NCLEX 2014

58 cards   |   Total Attempts: 185
  

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Cards In This Set

Front Back
FLUID VOLUME DEFICIT
"SHOCK YOU"
*Sunken Fontanel (Neonate)
* Flat neck veins
* Dry, Poor Skin Turgor
* Constipation
* Decreased CVP
* Increased HCT
* Wt. Loss

FLUID VOLUME EXCESS
"EDEMA"
*Periorbital Edema
*JV Distention
* CHF: crackles, DOB,coughing
* Increased CVP
* Decreased HCT
Hypo-NA
< 135 meq/L
*s/sx of Fld. Vol. Deficit
*DOC: Demeclocycline, Diuretics

Hyper-Na
>145 meq/L
* s/sx of Fld. Vol. Excess
*DOC: Albumin IV, Diuretics
* Mgt: Dialysis
Hypo-K
Decrease in : CNS(Impulses), Cardio, GIT, Muscle
* ECG: Depressed T-wave, U-wave
* Lethargy
* Early: Cramps
* Late: Weakness
*Mgt: KCL, K-rich foods (PABOWS)
* C/I: Digoxin, K-wasting
Hyper-K
> 5.1 meq/L
* Increase in : CNS, Cardio, GIT, Muscle
* ECG: Peaked T-wave
* Seizure
* Early: Spasm
* Late: Weakness
* Mgt: Kayexalate(oral/enema), IV Insulin
* C/I : K-sparing
Hypo-Ca

Decrease Ca = Increase Impulses
* Tetany : (+) Chostek, (+) Trousseu, Circumoral Tingling
* Mgt: Ca Gluconate
Hyper-Ca
Increase Ca = Decrease Impulses
"Bones, Stones, Moans, Groans!"
* Fracture
* Kidney Stones
* Constipation
* Mgt: Diuretics, Dialysis

Hypo-Mg
Decrease Mg = Increase Impulses
* Cardio: V-Tach (Polymorphic "Torsades De Pointes")
* (+) DTR
* CNS: Seizures, Tetany
* Mgt: MgSO4

Hyper-Mg
Increase Mg = Decrease Impulses
* (-) DTR = Paralysis
* D-rop
R-R
O-utput
P-ressure
* Mgt: Ca Gluconate
ABG (Arterial Blood Gas)
Step 1:
PH - Up (Acidosis) ; Down (Alkalosis)

Step 2:
R - espiratory
O - pposite (pCO2)
M - etabolic
E - qual (HCO3)

Step 3:
Fully Compensated - Normal Ph
Partially Compensated - AbN pCO2 & HCO3
Uncompensated - Normal pCO2 or HCO3

STANDARD PRECAUTION
Hepatitis A-G
Infectious Mononucleosis (Kissing Dse)

*Hand Washing
*Serum - gloves
Blood - gown
Optional - googles
AIRBORNE PRECAUTION:
MTV - HZ
M - easles
T - urberculosis
V - aricella
HZ - Herpes Zoster ( Shingles)

*<5 microns
* (-) Pressure Room
* N-95
ENTERIC PRECAUTION:
Ssh
S = Salmonella
S = Shigella
H = Hepatitis AE - "tae"
CLEAN Procedures
* Enema
* Colostomy Irrigation
* Oral Meds
* Rectal Suppository