good luck, you will pass this time. i was in the same boat, i just recently passed my boards. my suggestion is be positive, use ear plugs. what i did is first i wrote my labs on the white board that they give us as many as i remembered. and i memorized this following, which really helped me and i just wrote this on the board as well and did well, because i had alot of isolation q's. here you go i hope this helps.
airborne precaution (credit goes to the one who posted this on april thread, sorry can't remember your name)
my - measles
chicken - chickenpox
hez - herpes zoster (disseminated)
tb - tb
negative pressure with 6-12 air exchanges per hour
n95 mask for tb
think of spiderman!
s - sepsis
s - scarlet fever
s - streptococcal pharyngitis
p - parvovirus b19
p - pertussis
p - pneumonia
i - influenza
d - diptheria (pharyngeal)
e - epiglottitis
r - rubella
m - mumps
m - meningitis
m - mycoplasma or meningeal pneumonia
an - adenovirus
m - multidrug resistant organism
r - respiratory infection - rsv
s - skin infections
w - wound infections
e - enteric infections - clostridium defficile
e - eye infections
v - varicella zoster
c - cutaneous diptheria
h - herpes simplex
i - impetigo
p - pediculosis
s - scabies, staphylococcus
insulin, coumadin, heparin, antihypertensives, viagra, digitalis, ritalin, actonel, accutane, anti-ulcer medications, nitroglycern, to name a few. try to look at the suffixes:
ace inhibitors end with 'pril (eg: captopril) *note that this drug increases potassium in the blood,
angiotensinogen 2 inhibitors end in 'sartan (eg: losartan),
beta blockers end with 'olol (eg: metoprolol) *caution with patients who are diabetic or who are asthmatic,
cholesterol reducing drugs usually end with 'statin (eg: atorvastatin) * note that if the patient experiences muscular pain, they should stop immediately and report it to the doctor, also not to consume grapefruit juice,
impotence drugs end with "defil (eg: sildenefil-hope i spelled it correctly...if not please excuse the typo) *note that you cannot take this drug if you are taking nitrates such as nitroglycerin or isosorbide and go to the doctor if an erection last longer than 4 hours,
accutane is an acne drug, where a pregnancy test must be done on females before prescribing them
actonel (again, this may be a typo) cannot be taken unless a person is able to sit up for at least 1/2 hour to an hour after adminstration.
know the acting times of insulin, which is fast acting, long acting or the lente. they may ask when will a person become hypoglycemic, and that would be during peak hours.
penicillin: if a person has an allergy to penicillin, they may be at risk for an allergy to a cephalosporin, in that case suggest a macrolide such as clarithromycin. macrolides are known to cause severe stomach pain for some people. also, if a nurse administers penicillin or cephalosporin, that the patient should remain with the nurse for 1/2 hour afterwards to intervene with allergic reactions.
most drugs that end with 'mycin may cause nephrotoxicity or ototoxicity
parameters for digitalis administration, and also that if potassium is low and calcium and magnesium is high, there is a higher chance for digitalis toxicity.
corticosteriods usually end with 'sone (eg: predinsone), may cause medication related diabetes, increase chances of infection, cause cushoid symptoms (buffalo hump in back, thin skin, easy to bruise, etc...)
aspirin should not be consumed with alcohol, increases bleeding, causes ulcers, should be taken with food to diminish gastric distress
antidote for tylenol is mucomyst.
dont forget your diuretics ... esp. those are imp. also i have some for now ...
meds that end in -sartan=decrease blood pressure, increase cardiac load (used for those who side effect is cough with ace)
angiotensin ii receptor blockers
side effects 2nd degree av block, angina, muscle cramps monitor bun,bp and pulse
-vastatin(lovastatin)=decrease cholesterol, lower tricycerides (note*lipitor at night only do not take with grapefruit juice)
side effects muscle weakness, alopecia monitor liver/renal profile
cox=osteoarthritis, rheumatoid arthritis(relieve pain by reducing inflammation)
nsaid/co2 enzyme blocker
side effects tinnitus, dizziness monitor bowel habits (could cause gi bleed, platlet count) increase risk of strokes, heart attacks***
histamine 2 antagonist(inhibit gastric acids)
side effects agranulocytosis, brady/tachycardia monitor gastric ph/bun ***if taking antacids take one hour after or before taking these drugs***
-prazole=ulcers, indigestion, gerd (take before meals better absorption)
proton pump inhibitors
side effects gas, diarrhea, hyperglycemia monitor lfts
-parin=thin blood, dvt, m.i.,post surgeries (antidote protamine sulfate--check ptt should be 1.5-2.0x) anticoag. decread vit. k levels
side effects hematuria, bleeding, fever monitor ptt, hematocrit and occult testing q 3mths
side effects incontinence, respiratory depression/ monitor for lft, respirations
-mab (monoclonal antibodies)
-ceph or cef (cephalosporins)
ganciclovir sodium causes neutropenia and thrombocytopenia and nurse should monitor for s/s of bleeding just as equiv. to a pt. on anticoag. therapy.
ssris and maois used together potentially fatal
caine= local anesthetics
dine= anti-ulcer agents
done= opiod analgesics
ide= oral hypoglycemics
iam= antianxiety agents
nium= neuromuscular blocking agents
olol= beta blockers
pam= antianxiety agents
pril= ace inhibitors
i don't know who originally posted this, who ever did thank you so much for doing this. this really helped me.