akevin

Don't feel sorry for yourself. I feel how you feel. Cuz me myself is currently working on a sub acute facility. I am an RN who just got her license for nclex RN june2013. I ended up working on this sub acute facility cuz of being tired of passing of resume all over new york but still getting no response from any of the hospital i was applying for. I am the charge nurse of a whole unit floor consisting of 87 residents. And mixed of mentally ill residents, VERY confused residents, trach, picc and iv residents, hospice who are very weak residents, and these alcohol and drug abusive residents. Actually 60% of them are mentally and demented residents. Being a charge nurse , u know what' really tiring and stressing event? Are the daily routine of my 8hrs shift that always ended up 10-11hrs shift cuz load of work are too unbearable to finish. 8-10Monthly's that needs to be done, all doctors orders and specialized ASAP orders, wound care, 5-6 confused residents trying to gate crush the fire exit, residents who wants their pain meds to inc even tho they're not in pain, cna's that were screaming to each other bec they hate theyir assgnments, lpn who doesnt want to accept delegation of assgn, residents who fights and make trouble to other residents and sudden emergency situation like full code, missing medications(narcotic), , un ending computer deadline and a lot more! Think of it for a daily routine and you will realize how to be a nurse on a sub acute facility. And adding the fact thatu are not paid for the extra hrs that u are giving for the management, and the no break as in just candy and water. U will know how hard to be a nurse on a sub acute facility.. Me my self. I Salute all the nurses who works on a sub acute facility. But i don't want to be stuck here, cuz i know i will learn to think more critically and expose to more critical pt. when i get a hosp. Job.

When u saw a an ekg strips question, usually they'll just show u an ekg strip, it's u who will identify what kind of reading is on the strips, then the questions usually what intervention u will do like what medications u must give and sometimes they'll ask u if there's a presence of p wave, inverted t wave etc..

I graduated back 2007 in philippines and never had a chance to practice this proffession. When i moved here in NY in 2011 i tried my luck if im going to pass the nclex. I failed 2 times before i passed the exam. What's my secret? I kept studying and made a decision that if i give up now all my hard work and sacrifices will end up to nothing, so what i did was to study, study, study, read different books, materials that will help me to pass, that was saunders, FEUER review qbank, PDA, visual notes since im a visual learner, and lots of practice questions..until i got the good results. If u really want this, u have no reason to give up. :) Good luck to you and you can kill it!!

Drug Nomenclature Suffixes and Prefixes [TABLE=align: center] [TR] [TD]If it contains ... [/TD] [TD]It is probably... [/TD] [TD]Examples [/TD] [/TR] [TR] [TD]cef- [/TD] [TD]Cephalosporins (antibiotics) [/TD] [TD]cefadroxil, cefaclor, cefixime, ceftibuten [/TD] [/TR] [TR] [TD]ceph- [/TD] [TD]Cephalosporins (antibiotics) [/TD] [TD]cephalexin, cephapirin, cephradine [/TD] [/TR] [TR] [TD]rifa- [/TD] [TD]Antituberculars [/TD] [TD]rifamate, rifampin, rifapentine, rifater [/TD] [/TR] [TR] [TD]sulf- [/TD] [TD]Sulfonamides (antibiotics) [/TD] [TD]sulfadiazine, sulfamethazole, sulfisoxazole [/TD] [/TR] [TR] [TD]-actone [/TD] [TD]Potassium-sparing diuretics [/TD] [TD]aldactone, spironolactone [/TD] [/TR] [TR] [TD]-ane [/TD] [TD]General anesthetics [/TD] [TD]cyclohexane, ethane, fluorane [/TD] [/TR] [TR] [TD]-ase [/TD] [TD]Thrombolytics (clot-busters) [/TD] [TD]eminase, retavase, streptokinase [/TD] [/TR] [TR] [TD]-azole [/TD] [TD]Antifungals [/TD] [TD]butoconazole, econazole, fluconazole [/TD] [/TR] [TR] [TD]-azosin [/TD] [TD]Alpha blockers (adrenergic antagonists) [/TD] [TD]doxazosin, prazosin, terazosin [/TD] [/TR] [TR] [TD]-barbital [/TD] [TD]Barbiturates (sedative-hypnotics) [/TD] [TD]amobarbital, pentobarbital, secobarbital [/TD] [/TR] [TR] [TD]-caine [/TD] [TD]Local anesthetics [/TD] [TD]bupivacaine, cocaine, lidocaine, xylocaine [/TD] [/TR] [TR] [TD]-calci- [/TD] [TD]Calcium & vitamin D supplements [/TD] [TD]calciferol, calcitrol, ergocalciferol [/TD] [/TR] [TR] [TD]-ciclovir [/TD] [TD]Antivirals [/TD] [TD] [/TD] [/TR] [TR] [TD]-curium [/TD] [TD]Neuromuscular blockers [/TD] [TD]famciclovir, ganciclovir [/TD] [/TR] [TR] [TD]-curonium [/TD] [TD]Neuromuscular blockers [/TD] [TD]pancuronium, pipecuronium, rocuronium [/TD] [/TR] [TR] [TD]-cycline [/TD] [TD]Tetracyclines (antibiotics) [/TD] [TD]demeclocycline, doxycycline, minocycline [/TD] [/TR] [TR] [TD]-cyclovir [/TD] [TD]Antivirals [/TD] [TD]acyclovir, valacyclovir [/TD] [/TR] [TR] [TD]-dipine [/TD] [TD]Calcium channel blockers [/TD] [TD]amlodipine, felodipine, isradipine, nifedipine [/TD] [/TR] [TR] [TD]-dronate [/TD] [TD]Biphosphonates [/TD] [TD]alendronate, etidronate, pamidronate, risedronate [/TD] [/TR] [TR] [TD]-ergot- [/TD] [TD]Ergotamines (anti-migraine) [/TD] [TD]ergotamine, dihydroxyergotamine [/TD] [/TR] [TR] [TD]-floxacin [/TD] [TD]Fluoroquinolones (antibiotics) [/TD] [TD]ciprofloxacin, gatifloxacin, levofloxacin [/TD] [/TR] [TR] [TD]-ine [/TD] [TD]Stimulants [/TD] [TD]amphetamine, caffeine, terbutaline, theophylline [/TD] [/TR] [TR] [TD]-lam [/TD] [TD]Benzodiazepines (anxiolytics) [/TD] [TD]alprazolam, midazolam [/TD] [/TR] [TR] [TD]-lol [/TD] [TD]Beta blockers (adrenergic antagonists) [/TD] [TD]atenolol, propanolol, sodalol [/TD] [/TR] [TR] [TD]-lone [/TD] [TD]Corticosteroids (anti-inflammatory) [/TD] [TD]methylprednisolone, prednisolone, triamcinolone [/TD] [/TR] [TR] [TD]-micin [/TD] [TD]Aminoglycosides (antibiotics) [/TD] [TD]gentamicin [/TD] [/TR] [TR] [TD]-mycin [/TD] [TD]Aminoglycosides/Macrolides (antibiotics) [/TD] [TD]erythromycin, tobramycin, vancomycin [/TD] [/TR] [TR] [TD]-navir [/TD] [TD]HIV/AIDS antivirals [/TD] [TD]amprenavir, indinavir, nelfinavir, ritonavir [/TD] [/TR] [TR] [TD]-pam [/TD] [TD]Benzodiazepines (anxiolytics) [/TD] [TD]diazepam, lorazepam [/TD] [/TR] [TR] [TD]-prazole [/TD] [TD]Proton pump inhibitors (anti-ulcer) [/TD] [TD]lansoprazole, omeprazole, pantoprazole [/TD] [/TR] [TR] [TD]-pril [/TD] [TD]ACE inhibitors (antihypertensives) [/TD] [TD]benazepril, captopril, moexipril, quinapril [/TD] [/TR] [TR] [TD]-profen [/TD] [TD]NSAIDS (anti-inflammatory) [/TD] [TD]fenoprofen, ibuprofen, ketoprofen [/TD] [/TR] [TR] [TD]-quine [/TD] [TD]Antiparasitics [/TD] [TD]chloroquine, hydroxychloroquine, mefloquine [/TD] [/TR] [TR] [TD]-sartan [/TD] [TD]Angiotensin-II receptor antagonists [/TD] [TD]candesartan, losartan, telmisartan, valsartan [/TD] [/TR] [TR] [TD]-setron [/TD] [TD]5-HT3 receptor antagonists (antiemetics) [/TD] [TD]dolansetron, granisetron, ondansetron [/TD] [/TR] [TR] [TD]-sone [/TD] [TD]Corticosteroids (anti-inflammatory) [/TD] [TD]cortisone, dexamethasone, prednisone [/TD] [/TR] [TR] [TD]-stigmine [/TD] [TD]Cholinergics [/TD] [TD]neostigmine, physostigmine, pyridostigmine [/TD] [/TR] [TR] [TD]-stine [/TD] [TD]Antineoplastics (anti-tumor) [/TD] [TD]carmustine, lomustine, vinblastine, vincristine [/TD] [/TR] [TR] [TD]-terol [/TD] [TD]Bronchodilators [/TD] [TD]albuterol, bitolterol, levalbuterol, pirbuterol [/TD] [/TR] [TR] [TD]-thiazide [/TD] [TD]Potassium-losing diuretics [/TD] [TD]benzthiazide, hydrochlorothiazide [/TD] [/TR] [TR] [TD]-tidine [/TD] [TD]H2 receptor antagonists (anti-ulcer) [/TD] [TD]cimetidine, famotidine, nizatidine, ranitidine [/TD] [/TR] [TR] [TD]-triptan [/TD] [TD]Anti-migraines [/TD] [TD]naratriptan, rizatriptan [/TD] [/TR] [TR] [TD]-triptyline [/TD] [TD]Tricyclics (antidepressants) [/TD] [TD]amitriptyline, nortriptyline, protriptyline [/TD] [/TR] [TR] [TD]-vastatin [/TD] [TD]Antilipemics (anti-cholesterol) [/TD] [TD]atorvastatin, lovastatin, simvastatin [/TD] [/TR] [TR] [TD]-vir [/TD] [TD]Antivirals [/TD] [TD]abacivir, zanamivir [/TD] [/TR] [TR] [TD]-vudine [/TD] [TD]HIV/AIDS antivirals [/TD] [TD]lamivudine, stavudine, zidovudine [/TD] [/TR] [TR] [TD]-zine [/TD] [TD]Phenothiazines (antipsychotics, antiemetics) [/TD] [TD]chlorpromazine, perphenazine, prochlorperazine [/TD] [/TR] [TR] [TD]-zoline [/TD] [TD]Nasal decongestants [/TD] [TD]oxymetazoline, zylometazoline [/TD] [/TR] [/TABLE]

Notes: CHF = Lasix -> watch for s/s hypokalemia (inverted T wave (ekg strip) -> increase risk for Dig (digoxin) toxicity (s/s Halo Lights) also tx CHF = bed rest, semi to high Fowler's, low Na+ diet (no luncheon meats, no dairy (including cheese), no processed food) keep MAP (mean arterial pressure) above 65 for adequate profusion MAP = Systolic + (2x Diastolic - takes twice as long for heart to refill) divided by 3 this is helpful when given a series of Blood Pressures and can't decide which is worse Kroup = (remember t's and k's) happens in Kold weather usually to Kids in Pre-K, Kindergarten, and Kids under Ten years of age, put under oxygen Tent at Ten liters of oxygen, Keep Tent Kleen so you can see the Kid, no Kombustible toys or fabrics - no wool or other materials that cause static electricity, use Kleenable Toys like cotton or plastic Pt = Coumadin: (t in Pt is for the number ten) -> 10-15 sec (range) Ptt = the 2 t's look like an H -> Heparin: (t + t or ten + ten in Ptt) 20-45 sec (range) ICP = increase risk of Diabetes Insipidus Diabetes Insipidus presents like Addison's - hypovolemia, hypotension, hyponatremia, hypoglycemia, hyper K+ Cushing's Triad - ICP - widening pulse pressure (increase in difference between systolic and diastolic) - bradycardia - irregular respirations Rales= crackles. (*sign of fluid overload) Don't let these tricksters trip you up. Chest Tube - Pleur Evac Water Seal - needs to fluctuate with breathing, if not -> leak? re-inflated lung (chest x-ray)? Suction Control - needs to be bubbling continuously (not vigorously), if not -> leak? water (20 cm)? re-inflated lung (chest x-ray)? Drainage (collection) Chamber - document T.A.C.O. (Type/consistency, Amount, Color, Odor) Bleeding => MOUTH: hematemesis, hemoptysis; NOSE: epistaxis; SKIN: ecchymosis, contusion (caused by trauma aka - bruise), petechia, purpura; orifice: hematochezia, melena; URINE: hematuria; HEAD: intracranial / cerebral / subarachnoid hemorrhage if bleeding in abdomen - pt will have lower back pain Tx = stop bleeding - vasoconstrict (cold), vasopressors, compression; stop, treat or remove causative agent; B/P is the last to go; may need to tx hypovolemia (L.R., albumin, other blood products), watch for Hyper- K+ (lysing of cells spill K+) Antidotes: heparin -> protamine sulfate Koumadin (warfarin) -> vitamin K (keep same diet, don't stop green veggies) magnesium sulfate -> calcium gluconate most Narcotics -> Narcan most Psych drugs -> Cogentin Tylenol poisoning -> mucomist Tetralogy of Fallow = Knee Chest position, O2 doesn't help - acyanotic defect - pt's suffer "tet spells" Hyperglycemia = Cushing's, Hyperadrenalism, etc -> Poor wound healing, low K+, weight gain, increase risk for bleeding, increase risk for infection Bradycardia = Atropine ***except if pt has or may have Glaucoma (give other CNS stimulant like Epi) Albumin = Nutrition status, it is also used to pull the blood INto the Vasculature (ie shock) and it is also a Blood Product if the questions gives a specific Age, please take note as it will be important when answering the question Normally, no trendelenburg EXCEPT: trendelenburg and on left side = central line, pt SOB, restless, etc. (possible air embolis) rationale: keep air embolis in the lung and prevent it to go into brain presumptive sign of pregnancy are signs Felt by the WOMEN: nausea, vomiting, breast sensitivity, fatigue, quickening probable sign of pregnancy are Observed by the EXAMINER: uttering enlargement, soufflé and contractions, positive urine pregnancy test, Hegar's sign (dr stick hand in uterus and feels for the softening of lower part of uterus), Chadwick's sign (dark blue to purplish-red congested appearance of the lady parts, cervix, labia r/t increase blood flow - think baby Chad punched her vajayjay)

hey BriManRN in what state are you? i did the quick resuts and it says i PASS.. but i search my name to BON it isn't there yet, probably a couple more days or week maybe.. anyways my state is NY.. anyways coffee2013 congrats to you!! pvt is accurate!! i did mine a few hrs after my exam and it works! :)

congrats!! good pop up is 99% really accurate!!! i took mine last thursday and had a good pop up, and after 48hrs, it says i PASS!!

hey darrelton, can you also send to me the PDF file? i am also filipina, i just moved here in NY about 1 1/2 yr, this is not my 1st time to take nclex, and im so desperate to know what went wrong and what did i missed. thanks again,