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NCLEX Study Guide 2

Rn Nclex

Demerol for pancreatitis but NOT morphine sulfate
Myasthenia Gravis worsens with exercise and improves with rest
Myasthenia Crisis a positive reaction to Tensilon—-will improve symptoms
Cholinergic Crisis Caused by excessive medication. stop med. giving tensilon will make it worse.
Head Injury medication Mannitol (osmotic diuretic) crystallizes at room temp so alway use filter needle.
prior to live biopsy its important to be aware of lab results for the prothrombin time
From the ass (diarrhea) metabolic acidosis
from the mouth (vomitis) metabolic alkalosis
Myxedema/Hypothyroidism slowed physical and mental function, sensitivity to cold, dry skin and hair
Graves disease/hyperthyroidism accelerated physical and mental function; sensitivity to heat, fine/soft hair
Thyroid storm increased temp, pulse and HTN
Post-thyroidectomy semi-fowlers, prevent neck flexion/heperextension, trach at bedside
Hypo-parathyroid CATS - convulsions, arrhythmias, tetany, spasms, stridor (decreased calcium) hi Ca, low phosphours diet
Hyper-parathyroid fatigue, muscle weakness, renal calculi, back and joint pain (increased calcium) low Ca, high phosphorus diet.
Diabetes Insipidus (decreased ADH) excessive urine output and thirst, dehydration, weakness, administer Pitressin
SIADH (increased ADH) a change in LOC, decreased deep tendon reflexes, tachycardia, n/v/A, HA, administer Declomycin, diuretics
Hypovolemia increased temp, rapid pulse, increase respiration, hypotension, anxiety, urine specific gravity > 1.030
Hypervolemia bonding pulse, SOB, Dyspenea, rales/crackles, peripheral edema, HTN, urine specific gravity < 1.010, semi-fowlers position
Hypokalemia muscle weakness, dysrhythmias, increase K (raisins, bananas apricots, oranges, potatoes, carrots, celery
Hyperkalemia MURDER: muscle weakness, urine (oliguria/anuria), respiratory depression, decreased cardiac contractibility, ECG changes, reflexes
hyponatremia nausea, muscle cramps, increased ICP, muscular twitching, convulsions, osmotic diuretics, fluids
hypernatremia increased temp, weakness, disorientation/delusions, hypotension, absent tendon reflexes, sedative effect on CNS
Hypocalcemia CATS - convulsions, arrhythmias, depression, confusion, dysphagia, dig toxicity
hypercalcemia muscle weakness, lack of coordination, abdominal pain, confusion, absent tendon reflexes, sedative effect on CNS
HypoMg tremors, tetany seizures, dysrhythmias, depression, confusion, dysphagia, dig toxicity
HyperMg depresses the CNS, hypotension, facial flushing, muscle weakness, absent deep tendon reflexes, shallow reparations, emergency
Created by: 505880971