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
isn't it betamethasone used for speeding up lung maturity?
both betamethasone and dexamethasone cause an immature fetus's lungs to produce a compound called surfactant. a full-term baby's lungs naturally produce surfactant, which lubricates the lining of the air sacs within the lungs. this allows the inner surfaces of the air sacs to slide against one another without sticking during breathing. premature infants whose lungs have begun producing surfactant have an improved ability to breathe on their own, or with less respiratory treatment, after birth.
Specializes in MEDICAL, SURGICAL, OB-GYNE, SCRUB NURSE.
1. Antihymocyte globulin is used to prevent transplant rejection. The nurse should skin test a dose before IV administration to identify hypersensitivity to the medication. Premedication with acetaminophen (Tylenol) and or dephenhydramine (Benadryl) may be prescribed to prevent reaction to the dose.
2. Muromonab-CD3 (Orthoclone OKT3) is can cause fatal anaphylactic reactions. Manifestations include pulmonary edema, cardiovascular collapse and cardiac or respiratory arrest. Assessing lung sounds is a priority.
3. Safe suction range for an adult client is 100-120 mmHg.
4. Bleomycin sulfate is an antineoplastic drug that can cause interstitial pneumonitis.
HIGHEST PRIORITY: Monitor lung sounds for the presence of crackles.
isn't it betamethasone used for speeding up lung maturity?
betamethasone and dexamethasone both are used. both are steroids used to speed up lung maturity for the fetus...both are long-acting steroids and they are given in the same dosage. but dexamethasone reduces the rate of hemmorhage compared with betamethasone.
if you position the good lung down, how can there be proper expansion of the good lung during inhalation since you are lying on your good lung side?
according to many nursing books "the good lung down" benefits those with most types of unilateral pulmonary pathology, including neoplasm, pneumothorax, atelectasis, pneumonia, thoracotomy, lobectomy, and multiple trauma affecting one lung. i guess for nclex purpose that what we need to know!
you can get the rationale in many med/surg books under the respiratory section. it would be too long to explain here!
it's not about who knows what better, but it is about how we can help each other to achieve the common goal: pass the nclex...
Cred e maneuver - apply mannual pressuer to bladder, aids in emptying the bladder completely, results in reduced risk for infeciton; if performed every day can result in bladder control for some SCI
Frequent use of nasal sprays to releive allergic symptoms can result in vasconstriction that causes atrophy of nasal membranes (frequent nosebleeds)
Lung cancer is a common cause of SIADH (abnormal secretion of ADH, increase water absorption and dilutional hyponatremia)
ginko - antiplatelet, CNS stimulant, given for dementia, increase risk of bleeding with NSAIDS
Native Americans are present oriented and do not live by the clock (will be late for appointments)
Pulmonic area - 2ICS, left of sternum
Chronic alcohol use is the most common cause of hypoMg, which ma result in cardiac arrest (increase neuromuscular irritability, tremors, tetant, seizures)
SCD - two fingers between sleeve and leg, opening at the knee and popliteal pulse point, antiembolism stockings can be applied under sleeve to decrease itching, sweating and heat buildup
I mean bad lung down: so right side lying for a client with right lung pneumonia. (Am I getting this right?)
I cant understand what's "left side dependent." what does that mean then?
by_stander22,
I hope that I wasn't mean to you in my postings today. If I was; SORRY!!! The topic of "good lung down" has brought so many debates, but the nursing profession seems to stick to the principle of good lung down. The bad lung down would not be able to sustain effectively the respiratory fct needed for the body homeostasis... There are some exceptions however!
In general, the "good" lung should indeed be placed down to optimize V/Q matching. In this position, the majority of blood flow will go to this lung and result in the best oxygenation. Exceptions to this strategy include the circumstance in which secretions or hemorrhage from the "bad" lung might flow into the good lung if it is placed in a gravity-dependent position. In addition, the dependent portions of the lung tend to develop atelectasis, particularly in sedated or anesthetized patients. Therefore, some centers will intermittently place patients with severe hypoxemic respiratory failure in the prone position. This benefit tends to be short-lived, with the dependent portions of the now prone lung tending to become atelectatic. An alternative approach is the use of rotating beds, which minimize the formation of atelectasis.In patients with unilateral pulmonary processes, caution should be exercised in the selection of the mode of mechanical ventilation. Because of differing compliance between the 2 lungs, very little ventilation may go to the "bad" lung. In general, ventilation with a low respiratory rate and/or an inspiratory pause will result in some recruitment of alveoli in the "bad" lung and might improve oxygenation.
going to bed, guys! till tomorrow!
thanks a lot!
by_stander22, LPN
45 Posts
where did you get the 60 min? it wasnt found in your given.