There were no tips yesterday...sorry! I never got around to it. Anyhow, this is my last tip post, because tomorrow is my exam. Good luck to all of you!
BSA is considered the most accurate method for medication dosing with kids. (I though it was weight, but apparently not)
Place a wheelchair parallel to the bed on the side of weakness
If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists, then take it higher.
Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability, which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about it.
Amniotic fluid is alkaline, and turns nitrazine paper blue. Urine and normal lady partsl discharge are acidic, and turn it pink.
Gonorrhea is a reportable disease
Remember the phrase "step up" when picturing a person going up stairs with crutches. The good leg goes up first, followed by the crutches and the bad leg. The opposite happens going down. The crutches go first, followed by the good leg.
While treating DKA, bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF.
Polyuria is common with the hypercalcemia caused by hyperparathyroidism.
Remember the action of vasopressin because it sounds like "press in", or vasoconstrict.
Water intoxication will be evidenced by drowsiness and altered mental status in a patient with TUR syndrome, or as an adverse reaction to desmopressin (for diabetes insipidus).
Burning sensation in the mouth, and brassy taste are adverse reactions to Lugol solution (for hyperthyroid). Report it to the doc.
Give synthroid on an empty stomach
Extra insulin may be needed for a patient taking Prednisone (remember, steroids cause increased glucose).
Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure
Patients with GERD should lay on their left side with the HOB elevated 30 degrees.
Unusual positional tip - Low-fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.
In emphysema the stimulus to breathe is low PO2, not increased PCO2 like the rest of us, so don't slam them with oxygen. Encourage pursed-lip breathing which promotes CO2 elimination, encourage up to 3000mL/day fluids, high-fowlers and leaning forward.
Theophylline causes GI upset, give with food
TB drugs are liver toxic. (Does your patient have hepB?) An adverse reaction is peripheral neuropathy.
That's it! Happy studying, friends, and wish me luck tomorrow.
I said a prayer today and spoke your name. I ask god to send his angel to the testing center before you arrive. Give you understanding and the faith and will power to pass. You will......In Jesus Name.:)
As long as you trust in the Lord nothing can go wrong. Will keep you in prayer ( I already know as soon as you step out you got your RN) trust in him. Thanks for the tips.
For everybody who replied with support, thank you! I'm now playing the waiting game. Thanks again, friends, and keep saying those prayers and crossing your fingers!
i passed!!!! i am tremendously relieved after a tortuous 48 hrs, but it is all over now, and i am an r.n.! i start orientation in trauma step-down this monday! thank you, all you tip-readers, for being so supportive. today i venture down a new road in my life, and i cannot wait to get started.
CONGRATULATIONS SKATEBETTY!!!!!!! We are all so proud of you!!!!! :biggringi :biggringi :balloons: :smiley_aa
Thank you SO MUCH for all of your tips and PLEASE feel free to grace us with your knowledge and tips any time youd like... we appreciate you, BETTY RN!!!!!!
Specializes in ER, Trauma/Resus, Step Down, ICU, MS, HO.
I am new, but was inspired to respond and offer you the most sincere CONGRATULATIONS! I was diligantly printing off your tips, and then followed the thread through, only to see that you passed.
What a great place.
I too am a emergency/trauma/emt aspiring student.
Best of luck and I hope you have treated yourself to some well deserved CHOCOLATE!
2005grad
106 Posts
I said a prayer today and spoke your name. I ask god to send his angel to the testing center before you arrive. Give you understanding and the faith and will power to pass. You will......In Jesus Name.:)
faith