get out of town, I feel if I dont have some fun now when I start working it will be forever! Have a great weekend!

:heartbeat--Julz :onbch:

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Specializes in My first yr. as a LVN!.

Na

Na>145mEq hypernatremia=weakness,dry mucous membranes, dry tongue, fluched skin, increased temp., causes=diarrhea, decreased water intake, salt water ingestion, impaired renal function, fever, inability to swallow, burns, diabetes insipidus

K

K>5.0 cardia arrhythmias, anxiety, increasef bowel sounds, abd. cramps causes==acute/chronic renal failure, burns, crush injuries, metabolic acidosis, K+ sparing diuretics

Ca

Ca>5.6 bone pain, nausea, vomiting, constipation causes=parathyroid tumor, bone cancer, osteoporosis

res. acidosis/causes==carbonic acide excess usu. resulting from resp. compromise/failure

PH

metabolic acidosis/causes==bi carb deficit due to renal failure, starvation PH

resp. alkalosis/causes==carbonic acid deficit usu. resulting from hyperventilation PH>7.35

matabolic alkalosis/causes ==bi carb., excess due to hyperkalemia, excessive vomiting, diuretics PH>7.35

hyperthyroidism= increased==>100bpm tachycardia

hypothyroidism=decreased==

s/s prostate cancer=inability to urinate, pain/burning on urination,constant pain in lower back, pelvis, upper thighs

6 rights=drug,dose,pt.,route,time,documentation

crystalloids=dextrose,saline,lactated ringers==replacement and maintenence of fluid levels

colloids=dextran,amino acids, plasma protein fraction==volume expansion

hypotonic fluids=DsW==replace water a low calorie needs, dehydration, hyperkalemia,spares body protein;provides nutrition

hypertonic D/5 and 0.45 NS== rehydrate, has free water, salt, and calories

isotonic=ringers== replacement of fluid and elytes(dehydration,vomiting,diarrhea,burns) volume expander, contains no calories **do not use w CHF, EDEMA, NA retention

isotonic==lactated ringers==resembles blood serum, no free water, rehydration, burns, dehydration, DKA (diabetes ketoacidosis) salicylate overdose

isotonic=0.9% saline= replace ECF, hyponatremia,hypochloremia,water overload,mild metabolic acidosis, medication dilutent, IV irrigant,compatible w. blood

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Specializes in OB/GYN/OR.

i had seen this somewhere...

for acid /base

remember 35-45

ph=7.35-7.45

paco2=35-45

pao2=80-100(all o2 are same)

hco3=22-27(in the twenties)

respiratory- remember ph and co2 in opposite directions

metabolic - remember ph and hco3 in same direction

compensation - ph is always normal

labs

i ate three five inch bananas (potassium 3-5)

the pool was 100 ft give or take 5 (chlorine 95-105)

when you are young, you glow (hemoglobin lower than hematocrit)

hematocrit higher (old and decrepit)

for heparin you monitor ptt (when lower case the two t's make an h for heparin)

magnum condoms are for 18-24 year olds (magnesium 18-24)

when you are 8-10 calcium is important (calcium 8-10)

triphosphate (phosphorus 2-4: three is in the middle)

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Specializes in Psychiatric Nursing.

Therapeutic Procedures slides...

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Specializes in Cardiac/Telemetry.

respiratory- remember ph and co2 in opposite directions

metabolic - remember ph and hco3 in same direction

compensation - ph is always normal

there is a nice mnemonic device that i learned in school:

r : respiratory

o: opposite

m: metabolic

e: equal

this means that if the values for the ph and co2 go in opposite directions (if ph is low and co2 is high) then it is of a respiratory nature.

now, if the values of the ph and hco3 go the same way (meaning that if the ph is low and the hco3 is low as well) then it is of a metabolic nature.

this helped me a lot while i was in school. hope it helps everyone!

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Specializes in My first yr. as a LVN!.

haha I laughed when I read magnums are for 18-24 yr olds for magnesium...!!! lolololol:chuckle

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Specializes in My first yr. as a LVN!.

I know these are random, just going through saved notes ... hope this helps all of you ... :heartbeat--Julz

Hepatic and Biliary System

Physiology;

Liver

Located upper right quad. under diaphragm

Blood flow into the liver if from two sources;

A- the portal vein carries venous blood from the stomach, intestines, pancreas, and spleen into the liver. Venous blood is rich in nurrients absorbed from GI sys.

B-Hepatic artery provides oxgenated blood to the liver.

Gallbladder

Primary function of the gallbladder is concentrated and storage of bile. Bile is necessary for normal digestion of fat.

Gall bladder is capable of storing 20-50ml of bile.

Functions of the Liver

Synthesis of absorbed nutrients

-serum glucose regulation

-lipid metabolism

-protein metabolism, production of albumin

Synthesis of prothrombin for normal clotting mechanisms. Vit K is necessary for adequate prothrombin production

Vitamin and mineral storage

Drug metabolism:barbiturates, amphetamines, and alcohol are metabolized by the liver

Production of bile and salts

Breakdown of ammonia from protein metabolism

Disorder of the Liver

Jaundice

Types of Jaundice

Prehepatic (hemolytic); problems occuring before circulation through the liver

Causes of hemolytic jaundice;

-blood transfusion

-sickle cell crisis

-hemolytic anemias

-hemolytic disease of newborn

Posthepatic (obstructive);

Results from an obstruction to bile flow through the liver and biliary system; the obstruction may be w/in or outside the liver

Causes of obstructive jaundice

-hapatitis

-liver tumors

-cirrhosis

-obstruction of common bile duct by a stone

Hepatocellular ; liver disfunction related to the uptake, conjugation and transport of bilirubin w/in the liver

-hepatitis

-liver tumors

-cirrhosis

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:uhoh3:gee!our days are really numbered now.march is jaz a week away & glad that i am to tke the xam las week of the month.im really anxious now.can a kind heart give me a tip on how to prepare and be confident considering that i'll be taking it sooner rather than later?what set of readings should i focus on?thank you in advance!!!

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Delivery=think Fishing

-3 F=Floating high

-2 I=In the right direction

-1 S=Setting in

0 H=Halfway there

+1I=Inching out

+2N=Nearly there

+3G=Get the crown

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hey...

WHAT IS THIS ATI?IS ANYBODY RECOMMEND 2 FOLLOW ??????

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