Nclex Things I Forget

Front 1

*anti-psychotics

Back 1

NO SUN!

Front 2

*Clonid

Back 2

gyn med, increases ovulation time and eggs

Front 3

*haldol

Back 3

used for elderly ↓ risk for falling, s/e low sedative effects, high extrapyramidal

Front 4

*lithium

Back 4

increase pt sodium intake to prevent toxicity

Front 5

*mag sulfate

Back 5

s/e hypoactive DTR, blurred vision

Front 6

*narcan

Back 6

used for opiates only

Front 7

*NSAIDs

Back 7

NVD, occult bleeding, dizziness, confusion

Front 8

*phenergan

Back 8

vesicant

Front 9

*thorazine

Back 9

high sedative effect, hypotension, no abuse possible, used for EtOH w/d, extrapyramidal effects

Front 10

1 yr to 3yrs stage

Back 10

"I WANNA DO IT" autonomy v. shame and doubt

Front 11

12 to 20 yrs

Back 11

"WHO AM I?" identity v. role confusion

Front 12

20 to 35 yrs

Back 12

"IM IN LOVE" intimacy v. isolation

Front 13

3 to 6yrs

Back 13

"LET ME TRY" initiative v. guilt, imitative behavior

Front 14

35 to 65 yrs

Back 14

"DO OR DIE" generativity v. stagnation

Front 15

6 to 12 yrs

Back 15

"LOVE HOMEWORK" industry v. inferiority

Front 16

65+ yrs

Back 16

Integrity v. despair

Front 17

addisonian crisis

Back 17

Mr ADDISONIAN ADRENAL ↓ adrenal hormones (↓ BP, dehydrated, weak, no weight (hypoglycemic), no hair, no emotion, dark skin, meta acid!

Front 18

alcohol withdrawl

Back 18

tremors, anorexia, hallucinations, anxiety

Front 19

apraxia

Back 19

loss of purposeful movements

Front 20

ASTs, ALTs

Back 20

8-20mg/dL

Front 21

autonomic dysreflexia

Back 21

hyperreflexia, bradycardia, goose pimples, sweating, HA

Front 22

birth to 1 yr stage

Back 22

trust v. mistrust

Front 23

bladder control

Back 23

achieved 18-24 mo

Front 24

buerger's disease

Back 24

obstructed BV, s/s pale, cold, pain, skin ∆

Front 25

calcium

Back 25

9-11, children lower

Front 26

caloric intakes

Back 26

avg adult 1800-3000kcal/day

Front 27

cephalosporin

Back 27

s/e is overgrowth of organisims (tongue!)

Front 28

checking facial muscles

Back 28

CN7 + tongue

Front 29

checking hearing

Back 29

CN8

Front 30

checking smell

Back 30

CNI

Front 31

checking vision

Back 31

CN2, CN3(oculomotor), CN4 (trochlear, eyes down)

Front 32

creatinine

Back 32

0.6-1.5, kids lower

Front 33

cushings disease

Back 33

MR CUSHINGS ADRENAL ↑ adrenal hormones (↑ BP, ↑ blood volume, ↑ weight (hyperglycemic), moon face, hairy women, meta alka! NO TEMP OR EMOTIONAL CHANGES

Front 34

depression

Back 34

AM activites

Front 35

DI

Back 35

DRY!!! dehydrated and dumping urine

Front 36

duodnal ulcer

Back 36

pain after meals, helped with food

Front 37

Fe levels

Back 37

15mg/day

Front 38

gastric ulcer

Back 38

pain before meals, not eased with food, vomiting common "GET THE FOOD OUT"

Front 39

glaucoma

Back 39

visine (vasoconstrictor) contraidicated

Front 40

grain =

Back 40

60mg

Front 41

graves disease

Back 41

HYPERthyroidism, ↑ BMR, NO HEAT, skinny, diarrhea, mental unstable, tachycardic, fine soft hair

Front 42

HDL

Back 42

≥ 40, keep em high!

Front 43

Hemophlia

Back 43

sex-linked, father will give to both daughters, mother will give to daughter and son

Front 44

Hgb

Back 44

11-18, children lower

Front 45

hypercalcemia

Back 45

↓ reflexes, ↓ muscle strength, constipation

Front 46

hypocalcemia

Back 46

pos trousseau sign, dysrhythmias

Front 47

ivp's

Back 47

meds discontinued, given enema

Front 48

jaw movement

Back 48

CN5

Front 49

LDL

Back 49

≤ 100, keep it low!!

Front 50

meniere syndrome

Back 50

balance disorder, s/s tinnitus, vertigo, poss hearing loss

Front 51

metabolic acidosis

Back 51

pH < 7.35 and HCO3 < 22, smaller HCO3 number and smaller pH number, same!!

Front 52

metabolic alkalosis

Back 52

pH >7.45 and HCO3 > 26, larger HCO3 and larger pH, same!

Front 53

MG

Back 53

assess muscle strength @ end of the day

Front 54

Miller Abbott tube

Back 54

for intestinal decompression

Front 55

myxedma

Back 55

HYPOthyroidism, NO COLD, obesity, constipation, no sweat, brady, dry skin & hair, reproductive probs, sensitive to narcs

Front 56

narcotic withdrawl

Back 56

sweating, agitation, panic, hallucinations

Front 57

NPO

Back 57

infants - 3hrs is adequate

Front 58

PIV

Back 58

not in joint, can be displaced

Front 59

PKU

Back 59

one test, after protein consumption, before 7 days post birth

Front 60

platlets

Back 60

100-400k

Front 61

pre-eclampsia s/s

Back 61

mild - 140/90, edema, severe- HA, epigastric pain, Hemolysis, Elev Liver, Low Platlets

Front 62

PT/PTT

Back 62

9-12s (coumadin)/20-39s (heparin)

Front 63

radioactive chemo

Back 63

Rad dept handles only, keep forcepts, emergency equipt in room, keep linen in room until d/c

Front 64

RBC levels

Back 64

3.2-6.2, children lower

Front 65

respiratory acidosis

Back 65

pH < 7.35 and CO2 > 45, opposites

Front 66

respiratory alkalosis

Back 66

pH > 7.45 and CO2 < 35, opposites

Front 67

thyroid storm

Back 67

↑ temp, pulse, BP, NVD, seizures Tx: cooling blanket, PTU

Front 68

total cholesterol

Back 68

≤ 200

Front 69

ultrasound

Back 69

check for GA

Front 70

uti

Back 70

no alkaline foods

Front 71

WBC levels

Back 71

5-10k for adults, 5-13k for kids

Front 72

amniophylline

Back 72

strong brochodilator, given IV for ER

Front 73

bipolar

Back 73

when physically aggressive, give meds!!

Front 74

EMG

Back 74

measure impulses in muscles, non invasive

Front 75

RhoGAM

Back 75

given to Rh- mom with Rh+ baby AND NEGATIVE COOMBS test

Front 76

canes

Back 76

cane goes first, up with the good, down with the bad

Front 77

ACE inhibitors

Back 77

"-pril"s, NO FOOD, antihypertensive

Front 78

OCD

Back 78

avoid or alleviate increased anxiety, does not want to but feels compelled

Front 79

Foley irrigation

Back 79

to remove clots!

Front 80

gullian-baire

Back 80

makes paralyzing gloves and socks, from immunizations or viral

Front 81

VEAL CHOP

Back 81

accelerations, head compression OK, cord and placenta, place on left side w/ O2!

Front 82

babinski

Back 82

gone at 1 yr

Front 83

moro - scare, tonic neck, palmar

Back 83

gone at 4 mo

Front 84

digoxin and toxicity

Back 84

hypokalemia can cause,

Front 85

hypoparthyroidism

Back 85

Chvostek and Trousseau's, ↓ Ca, muscular irritability, RESPIRATORY SPASMS

Front 86

hyperparathyroidism

Back 86

Cardia issues

Front 87

estimating EDC

Back 87

minus 3 mo and add 7 days from 1st day of period, naegele rule

Front 88

*MAOI

Back 88

no tyramine foods or SSRI, if hypertensive crisis (tachy, HA, vomit), give antihypertensive

Front 89

cold stress

Back 89

skin mottling, acrocyanosis, irregular resps

Front 90

*dopamine

Back 90

FOR SHOCK low dose- dialates coronary arts high dose- vasoconstricts, HA sign of tox

Front 91

*adrenergics

Back 91

for shock , cardiac arrest -- ↑ PR, flow to heart, bronchodilation (norepi, dopamine, epi, phenyl, dobutamine)

Front 92

*anti-anxietys or benzos

Back 92

"CNS DEPRESSANT, ! Sedation, hepatic dysfnx, decrease effective with caffiene, smoking

Front 93

*anti-dysrhythmics

Back 93

watch ↓ HR and ↓ BP and CNS effects, "-ides", "-lols", "-ones"

Front 94

*beta-blockers "-lols"

Back 94

watch for brochospasms, fatigue and sleep disturbances

Front 95

*no sun drugs

Back 95

amiodarone, corvert, dofetilide, sulfa drugs, tetracyclines, MAOIs

Front 96

*calan, cardizem

Back 96

antidysrhythmics, watch for orthostatic hypotension, report cardia hx

Front 97

*aminoglycosides

Back 97

"-mycins" except Vanc, OTO & NEPHRO, NVD (tobrax, neomycin, gent, amakin), check peaks and troughs

Front 98

*cephalosporins

Back 98

cross sensitive with penicillins, false pos Coombs test

Front 99

*penicillins

Back 99

NOT WITH FOOD, cross sentitive with cephalosporins

Front 100

*sulfonamides

Back 100

peripheral neuropathy, keep urine alkaline, no vit C, no sun

Front 101

*tetracyclines

Back 101

no sun, no milk, give btw meals, poss tooth decay, hairy tongue?,

Front 102

*fluroquinolones

Back 102

CIPRO, not for under 18yr, before or after antacid or iron

Front 103

*macrolides

Back 103

ZITHROMAX, ERYTHROMYCIIN

Front 104

*glycopeptides

Back 104

VANC!!! HEPATOTOXIC , watch IVs, RED MANS --> give benedryl

Front 105

*lincosamides

Back 105

CLINDAMYCIN, give with water!

Front 106

*no grapefruit juice

Back 106

statins, antianxiety, ACE inhibitors, anticonvulsants

Front 107

*anticholinergics

Back 107

toxicity: mad as a hatter, red as a beet, hot as a hare, dry as a bone "-priums"

Front 108

*topamax

Back 108

no hormonal contraceptives

Front 109

*SSRIs

Back 109

"NO MAOIs, monitor blood cells, takes 4 wks to work

Front 110

*tricyclics

Back 110

"-nils", NO SUN, takes 3wks, anticholinergic effects

Front 111

*heterocyclics

Back 111

for smoking cessation

Front 112

*st johns wort

Back 112

no sun or MAOIs

Front 113

*rapid acting insulin

Back 113

lispro, aspart; starts 15 min, peaks 1hr, lasts 6hrs, rxn in mid-morning

Front 114

*short acting insulin

Back 114

humulin, novolin; starts 60 min, peaks 3hrs, lasts 6 hrs, rxn in mid-morning, afternoon

Front 115

*intermediate insulin

Back 115

NPH, lente; starts 4hrs, peaks 12 hrs, lasts 20 hrs, rxn early evening

Front 116

*long acting insulins

Back 116

ultralente; starts 8 hrs, peaks 16hrs, lasts 30 hrs, rxn nest morning

Front 117

*very long acting insulins

Back 117

lantus; starts 1 hr, NO PEAK, lasts 24hrs

Front 118

*lomotil

Back 118

GI drug, decreased peristalsis, anticholinergic effects