vadee

Smallpox rash will start from the face first and then extend down the extremities; fever of 3-4 days before the rash. Snakebike: elevate extremities to the level of the heart. complications of snakebite includes: hypotension, compartment syndrome, coagulation. Ask patient if any allergy to horses. As you are administering the antivenin, inject a small amount under the skin (intradermal) to see if pt is allergic (because it takes 20-30 minutes for the antivenin solution to run through your body...while you wait for the result...as you must administer the antivenin as soon as possible). Remind patient of serum sickness post 1-3 weeks after antivenin to seek medical care.

If you are having problems with understanding the difference between compensated and uncompensated ABG stuff (it's an interactive exercise site)...here is a link that I have found to be very helpful! But I would recommend drawing the tic tac toe to help you with this (download and look at VICKYRN's posting). Instead of using arrows, I just wrote down the numbers inside the boxes (the arrows were confusing me). Noticed that with it is FULLY COMPENSATED, the pH is within NORMAL LIMITS (7.35-7.45) vs PARTIALLY.

sweetdreamerinsocal congrats!!! many many many thanks to you and your hard work in posting for everyone else! you are wonderful!! thank you and congrats!!!!!

teratology (drugs that cause birth defects): ACE-Is: cat. D especially in the 2nd and 3rd trimester... only use if there is an emergency situation...for instance if the mother's life is great danger. Ace-I is considered cat. C during the 1st trimester. ARBs: cat. D throughout the pregnancy here is the link to more medications that are contraindicated in pregnancy.

I think you are right as far as the client having to lie supine for 8 hours. On this site, it states the following (scroll down to after procedure): "You will be asked to lie flat for up to eight hours after the lumbar puncture is completed. This helps reduce the incidence of a headache. You will be allowed to roll from side to side as long as your head is not elevated. You may be asked to urinate in a bedpan during the time that you are required to stay flat. You will be asked to drink additional fluids to rehydrate after the procedure. This replaces the CSF that was withdrawn during the spinal tap and reduces the chance of developing a headache."

i was doing some reading on the CDC website regarding MRSA or MDRO (Methicillin Drug Resistant Organisms) and there are no current recommendation on when a patient should be taken off of precaution. All I got from the CDC website is that MRSA is considered standard unless there are drainage/pus or positive colonization, it is then considered contact precaution. It also becomes contact precautions when the patient is in an acute care settings, long term care settings, and dialysis settings. As far as the room recommendations, private room should be assigned if available...and if not, you would want to cohort. Mask is not recommended during routine care...use mask in burn wound care and when performing splash-generating procedures such as in during open tracheostomy care. You can read more on the CDC MDRO website..You can scroll to the bottom two pages and read more about it.

following the CDC guidelines would be correct... here is a link to the CDC isolation guideline...go scroll down to page 129 and 130 and you can see the drawing they have....

psychosocial are emotions, love and belonging, self esteem, etc... physiological needs are air, food, rest.... more information on Maslow's examples and contraindictation thread

An ECG is the test to determine when arrhythmia is atrial fibrillation. As far as the coumadin/heparin relations to the AFib...patients with Afib should receive long term adjusted dose anticogulant meds. you would want to check the INR will show how much the drug is working to lower the risk of bleeding. You would want to replace Mg ++ or any other electrolytes that are out of the norm. You would want to evaluate the Sodium and Potassium levels. Potassium is usually low with AFib. Troponins and the creatine kinase (CK) will determine if there are heart injuries... CK-MB are elevated after a myocardial infarction.

to add to your notes... disseminated herpes zoster (shingles) and varicella (chickenpox) are CONTACT and AIRBORNE precautions.. Herpes Simplex is just standard precaution for adults but considered contact precaution for neonates (call infection control on this) Hepatitis B/C/D/G are standard precautions Hepatitis A/E are contact precautions

quick question: when a child is having a temper tantrum, should you ignore the behavior? (according to Kaplan) I thought in nclex world, you shouldn't "ignore". please explain. thanks.

Syphilis...according to the CDC Appendix A page 110, it is a standard precaution... where did you find that syphilis is spread by contact? thanks!

Sorry but I do feel the need to vent. I have been reluctant to post up anything as of late because I've discovered that some of my postings were used on someone's else website without giving credits to allnurses or me for a matter of fact. I've worked hard to put the notes together. I love sharing my notes because I want you all to pass this exam but please give the proper person(s) credits for their work if you are going to post it elsewhere. With that being said, THANK YOU all for posting because your notes are wonderful!!! YOU MAY ALREADY HAVE THIS AS I'D POSTED THIS EARLIER, BUT I'VE ADDED ON... drug/food interaction -captopril-(take one hour before meal bc food decreases absorption of med) (watch for decrease in fasting blood sugar in nondiabetic) -synthroid (take on empty stomach--take in the morning) -digoxin (take on empty stomach) -zyvox (limit tyramine food to less than 100mg a day) -MAOIs (no tyramine) -tetracycine (no dairy products) -coumadin (no vit K) -lithium (no alcohol consumption) -benzodiazepines-Antivan (no grapefruit juice) -cholesterol meds (no grapefruit juice) -neostigmine (give to Myesthenia Gravis clients 45 minutes before meal to help with chewing) -Levodopa: take with meals, low protein diet -Most angina meds, do NOT take with food/water (nitroglycerin SL) drug/drug interaction (do not take together meds) -MAOIs and SSRIs -vasopressin (do not med with demeclocycline, epinephrine, lithium) -atropine (monitor with digoxin because of dig. toxicity) -atropine (do not give with potassium salts bc it may delay solid potassium passage in the GI tract which could increase risk for ulcers) SPECIAL DIETS with these symptoms/disease/conditions: -Gout: (no purine in diet)-eat more black cherries -Anemia: too much milk can reduce intake of iron, high protein, high iron -Addison: normal Na intake, low K+ -Chronic renal: low protein, low K+, high carb -Celiac Disease: avoid "BROW" (barley, rye, oat, wheat), no gluten, high calories -Cholycystitis: small freq meals, low fat -Diaphragmatic hernia: increase freq of meals in small portion, high protein, low fat -Diabetes type 1: eat 3 meals a day -Diabetes type 2: decrease in the calories and fat, small frequent meals -diarrhea: increase protein, increase calories, decrease fiber -cushing: increase protein, increase calories, increase calcium, vit D, increase K+ -Crohn's: increase protein, increase calories, decrease fat, low residue diet -Hepatitis: increase carb, decrease fat -ulcerative colitis: low fiber diet, bland, high protein, high calories, no cold beverages or veggies -uric acid: no purine, no shellfish, but high in protein and black cherries -neutropenic conditions: no milk, raw fruit or veggies -kidney stones: avoid calcium -SIADH: fluid restriction -Polycythemia vera: diet low in iron -pancreatitis: small freq meals, low fat, bland, no alcohol -calcium oxalate (renal stones): avoid spinach, black tea, rhubarb, decrease everything, no calcium -dumping syndrome: increase fat and protein intake, low roughage diet, low carb, no milk, no sweets, no liquid between meals OTHERS: -captopril can cause hypoglycemia in diabetic clients Allergies: (ask if allergies to these before) -Radioplaque: shellfish -latex: banana, avocado, apricots -Flu vaccine: eggs Purine: -organ meat, poultry, fish, gravies, red wine, sardies, anchovies, died peas, beans TYRAMINE: -aged cheese, chianti wine, processed meat, cured meat, etc... Vit K: -dark green leafy vegetables, banana, apricots High in Iron -egg yolks, wheat bread, carrots, raisins, green leafy veg, roast beef, port, cabbage GOOD LUCK!!! :redbeathe

These drug/food combinations should be avoided because it can cause severe reactions.... -Anti-Asthma meds such as Theophylline + caffeine: it can cause heart palpitations, nausea, and seizure. -Lithium is affected my salt. Too little affects the effect of the drug can increase, too much, the effects decrease -Levadopa's effect can be decreased by a high protein diet. It may take several weeks before you see any results. -Anti-cancer drug: Procarbazine + tyramine foods are a NO NO...because it can increase your blood pressure up the roof. (MAO-Is are affected by tyramine too) -antibiotics are affected by contraceptive meds and the intake of milk So my take is that food that contain tyramine will always INCREASE your blood pressure and should be avoided....but my question is when are tyramine food good to have? and with what drugs (if any)? any other suggestions?

hey it says here in this book that you take it off first, place a pillow in between the legs, turn the client, and then put the traction back on. Hope this helps! =)