Nclex Review

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echocardiogram-used to assess heart valves.

valve disorders require prophylactic antibiotics before invasive procedures.

avoid IM injections when suspecting MI can affect CK levels

hemodynamic measurements-transducer placed @ the midaxillary line at the fourth or fifth intercostal space phlebostatic axis.

calcium channel blockers-assess for constipation

1. Neuroleptic malignant syndrome (NMS):
-NMS is like S&M;
-you get hot (hyperpyrexia)
-stiff (increased muscle tone)
-sweaty (diaphoresis)
-BP, pulse, and respirations go up &
-you start to drool

2. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola), or German measles (rubella), so remember: -never get pregnant with a German (rubella)

3. When drawing up regular insulin & NPH together, remember: -RN (regular comes before NPH)

4. Tetralogy of fallot; remember HOPS
H- hypertrophy of right ventricle
O- over-riding aorta
P- pulmonary stenosis
S- septal defect

5. MAOI's that are used as antidepressants:
weird way to remember, I know. pirates say arrrr, so think; pirates take MAOI's when they're depressed. - explanation; MAOI's used for depression all have an arrr sound in the middle (Parnate, Marplan, Nardil)

Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree
- loosen constrictive clothing
- assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke, MI, seisure )

Normal ICP : 0 - 15mmHg

Pulmonary embolus: S/S
- pleuritic chest pain, dyspnea, low-grade fever, tachycardia, blood-tinged sputum.

- dyspnea on exertion, barrel chest, clubbed fingers and toes, tachypneic with prolonged expiratory phase.

Tension pneumothorax - tracheal shift to opposite side, decreased venous return, neck vein bulge, tachycardia and tachypnea.

--In complete heart block, the AV node blocks all impulses from the SA node, so the atria and ventricles beat independently, b/c Lidocaine suppresses ventricular irritability, it may diminish the existing ventricular response, cardiac depressant are contraindicated in the presence of complete heart block. --administrate Glucagon when pt is hypoglycemia and unresponsive --Bromocriptine (Parlodel) or Dantrolene (Dantrium) is used for CNS toxicity --Ibuprofen (Motrin) S/E includes epigastric distress, nausea, occult blood loss, peptic ulceration, use cautiously with history of previous gastrointestinal disorders. --Aminophylline (Truphylline) use with Propranolol (Inderal) may decrease metabolism and lead to toxicity --Antianxiety medication is pharmacologically similar to alcohol, is used effectively as a substitute for alcohol in decreasing doses to comfortably and safely withdraw a client from alcohol dependence -- Tagamet decrease gastric secretion by inhibiting the actions of histamine at the H2-receptor site, constipation is a common side effect of this med, should increase fiber in diet. Take with meals and at bedtime. --elderly clients and clients with renal problems are most susceptible to CNS side effects (confusion, dizziness) of the medication

1st TRIMESTER (Chorionic villis sampling, US scan)
2nd TRIMESTER (AFP screening or Quad Screening,Amniocentesis) 3rd TRIMESTER (kick counts,Nonstress Test,Biophysical Profile, Percutaneous Umbilical Blood sampling, Contraction Stress Test )

Ultrasound screening -can be vaginal or Abdominal (in latter make Her drink water to fill bladder) -Confirms viability
-Indicates fetal presentation
-Confirms multiple gestation
-Identifies placental location
-Measurements can be taken to confirm/estimate gestational age -Identify morphologic anomalies

Chorionic villis sampling
8-12 weeks
for early diagnosis of genetic, metabolic problems

Amniocentesis -13-14 weeks
Is done under US scan to obtain a sample of amniotic fluid for direct analysis of fetal chromosomes, development, viability and lung maturity...
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