NCLEX

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  1. As my PH increases
    • pt faster, hypokalemia
    • alkalotic
    • worst: seizure, use suction machine
  2. As my PH decreases
    • pt slower, hyperkalemic
    • acidotic
    • worst: resp arrest, use ambu bag
  3. prolonged gastric, vomit, suction
    metabolic alkalosis
  4. Maslow (6)
    • Physiological
    • Safety
    • Comfort
    • Psychological
    • Social
    • Spiritual
  5. Aminoglycosides
    • -mycin
    • ototoxicity: monitor hearing, balance, tinitis
    • nephrotoxicity: monitor creatine
    • q8hr, nerve 8, IV/IM
  6. PO aminoglycosides
    • Neo-Kan
    • sterilize my bowel: hepatic encelopathy and pre op bowel sugury
  7. IV peak
    15-30 min after med is FINISHED
  8. Treat ventricular rhythms
    lidocaine and amiadarone
  9. treat atrial rhythms
    • Adeno, Beta, Calcium, Dig (lanoxin)
    • give heparin with afib
  10. treat asystole
    epinephrine and atropine
  11. Tetralogy of Fallot
    • Ventricular Defects
    • Pulmunary Stenosis
    • Overriding Aorta
    • Right Hypertrophy
  12. Functional psychosis
    • Acknowledge feelings
    • present REALITY
  13. dementia psychosis
    • AF
    • Redirect
  14. Delirium psychosis
    • AF
    • REASSURE
  15. Lithium
    • 0.6-1.2
    • toxic: 2
    • SE: Peein poopin parathesia
    • toxic: Temors, N/V/D, thirst, metallic taste
    • monitor for HypoNA
  16. Lanoxin/digitalis
    • 1-2
    • toxic: 2
    • SE: yellow/green halo N/V/HA
    • Must monitor Apical pulse (under 60 bad)
  17. amino-phylline
    • 10-20
    • toxic: 20
    • airway antispasmotic
    • give with meals?
  18. Dilantin
    • 10-20
    • toxic: 20
    • prevent seizures
  19. Bilirubin
    • elevated: 10-20
    • toxic: 20
    • Kernicterus in CSF - Opisthotonos (extension of neck)
  20. Kalemias
    • do the same as the prefix
    • except HR and UO
    • pick if not skeletal muscle/nerve
  21. Calcemias
    • do the opposite of the prefix
    • screw up BP
    • pick if skeletal muscle/nerve
  22. magnesemias
    • do the opposite of the prefix
    • screw up BP
    • never pick
  23. Earliest sx of any electrolyte disoder
    • paresthesia
    • universal sx: paresis
  24. Total thyroidectomy
    • hypocalcemia
    • 12hr later: tetany
  25. Subtotal thyroidectomy
    • Thyroid storm: HIGH VS, HIGH temp
    • tx: high flow o2 and decrease temp
  26. hypothyroidism
    do not sedate, give pill before surgery
  27. contact infections
    herpes, enteric, staph, RSV
  28. droplet infections
    • influenza, meningitis, mumps, RSV
    • need mask
  29. airborne infections
    • TB, measles, varicella, SARS
    • need special mask and neg airflow
  30. 0-6mo toy
    • music mobile
    • raddle
  31. 6-9mo toy
    cover/uncover toys
  32. 9-12mo toy
    verbal toys
  33. 1-3 toys
    • push pull toys
    • gross motor
    • parallel play
  34. 3-6 toy
    • balance,
    • fine motor
    • cooperative play
  35. 7-11 toy
    creative, competitive, collective
  36. cervical
    • neck
    • diaphragm and UE
    • assess breathing/sensation
    • complication: pneumonia
  37. thoracic
    • upper back
    • abdominal muscles and gut
    • assess cough and bowel sounds
    • complication: paralytic ilius
  38. lumbar
    • lower back
    • bladder and LE
    • assess void and sensation
    • complication: urinary retention
  39. Heparin
    • works ASAP, 21 days only
    • monitor PTT
    • antidote: protamine sulfate
  40. Warfarin
    • takes days to work, for life
    • monitor PT, INR
    • antidote: Vitamin K
  41. Teaching
    • 0-2: as you do it
    • 3-6: day of with play
    • 7-11: days ahead with material
    • 12-15: teach like an adult
  42. -zine
    • antipsychotic se-ABCDEFG
    • anticholinergic, blurred vision, constipation, drowsiness, EPS, fotosensitivity, aGranulocytisus
  43. -zep
    • benzo, cant take for more than 6 weeks
    • se:ABCD
  44. Mar/Nar/Par
    • MAOI
    • se: ABCD
    • no tyramine
  45. Haldol
    • ABCDEFG
    • elderly develop NMS
    • NMS: fever (104-108), rigidity
  46. fluoxetine
    • Prozac: SSRI
    • serotonin syndrome: SADHead
    • sweating, apprehensive, dizzy, headache
    • Causes insomnia
  47. -zap
    • no A-F
    • Se: severe agranulocytosis
    • monitor white count
  48. Back pain OB protocol
    • position
    • push
  49. prolapsed cord OB protocol
    • variable decels
    • Push
    • position
  50. LION OB protocol (3)
    • Left lying, increase IV, O2, Notify
    • fetal HR uner 110
    • low baseline variability
    • late decels
  51. -fenec
    • -profen
    • NSAID
    • stomach bleed/upset
  52. BP meds
    • -dipine, -zem CCB
    • -sartan
    • -pril

Card Set Information

Author:
andreathors16
ID:
323269
Filename:
NCLEX
Updated:
2016-09-17 03:40:42
Tags:
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