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.
Thank you, friends! :w00t: :thankya: :heartbeat Still floating on a fluffy cloud 24 hrs. later, and it's starting to sink in. It feels like home. Now I can clean my desk, and get ready for the next chapter. Boy, does it feel good!
I Am New To This Forum, But I Just Love Your Tips! I Plan On Taking My Test Next Month Sometime. Iam Waiting On My Att. Congatulations To You And Be Blessed In Your New Career! You Are Such A Pioneer. Keep Up The Good Work. Thanks For Everything. Rozy
Specializes in LTAC, Homehealth, Hospice Case Manager.
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.
wendy r.n.
congrats to you! i've been on here off and on all morning (lol between med/surg ii notes) checking for your post. i felt the pins & needles right along with you (eventho i had a feeling you'd pass)! you have inspired me & eased some of the "burn out" i had been feeling. thank you. come october we'll see if i can pass the test !
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.
!
Immortal_us
146 Posts
Congrats Wendy,
I knew you could do with all those tips you gave I was sure that you made. ( Go girl! its your birthday! go girl! its your birthday!)
Its my turn next send me good vibes and prayers you guys
NCLEX 2/28/06 Here I come
Ngozi RN