Nursing > NCLEX > Mark Klimek Test taking strategies: Best Lecture Notes. (All)

Mark Klimek Test taking strategies: Best Lecture Notes.

Document Content and Description Below

Mark Klimek Test taking strategies: Lecture Notes Lab Values: DEADLY DANGEROUS: • Elevated K+ ( >6) - Hold K+, Assess heart, Prepare Kayexalate/D5W, Call Dr. • Elevated pH ( >6) - Asses... s Vitals, Call doctor • CO2 in the 60’s - Assess Resp., Do purse lip breathing, prepare to intubate and ventilate, Call Resp. Therapy, Call Dr. • PO2 < 60’s - Assess Resp., Give O2, Prepare to intubate and ventilate, Call resp. therapy, Call Dr. • Platelets < 40,000 - Assess for bleeding, Place on Bleeding precautions, prepare for administration on Platelets CRITICAL: • INR > 4 • Low K+ ( < 3.5) • High K+ (5.4 – 5.9) • Elevated Hgb ( < 8) • CO2 in the 50’s - Assess Resp., Do purse lip breathing, DO NOT GIVE O2 • Low PO2 but still in the 70’s - Assess Resp., Give O2 • O2 < 93% - Assess Resp., Give O2 • Abnormal Na+ with a change in LOC • WBC < 5000 • ANC < 500 • CD4 < 200 • Platelets < 90,000 - Assess for bleeding, Place on bleeding precautions BE CONCERED: • Elevated BUN - Check for dehydration • Elevated Hgb - Monitor for Bleeding • Elevated BNP (Best indicator for heart failure) • Abnormal Na+ - If elevated, assess for dehydration - If Low, assess for overload ABNORMAL BUT NOT A CONCERN: • Elevated Creatinine ( > 1.2, Best indicator for Kidney function) • HCO3 • Hct - Assess for bleeding *** HOLD, ASSESS, PREPARE, CALL DOCTOR*** Creatinine: 0.6-1.2 INR: 2-3 K+: 3.5-5.0 pH: 7.35-7.45 BUN: 8-30 Hgb: 12-18 Acid Base balance: • Rule of the B’s: If the pH and the Bicarb are Both in the same direction then it is metaBolic • MacKussmauls: Kussmauls Respirations only occur in Metabolic ACidosis • As the pH goes, so goes my patient except K+ - If pt has a LOW pH, s/s will be elevated except K+ - If pt has a HIGH pH, s/s will be decreased except for K+ • Causes for acid base imbalances 1. Ask yourself is it a lung problem? Yes, then it is Resp. 2. Then ask yourself are they over ventilating or under ventilating? - If OVER VENTILATING pick ALKALOSIS - If UNDER VENTILATING pick ACIDOSIS If it is not a lung problem then is has to be a metabolic problem - If the patient has PROLONGED SUCTIONING or VOMITING pick ALKALOSIS - For EVERYTHING else or when you don’t know what to pick, pick ACIDOSIS Aminoglycosides = “A MEAN OLD MYCIN” • Tx serious, life-threatening infections • All mycin drugs end in “-MYCIN” • The wannabe mycin’s all end in “-ROmycin” • Toxic Effects: “Mycin” sounds like “mice” mice have big EARS that are shaped like KIDNEYS with an 8 drawled inside the ear. - EARS = Ototoxicity –Monitor ringing in ears and balance - KIDNEY EARS = Nephrotoxicity –Monitor Creatinine lvls - 8 inside ears= these meds are given every 8 hrs. and affect the cranial 8 nerve • Who can sterilize my Bowels?........ NEO-KAN - Mean old mycins are never giving PO, except for hepatic encephalopathy, ammonia, and bowel prep surgery. - They are only given PO when the bowel are needing cleaned out  KANmycin and NEOmycin are administered Calcium Channel Blocker: • They are like VALIUM for the ♥, it allows the heart to relax - Negative inotropic, chronotropic, and dromotropic • What do CCB treat? - A, A-A, and A-A-A, PLUS SVT - Antihypertensive - Anti Angina - Anti Atrial Arrhythmic (A-Fib, A-Flutter) [Show More]

Last document update: 3 months ago

Preview 1 out of 9 pages

Reviews( 0 )

NCLEX

$9.00

Add to cart

Instant download

OR

Can't Find what you want?

Post questions here
6
0

Document information


Connected school, study & course



About the document


Uploaded

3 months ago

Number of pages

9

Written in

All

Type

NCLEX

Seller


NursingStudyGuidesandNotes

Member since 9 months ago

154 Documents Sold


Additional information

This document has been written for:

Course

Nursing

Paper Category

NCLEX

Uploaded

3 months ago

Downloads

 0

Views

 6

THE BEST STUDY GUIDES

Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students

Avoid examination resits

Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.

Get the best grades

Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality

Earn from your notes

Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.

WHAT STUDENTS SAY ABOUT US


What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·