here are some of my reviewer which i am currently studying. just some random facts that i think should help everbody who are studying to take the nclex exam. thanks and good luck. [color=#4e4e4e]- [color=#4e4e4e]mettag: red - priority i - immediate attention[color=#4e4e4e]. identifier is a mettag torn to the red stripe or roman numeral i placed on the forehead or back of left hand. first priority casualties are those that have life-threatening injuries that are readily correctable. for purposes of priority for dispatch to the hospital, however, a second sorting or review may be necessary so only those "transportable" cases are taken early. some will require extensive stabilization at the scene before [color=#3399ff]transport[color=#4e4e4e] may be safely undertaken. a red tag may be used as an additional means of identification. [color=#4e4e4e] [color=#4e4e4e]- [color=#4e4e4e]mettag: yellow - priority ii -delayed attention.[color=#4e4e4e] identifier is the mettag torn to the yellow stripe or roman numeral ii placed on the forehead or back of left hand. delayed category casualties are all those whose therapy may be delayed without significant threat of life or limb and those for whom extensive or highly sophisticated procedures are necessary to sustain life. [color=#4e4e4e] [color=#4e4e4e]- [color=#4e4e4e]mettag: green - minor injuries.[color=#4e4e4e] casualties with minor injuries will receive minimum first aid [color=#3399ff]treatment[color=#4e4e4e]. they will not be transported to hospitals until all priority i and ii patients have [color=#3399ff]received[color=#4e4e4e] care. they will be sent from the triage area to a designated area away from the disaster scene in order to reduce confusion. if they are capable, they may also be used as litter bearers or first aid providers. [color=#4e4e4e] [color=#4e4e4e]- [color=#4e4e4e]mettag: black - dead[color=#4e4e4e]. identifier is the mettag torn up to the black stripe or an x on the forehead and covered with a sheet, blanket or other opaque material as soon as possible. unless absolutely necessary, they should be left in place until released by the coroner. the temporary morgue should be an area away from the scene of the triage area. [color=#4e4e4e] [color=#4e4e4e]persons who are psychologically disturbed, who interfere with casualty handling, should be isolated from the incident scene as quickly as possible. campus police will be requested to escort individuals to a designated area away from the disaster scene. [color=#4e4e4e] [color=#4e4e4e]triage category guidelines[color=#4e4e4e] [color=#4e4e4e]for multiple casualty incidents involving up to 80 victims: [color=#4e4e4e] [color=#4e4e4e]red: immediate (priority i)[color=#4e4e4e] [color=#4e4e4e]1. asphyxia [color=#4e4e4e]2. respiratory obstruction from mechanical causes [color=#4e4e4e]3. sucking cheat wounds [color=#4e4e4e]4. tension pneumothorax [color=#4e4e4e]5. maxillofacial wounds in which asphyxia exists or is likely to develop [color=#4e4e4e]6. shock caused by major external hemorrhage [color=#4e4e4e]7. major internal hemorrhage [color=#4e4e4e]8. visceral injuries or evisceration [color=#4e4e4e]9. cardio/pericardial injuries [color=#4e4e4e]10. massive muscle damage [color=#4e4e4e]11. severe burns over 25% [color=#4e4e4e]12. dislocations [color=#4e4e4e]13. major fracture [color=#4e4e4e]14. major [color=#3399ff]medical[color=#4e4e4e] problems readily correctable [color=#4e4e4e]15. closed cerebral injuries with increasing loss of consciousness [color=#4e4e4e] s[color=#4e4e4e]imple treatment and rapid treatment (start): quick identifiers for red[color=#4e4e4e] [color=#4e4e4e]¨ ventilation > 30/min[color=#4e4e4e] [color=#4e4e4e]¨ perfusion [color=#4e4e4e]¨ mental status: unable to follow simple [color=#3399ff]directions[color=#4e4e4e] [color=#4e4e4e] [color=#4e4e4e]yellow: delayed (priority ii)[color=#4e4e4e] [color=#4e4e4e]1. vascular injuries requiring [color=#3399ff]repair[color=#4e4e4e] [color=#4e4e4e]2. wounds of the genitourinary tract [color=#4e4e4e]3. thoracic wounds without asphyxia [color=#4e4e4e]4. severe burns under 25% [color=#4e4e4e]5. [color=#3399ff]spinal cord injuries[color=#4e4e4e] requiring decompression [color=#4e4e4e]6. suspected spinal cord injuries without neurological [color=#3399ff]signs[color=#4e4e4e] [color=#4e4e4e]7. lesser fractures [color=#4e4e4e]8. injuries of the eye [color=#4e4e4e]9. maxillofacial injuries without asphyxia [color=#4e4e4e]10. minor medical problems [color=#4e4e4e]11. victims with little hope of survival under the best of circumstances of medical care [color=#4e4e4e]for multiple casualty incidents with an overwhelming number of survivors or over 80 victims: [color=#4e4e4e] [color=#4e4e4e]red: immediate (priority i)[color=#4e4e4e] [color=#4e4e4e]1. asphyxia [color=#4e4e4e]2. respiratory obstruction from mechanical causes [color=#4e4e4e]3. sucking cheat wounds [color=#4e4e4e]4. tension pneumothorax [color=#4e4e4e]5. maxillofacial wounds in which asphyxia exists or is likely to develop [color=#4e4e4e]6. shock caused by major external hemorrhage [color=#4e4e4e]7. dislocations [color=#4e4e4e]8. severe burns under 25%* [color=#4e4e4e]9. lesser fractures* [color=#4e4e4e]10. major medical problems that can be handled readily [color=#4e4e4e] [color=#4e4e4e]yellow: delayed (priority ii) [color=#4e4e4e] [color=#4e4e4e]1. major fractures (if able to stabilize)* [color=#4e4e4e]2. visceral injuries or evisceration* [color=#4e4e4e]3. cardio/pericardial injuries* [color=#4e4e4e]4. massive muscle damage* [color=#4e4e4e]5. severe burns over 25%* [color=#4e4e4e]6. vascular injuries requiring repair [color=#4e4e4e]7. wounds of genitourinary tract [color=#4e4e4e]8. thoracic wounds without asphyxia [color=#4e4e4e]9. closed cerebral injuries with increasing loss of consciousness* [color=#4e4e4e]10. spinal cord injuries requiring decompression [color=#4e4e4e]11. suspected spinal cord injuries without neurological signs [color=#4e4e4e]12. injuries of the eye [color=#4e4e4e]13. maxillofacial injuries without asphyxia [color=#4e4e4e]14. complicated major medical problems* [color=#4e4e4e]15. minor medical problems [color=#4e4e4e]16. victims with little hope of survival under the best of circumstances of medical care [color=#4e4e4e]*conditions which have changed categories [color=#4e4e4e]be sure to check this list of diseases common in nclex test: [color=#4e4e4e]1.pancreatitis- best roommate: client with ulcerative colitis 2.dysthymia: assess for depression and risk for suicide 3.infectious mononucleosis- avoid contact sports as it may cause splenic rupture 4.cystic fibrosis- pancrease is best given with each meals and snacks 5.graves disease: common sign -protruding eyes 6.gastric cancer: common risk factor- eating smoked foods 7.cervical cancer: common risk factor: teenage pregnancy 8.sicklecell anemia: priority : promote hydration 9.aunonomic dysreflexia: common in clients' with [color=#3399ff]spinal cord injury[color=#4e4e4e] at t6 level. 10.bph common manifestations: nocturia,decreased urinary stream, frequency,hematuria 11.[color=#3399ff]carpal tunnel syndrome[color=#4e4e4e], common manifestation: tingling sensation 12.latex allergy , related to : meningocele, allergy to kiwi, strawberry and banana 13.pku diet, avoid oatmeal 14.alzheimers client with wandering : priority is to place alarm in all exits 15.fifth's disease- common sign: slapped check appearance of the client 17. atrial fibrillation- common manifestation: difficulty in palpating the pulse 18. mycoplasmal pneumonia- droplet precautions 19.korsakoff's psychosis risk factor: alcoholism 20. hypoparathyroidism common risk factor: neck surgery [color=#4e4e4e]nursing procedures[color=#4e4e4e] that might come out: 1.bone scan, after the procedure, increase fluid intake 2.colonoscopy, obtain a consent [color=#4e4e4e]3.alpha feto protein level: decreased indicates down's syndrome 4.nst reactive: indicates fetal well being 5.tracheostomy care: remove any potential source of infection like a wet towel on the clients' neck 6.internal cardiac defibrillator : avoid microwave 7. post circumcision care: do not remove the exudate 8. three way bottle system, continuous bubbling in the third bottle indicates functioning of the suction. 9. use of inhaler: it should be held 1-2 inches from the mouth 10. use of cane: the elbow should be flexed at 30 to 45 degrees [color=#4e4e4e] [color=#4e4e4e]1.amiodarone hcl (cordarone)- monitor heart rate and rhythm 2.entacapone (comtan) -antiparkinsonian, may cause photosensitivity so protect the eyes in sunlight 3.almotriptan maleate (axert)- serotonin receptor agonist, used to treat not to prevent migraine headaches 4. pantoprazole (protonix[color=#4e4e4e])- do not crush the medication 5. ibuprofen (motrin) - best given with meals, report any sign of bleeding 6.carbamazepine (tegretol)- may cause bone marrow suppression, check the cbc, discontinue gradually 7.gentamicin/ tobramycin- aminoglycosides, check the peak (15 to 30 minutes after administration) and through levels ( within an hour before the next dose) it is best monitored after the third or the fourth dose. 8. isoniazid- prevents spread of tb after 2 weeks of treatment, jaundice indicates hepatotoxicity 9.zidovudine (azt)- may decrease blood components, check cbc [color=#4e4e4e]10. gemfibrozil (lopid)- lowers cholesterol, best taken half an hour before meals. 11. rosuvastatin (crestor) [color=#4e4e4e]- lowers ldl and hdl, check the ast and alt 12.pravastatin( pravachol)- report unexplained muscle pain 13.simvastatin (zocor[color=#4e4e4e])- lowers ldl and triglyceriede, have an annual eye exam 14.lovastatin (mevacor) lowers cholesterol, check the liver function tests 15.propranolol (inderal)-hold the medication if the heart rate is less then 50 per minute. the drug may cause bronchospasm 16.bumetanide (bumex) - diuresis may cause potassium depletion, best taken in the morning 17.amniodipine besylate (norvasc)- used to treat hypertension, check the bp 18.clopidogrel ( plavix)-[color=#4e4e4e] report any sign of bleeding, best taken with meals 19.ticlodipine(ticlid)- used to prevent stroke; monitor for signs of bleeding and cholestasis (jaundice, dark urine,light colored stools) 20.glipizide (glucotrol)- do not drink with alcohol as it may worsen hypoglycemia, best taken 30 minutes before meals. 21.insulin glargine (lantus) - long acting insulin, not indicated for diabetic ketoacidosis 22.rosiglitazone (avandia) - increases insulin sensitivity, may cause hepatotoxicity 23.acarbose (precose)- assess blood glucose levels 24. meclizine (antivert)- antiemetic, used to treat the nausea resulting from vertigo, it does not treat vertigo directly. 25. aluminum hydroxide and magnesium trisilicate ( riopan)- antacid, report any sign of bleeding 26. esomeprazole ( nexium)[color=#4e4e4e] - used to treat gerd, do not chew, may be taken with other antacids 27. tadalafil (cialis)- used to treat erectile dysfunction[color=#4e4e4e], do not administer to clients taking nitroglycerine as the drug combination may cause fatal hypotension. 28.finasteride (proscar,propecia)- decreases the prostate gland, pregnant women should avoid contact with the crushed tablet 29.risedronate (actonel) - used to treat osteoporosis and paget's disease, can be taken with vit. d, take with a full glass of distilled or plain [color=#3399ff]water[color=#4e4e4e]. 30.alendronate (fosamax)- can be taken with vitamin d, should be taken separately with other drugs. best taken before meals with water. avoid orange juice, tea or coffee. remain upright after taking the drug 31. fluoxetine ( prozac)- the drug may take 3-4 weeks before the therapeutic effects becomes evident. it can potentiate the effects of: digoxin, coumadin and valium. 32. bupropion (wellbutrin)- used to treat depression and smoking, change position slowly, contraindicated for clients with seizures. 33. risperidone(risperdal)-may cause agranulocytosis, report fever and sore throat to the physician 34.piroxicam (feldene)- avoid concurrent use with aspirin and coumadin, may worsen bleeding [color=#4e4e4e]35. cyclobenzaprine(flexeril)- relives muscle spasm, avoid activities requiring alertness (avoid driving) 36. cromolyn sodium (intal)- treatment for asthma, may cause dizziness 37. timolol- used to treat glaucoma or ocular hypertension 38.theophylline(theodur)- used to treat asthma,best taken on an empty stomach, report nausea , vomiting and insomnia, do not crush enteric coated form. 39.carbidopa/levodopa(sinemet)- avoid foods high in vit.b6 (wheat, liver, pork), may decrease the absorption of the drug 40.diazepam (valium)- must be administered separately, may cause drowsiness