Nclex facts throwing for 2014

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Hello my NURSING Family, I trust that all is well. I once read on this site random facts throwing from 2008 and it was informative. Thank you so much to the one who started random facts throwing in 2008, it was a brillant idea. I taught I would piggy-back off it and start a random facts for 2014. It is like a State Wide and/or International NCLEX study group, where everyone just through out facts from what they studied. I believe we all wish we can meet and study for the NCLEX together but that is just impossible. So, this is a way we can get that accomplish. Feel free to Join in. THANK YOU.

HERE WE GO:

Screening-secondary prevention

Pyloric Stenosis-Projectile vomiting

Hirschsprung's - Ribbon-like stool

Intussusception- currant jelly stool (Blood & mucus)

Discard Total Parenteral Nutrition (TPN) after 24 hrs, (because it good reservior for fungi)

Arterial Insufficiency- Teach patient to avoid crossing the legs at the knees or ankles because it compresses the vessels in the legs.

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Great idea!

In a tension pneumothorax, the tracheal deviation is towards the UNAFFECTED side

A leak in a ventilator system is indicated if there is CONTINUOUS bubbling.

NG suction = metabolic alkalosis

diarrhea = metsbolic acidosis

hyperventilation = respiratory alkalosis

COPD = respiratory acidosis

Respiratory alkalosis = decreased K and Ca

erdophonium (Tensilon) - drug for myasthenia gravis

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Phenytonin can alter vit d metabolism and can lead to hypocalcemia

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Thank you all for sharing. Let us continue.

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Lithium (Eskalith) for bipolar disorder. Avoid drugs containing Ibuprofen, Sodium Bicarbonate or other Antacid containing Sodium. Lithium level may need to be monitored every two weeks.

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Nortriptyline (Pamelor) for depression. Adverse effect of Pamelor is sensitivity to the sun. Therefore, one must wear protective clothing and sunscreen when out in the sun

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MAOIs: PA-NA-MA--Pardil/Nardil/Marplan

Fat Embolism sign: Petechiae on chest

Manic pts: finger foods: HIGH PROT/HIGH CALORIES ex: pizza sticks

Antacids containing ALUMINUM OR CALCIUM---->>> causes CONSTIPATION

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PVCs= Lidocaine

AFIB/AFLUTTER: Cardioversion

Vtach/Vfib: Defib

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Post-op after aortic aneurysm -monitor pulses distal to the graft site and limit elevation of HOB to less than 45 degrees (prevent flexion of graft)

Raynaud's and Buerger's - instruct pt. to STOP SMOKING

Pts. with peripheral vascular disease should elevate feet but not above level of the heart - elevation SLOWS blood flow to feet

for mechanical prosthetic valve - lifetime anticoagulant therapy is required

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