RN_me19

Congratulations and good job guys!

Mine did too. I stopped at 84 and took it for 2.5hrs. 17sat, 2 exhibit,1 EKG, lots of Meds and of course prioritization. I felt awful after the test that's why I can't believe I got the good pop up. I can't stop smiling but still have to wait for official result.

Thank you ChazzW!

Yes that's exactly how I feel right now. I can't wait for the official result. Thank you that made me feel better.

Thanks guys! Tried the PVT and had a good pop up. I used Hurst and PDA.

Thank you, I appreciate it.

I know I had done the best I can to study and all I need right now is your prayers for me. I have test anxiety but I am trying to be calm and relax. Good luck also to those taking the test.

Good luck, I'll be praying for you. I will be taking my test on Feb 12th too. I have been using hurst and pda.

Hi Kabayan! I am on the same boat. I took my test last 0ct the 12th and I also failed. It feels awful. Are you planning to retake after 45 days? We can be study buddy, you can email me at [email protected] if you're interested. Hope you feel better now and start to work again towards our dream.

Just thought this would help PHARMA: Pharmacology - Know Indication/Action/Effect Prefix/Suffix -ase = thrombolytic -azepam = benzodiazepine -azine = antiemetic; phenothiazide -azole = proton pump inhibitor, antifungal -barbital = barbiturate -coxib = cox 2 enzyme blockers -cep/-cef = anti-infectives -caine = anesthetics -cillin = penicillin -cycline = antibiotic -dipine = calcium channel blocker -floxacin = antibiotic -ipramine = Tricyclic antidepressant -ine = reverse transcriptase inhibitors, antihistamines -kinase = thrombolytics -lone, pred- = corticosteroid -mab = monoclonal antibiotics -micin = antibiotic, aminoglycoside -navir = protease inhibitor nitr-, -nitr- = nitrate/vasodilator -olol = beta antagonist -oxin = cardiac glycoside -osin = Alpha blocker -parin = anticoagulant -prazole = PPI’s -phylline = bronchodilator -pril = ACE inhibitor -statin = cholesterol lowering agent -sartan = angiotensin II blocker -sone = glucocorticoid, corticosteroid -stigmine = cholinergics -terol = Beta 2 Agonist -thiazide = diuretic -tidine = antiulcer -trophin = Pituitary Hormone -vir = anti-viral, protease inhibitors -zosin = Alpha 1 Antagonist -zolam = benzo/sedative -zine = antihistamine Pharm Facts •Don’t give non-selective beta-blockers to patients w/respiratory problems •Vitamin C can cause false +ive occult blood •Avoid the ‘G’ herbs (ginsing, ginger, ginko, garlic) when on anti-clotting drugs (coumadin, ASA, Plavix, etc) •ASA toxicity can cause ringing of the ears •No narcotics to any head-injury victims •Mg2+ toxicity is treated with Calcium Gluconate •Do not give Calcium-Channel Blockers with Grapefruit Juice •Oxytocin is never administered through the primary IV •Lithium patients must consume extra sodium to prevent toxicity •MAOI Patients should avoid tyramine: oAacados, bananas, beef/chicken liver, caffeine, red wine, beer, cheese (except cottage cheese), raisins, sausages, pepperoni, yogurt, sour cream. •Don’t give atropine for glaucoma – it increases IOP •Don’t give ant-acids with food -- b/c it delays gastric emptying. •Don’t give Stadol to Methadone/Heroin Preggo’s -- cause instant withdrawal symptoms •Insulin – clear before cloudy •Don’t give meperidine (Demerol) to pancreatitis patients •Always verify bowel sounds when giving Kayexelate •Hypercalcemia = hypophosphatemia (and vice versa) •Radioactive Dye – urine excretion •Signs of toxic ammonia levels is asterixis (hands flapping) •D10W can be substituted for TPN (temporary use) •Dopamine and Lasix are incompatible •Hypoglycemic shivers can be stopped by holding the limb, seizures cannot (infants) •Common symptom of aluminum hydroxide – constipation •Thiazide diuretics may induce hyperglycemia •Take iron with Vit C – it enhances absorbtion – Do not take with milk •B1 - For Alcoholic Patients (to prevent Wernicke’s encephalopathy & Korsakoff’s synd) •B6 - For TB Patients •B9 - For Pregnant Patients •B12 - Pernicious anemia, Vegetarians. •Complications of Coumadin - 3H’s - Hemorrhage, hematuria & hepatitis •FFP is administered to DIC b/c of the clotting Fx •Mannitol (osmtic diuretic [Head injury]) crystallizes at room temp – use a filter needle •Antianxiety medication is pharmacologically similar to alcohol –used for weaning Tx •Administrate Glucagon when pt is hypoglycemia and unresponsive •Phenazopyridine ( Pyridium)--Urine will appear orange •Rifampicin -- Red-urine, tears, sweat) •Hot and Dry = sugar high (hyperglycemia) •Cold and clammy = need some candy (hypoglycemia) •Med of choice for V-tach is lidocaine •Med of choice for SVT = adenosine or adenocard •Med of choice for Asystole = atropine •Med of choice for CHF is Ace inhibitor. •Med of choice for anaphylactic shock is Epinephrine •Med of choice for Status Epilepticus is Valium. •Med of choice for bipolar is lithium. •Give ACE inhibitors w/food to prevent stomach upset •Administer diuretics in the morning •Give Lipitor at 1700 since the enzymes work best during the evenin •Common Tricyclic Meds - 3 syllabes (pamelor, elavil) •Common MAOI’s - 2 syllables (nardil, marplan) •TPN has a dedicated line & cannot be mixed ahead of time •RHoGAM -- Given at 28 weeks & 72 hrs postpartum •Do not administer erythromycin to Multiple Sclerosis pt •Benadryl and Xanax taken together will cause additive effects. •Can't take Lasix if allergic to Sulfa drugs. •Acetaminophen can be used for headache when the client is using nitroglycerin. •Dilantin - can not give with dextrose. Only give with NS. Addison is skinny ( hypoglycemic, you get weight loss, you got weakness, and you get postural hypotn) Cushing is fat ( hyperglycemic, you get moon face big cheeks, and you retain a lot of Na and fluid) •Never Give via IVP: oKCL oHeparin oIbuprofen oInsulin oDobutamine oASA oAlbumin oAcetaminophen •Insulin: oRapid: lispro – onset oShort: Regular – onset ½ - 1 hr. Peak: 2-3hr. Duration: 4-6 hr oInt: NPH or Lente – onset: 2 hr. Peak 6-12 hr. Duration: 16-24hr oLong: Ultralente – onset 4-6 hr. Peak: 12-16 hr. Duration: >24hr oV.Long: Lantus – onset 1 hr. Peak: None. Duration: 24 hr continuous •Anticholergic Side Effects: oCan’t See oCan’t Pee oCan’t Spit oCan’t Sh*t •Hypocalcemia – CATS oConvulsions oArrythmias oTetany oSpasms & Stridor •Hyper Kalemia Causes: ‘MACHINE’ oMedicationa (ace inhibitors, NSAIDS) oAcidosis (metabolic & repiratory) oCellular destruction (burns, traumatic injuy) oHypoaldosteronism, Hemolysis oNephrons, renal failure oExcretion (impaired) •Signs of increased K ‘ Murder’ oMuscle weaknes oUrine – olyguria, anuria oRespiratory distress oDecreaed cardiac contractility oECG Changes oReflexes – hyperreflexia, or flaccid •Substance Poisoning and Antidotes oMethanol -- Ethanol oCO2 -- Oxygen oDopamine -- Phentolamine oBenzo’s (Versed) -- Flumazenil oLead -- Succimer, Calcium Disodium oIron -- Deferoxamine oCoumadin -- Vitamin K oHeparin -- Protamine Sulfate oThorazine -- Cogentine oWild Mushrooms - Atropine oRat Poison - Vit K •Parkland Formula: 4cc * Kg * BSA Burned = Total Volume Necessary o1st 8hrs – ½ total volume o2nd 8hrs – ¼ total volume o3rd 8 hrs – ¼ total volumes from the OP of this link https://allnurses.com/nclex-discussion-forum/omg-i-passed-528887.html Goodluck everyone!

Congratulations! I've been waiting for you to post that you passed coz I prayed for it.

Just thought this would help PHARMA: Pharmacology - Know Indication/Action/Effect Prefix/Suffix -ase = thrombolytic -azepam = benzodiazepine -azine = antiemetic; phenothiazide -azole = proton pump inhibitor, antifungal -barbital = barbiturate -coxib = cox 2 enzyme blockers -cep/-cef = anti-infectives -caine = anesthetics -cillin = penicillin -cycline = antibiotic -dipine = calcium channel blocker -floxacin = antibiotic -ipramine = Tricyclic antidepressant -ine = reverse transcriptase inhibitors, antihistamines -kinase = thrombolytics -lone, pred- = corticosteroid -mab = monoclonal antibiotics -micin = antibiotic, aminoglycoside -navir = protease inhibitor nitr-, -nitr- = nitrate/vasodilator -olol = beta antagonist -oxin = cardiac glycoside -osin = Alpha blocker -parin = anticoagulant -prazole = PPI’s -phylline = bronchodilator -pril = ACE inhibitor -statin = cholesterol lowering agent -sartan = angiotensin II blocker -sone = glucocorticoid, corticosteroid -stigmine = cholinergics -terol = Beta 2 Agonist -thiazide = diuretic -tidine = antiulcer -trophin = Pituitary Hormone -vir = anti-viral, protease inhibitors -zosin = Alpha 1 Antagonist -zolam = benzo/sedative -zine = antihistamine Pharm Facts •Don’t give non-selective beta-blockers to patients w/respiratory problems •Vitamin C can cause false +ive occult blood •Avoid the ‘G’ herbs (ginsing, ginger, ginko, garlic) when on anti-clotting drugs (coumadin, ASA, Plavix, etc) •ASA toxicity can cause ringing of the ears •No narcotics to any head-injury victims •Mg2+ toxicity is treated with Calcium Gluconate •Do not give Calcium-Channel Blockers with Grapefruit Juice •Oxytocin is never administered through the primary IV •Lithium patients must consume extra sodium to prevent toxicity •MAOI Patients should avoid tyramine: oAacados, bananas, beef/chicken liver, caffeine, red wine, beer, cheese (except cottage cheese), raisins, sausages, pepperoni, yogurt, sour cream. •Don’t give atropine for glaucoma – it increases IOP •Don’t give ant-acids with food -- b/c it delays gastric emptying. •Don’t give Stadol to Methadone/Heroin Preggo’s -- cause instant withdrawal symptoms •Insulin – clear before cloudy •Don’t give meperidine (Demerol) to pancreatitis patients •Always verify bowel sounds when giving Kayexelate •Hypercalcemia = hypophosphatemia (and vice versa) •Radioactive Dye – urine excretion •Signs of toxic ammonia levels is asterixis (hands flapping) •D10W can be substituted for TPN (temporary use) •Dopamine and Lasix are incompatible •Hypoglycemic shivers can be stopped by holding the limb, seizures cannot (infants) •Common symptom of aluminum hydroxide – constipation •Thiazide diuretics may induce hyperglycemia •Take iron with Vit C – it enhances absorbtion – Do not take with milk •B1 - For Alcoholic Patients (to prevent Wernicke’s encephalopathy & Korsakoff’s synd) •B6 - For TB Patients •B9 - For Pregnant Patients •B12 - Pernicious anemia, Vegetarians. •Complications of Coumadin - 3H’s - Hemorrhage, hematuria & hepatitis •FFP is administered to DIC b/c of the clotting Fx •Mannitol (osmtic diuretic [Head injury]) crystallizes at room temp – use a filter needle •Antianxiety medication is pharmacologically similar to alcohol –used for weaning Tx •Administrate Glucagon when pt is hypoglycemia and unresponsive •Phenazopyridine ( Pyridium)--Urine will appear orange •Rifampicin -- Red-urine, tears, sweat) •Hot and Dry = sugar high (hyperglycemia) •Cold and clammy = need some candy (hypoglycemia) •Med of choice for V-tach is lidocaine •Med of choice for SVT = adenosine or adenocard •Med of choice for Asystole = atropine •Med of choice for CHF is Ace inhibitor. •Med of choice for anaphylactic shock is Epinephrine •Med of choice for Status Epilepticus is Valium. •Med of choice for bipolar is lithium. •Give ACE inhibitors w/food to prevent stomach upset •Administer diuretics in the morning •Give Lipitor at 1700 since the enzymes work best during the evenin •Common Tricyclic Meds - 3 syllabes (pamelor, elavil) •Common MAOI’s - 2 syllables (nardil, marplan) •TPN has a dedicated line & cannot be mixed ahead of time •RHoGAM -- Given at 28 weeks & 72 hrs postpartum •Do not administer erythromycin to Multiple Sclerosis pt •Benadryl and Xanax taken together will cause additive effects. •Can't take Lasix if allergic to Sulfa drugs. •Acetaminophen can be used for headache when the client is using nitroglycerin. •Dilantin - can not give with dextrose. Only give with NS. Addison is skinny ( hypoglycemic, you get weight loss, you got weakness, and you get postural hypotn) Cushing is fat ( hyperglycemic, you get moon face big cheeks, and you retain a lot of Na and fluid) •Never Give via IVP: oKCL oHeparin oIbuprofen oInsulin oDobutamine oASA oAlbumin oAcetaminophen •Insulin: oRapid: lispro – onset oShort: Regular – onset ½ - 1 hr. Peak: 2-3hr. Duration: 4-6 hr oInt: NPH or Lente – onset: 2 hr. Peak 6-12 hr. Duration: 16-24hr oLong: Ultralente – onset 4-6 hr. Peak: 12-16 hr. Duration: >24hr oV.Long: Lantus – onset 1 hr. Peak: None. Duration: 24 hr continuous •Anticholergic Side Effects: oCan’t See oCan’t Pee oCan’t Spit oCan’t Sh*t •Hypocalcemia – CATS oConvulsions oArrythmias oTetany oSpasms & Stridor •Hyper Kalemia Causes: ‘MACHINE’ oMedicationa (ace inhibitors, NSAIDS) oAcidosis (metabolic & repiratory) oCellular destruction (burns, traumatic injuy) oHypoaldosteronism, Hemolysis oNephrons, renal failure oExcretion (impaired) •Signs of increased K ‘ Murder’ oMuscle weaknes oUrine – olyguria, anuria oRespiratory distress oDecreaed cardiac contractility oECG Changes oReflexes – hyperreflexia, or flaccid •Substance Poisoning and Antidotes oMethanol -- Ethanol oCO2 -- Oxygen oDopamine -- Phentolamine oBenzo’s (Versed) -- Flumazenil oLead -- Succimer, Calcium Disodium oIron -- Deferoxamine oCoumadin -- Vitamin K oHeparin -- Protamine Sulfate oThorazine -- Cogentine oWild Mushrooms - Atropine oRat Poison - Vit K •Parkland Formula: 4cc * Kg * BSA Burned = Total Volume Necessary o1st 8hrs – ½ total volume o2nd 8hrs – ¼ total volume o3rd 8 hrs – ¼ total volumes from the OP of this link https://allnurses.com/nclex-discussion-forum/omg-i-passed-528887.html Goodluck everyone!