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i keep seeing these topics come up on practice q's
lithium toxicity
radium implants
psych meds
cane walking (lame!!!)
hip surgery...post-op positioning
memorize lab values (per kaplan instructor)
Posted by
Maureen D.
at
9:05 AM
9 comments:
Thanks.
I spoke with a girl who said know....
Cushing's (i think of....lots of cushion (FVE, Hump, Moon face):
High and Big - blood sugar, Na+, Fluid retention,
HTN, Moon face, Buffalo hump, striae
Low - K+
Addison's (I think need to "add" some weight,
sugar, Na+):
Low and Small - blood sugar, Na+, weight, weak,
FVD, hypOtn
High - K+ (body hair)
Crisis - Adrenal crisis (kidney's shut down)
HypERthryoidism
High, Hot and Hyper - Exopthalmos, tachy, HTN,
thin/intolerance to heat (bc of hypermetabolic
state), diarrhea (hyperactive bowel)
HypOthyroidism:
Calm, Cold and Constipated -
Fatigue/lethargy/weakness, slow speech, hypOtn,
brady, intolerance to cold
**remember myxedema coma from the ATI's? it is
basically a hypOthyroid crisis!
And yes, the toxicity and therapuetic levels stuff comes up a lot.....
dilantin, lithium, theophylline
If any of you have the "Memory Notebook of Nursing"....I have found it very helpful for "big picture" information on disorders/conditions/procedures.....if anyone wants to borrow mine, I'll be willing to lend them out after I take the NCLEX.
Shock and IICP are opposite
Shock: Decreased BP, Increased Pulse, Increased Respirations
IICP: Increased BP, Decreased Pulse, Decreased Respirations
also,
SIADH
- Posterior Pituitary (PP.....Pee-Pee)
Not enough pee
hypONa+ (diluted plasma), increased urine
osmolality (concentrated urine)
Causes: Head injury, Lung cancer
Diabetes Insipidus
- hypothalamus
Dilute urine, excessive thirst
Dehydration, hypERNa+, watch for hypOK+
Causes: brain injury (not producing enough
ADH), kidneys not processing ADH properly
Vasopressin is synthetic ADH
Ear drop administration:
- adUlt (Up and back)
- chilD (Down and back)
Get CVA patient out on the functioning side
Cardioverson - Synch on....consent signed
De-fib - Synch on....V-fib/V tach
Aminoglycoside toxicity ("mycin") - ototoxidity/nephrotoxicity
Toxic;
- lithium: 2
- digoxin: 2
- theophylline: 20
- dilantin: 20
Heart sounds ("Aunt Patty Eats Taco Meat"):
- Aortic: 2nd ICS, RSB
- Pulmonic: 2nd ICS, LSB
- Erb's: 3rd ICS, LSB
- Tricuspid: 4th ICS, LSB
- Mitral: 5th ICS, LMCL
Sorry......De-fib - Synch OFF!
holy cow trina...thanks
Last one for the day......
Pharm:
Flagyl - No ETOH
Tetracycline for STDs
Mannitol is contraindicated with Pulmonary edema
Antigout (chronic) - allopurinol
Antigout (acute) - colchicine
*I just think (opposite letters, Acute...C, Chronic...A
These suffixes don't always work, but they're a start.
ACE Inhibitors - "pril"
Beta blocker - "lol"
Ca+ Channel Blockers - "dipine"
Anti-cholesterol - "statin" (except Nystatin is anti-fungal)
Bronchodilators - "ol" and terbutaline (watch for tachycardia)
tricyclic antidepressants - tyline
Corticosteroids - "solone", "sone"
H2 blockers - "tidine"
PPI - azole
Sorry, I am Type A AND Neurotic.....it's a horrible combination!!!
change TPN line q 24hrs (i've seen this 3 times now!!)
You so crazy! Thanks for all the good stuff. Let's keep it coming!
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