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14090442 NCLEX Darren Jenny Nursing Study Guide

14090442 NCLEX Darren Jenny Nursing Study Guide

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Published by daniel begger

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Published by: daniel begger on Sep 07, 2010
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 Darren & Jenny’s
Darren & Jenny Nursing Study Guide
Nursing Formulas and Conversions
Drugs and DosageFormulas and Conversions
 Volume60 minims = 1 dram = 5cc = 1tsp4 drams = 0.5 ounces = 1tbsp8 drams = 1 ounce16 ounces = 1pt.32 ounces = 1qt. Weight60 grains = 1dram 1/60 grain=1mg8 drams = 1 ounce 15 grains=1g12 ounces = 1 lb. (apothecaries') 2.2 lbs.=1kgHousehold Apothecary1tsp = 1 dram 1tsp = 60 gtts (drops)3tsp = 0.5 ounce1tbsp = 0.5 ounceHousehold Apothecary Metric1tsp=5cc 1fl.dram=4cc 5cc=1tsp3tsp=1tbsp 4drams=0.5oz 15cc=1tbsp1tbsp=0.5oz or 15cc 8drams=2tbsp(1oz) 30cc=2tbsp(1oz)2tbsp=1oz or 30cc 16minims=1cc 1cc=16minims1pt.=16oz or 480cc 500cc=0.5L or 1pt.1qt=32oz or 960cc 1000cc=1L or 1qt.Temp. ConversionC= F-32/1.8F= 1.8*C-32
Darren & Jenny Nursing Study Guide
Arterial Ulcer – Pale, deep base, surrounded by tissue that is cool with trophic changes such as dry,soluble skin and loss of hair. Cause by ischemia from inadequate arterial blood supply of oxygen andnutrients .Venous stasis Ulcer Dark, red base, surrounded by skin that is brown in color with edema. Caused bythe accumulation of waste products of metabolism that are not cleared due to venous congestion.Stage I Ulcer Reddened area with intact skin surface.Management of DVT – Bed rest, limb elevation , relief of discomfort with warm, moist, heat and analgesics(Tylenol, not narcotics) prn. Ambulation is contraindicated.Sclerotherapy Injection of a sclerosing agent into a varicosity. The agent damages the vessel and causesaseptic thrombosis that result in vein closure. With no blood flow thru the vessel, distention will not occur.The surgical procedure for varicose veins is vein ligation and stripping: tying off the varicose veins andlarge tributaries and then removal of the vein with the use of hooks and wires via multiple small incisionsin the legCardiac Tamponade Tachycardia, muffled of distant heart sounds, JVD, a falling BP accompanied by pulsus paradoxus (a drop in BP on inspiration of more than 10mm Hg)Self care of an ischemic leg ulcer – Same as Peripheral Arterial Disease / Diabetes MellitusSodium containing Toothpaste, mouthwash, OTC meds such as analgesics, antacid, laxatives, andsedatives. Softened water and some mineral water. Fresh fruits and vegetables are low in sodium,INR – Normal 2.0 – 3.0Should be 2.0 to 3.0 for anticoagulant therapy (Coumadin)Should be 2.5 to 3.5 for Mechanical prosthetic heart valve patients and survivors of acute MIIABP therapy for Cardiogenic Shock. Contraindicated for aortic insufficiency or aortic or thoracicaneurysms. Not used for CHF or pulmonary edema.Atrial fibrillation with ventricular rate of 150? Check for hypotension!! Patient is at risk for decreasedcardiac output due to loss of atrial kick. Assessment includes palpitations, chest pain or discomfort,hypotension, pulse deficit, fatigue, weakness, dizziness, syncope, SOB, and distended neck veins.RSHF – Peripheral and sacral edema, JVD, and organomegaly.LSHF – Lung sounds, rales at the bases.Quinidine Sulfate for treatment of atrial fibrillation or atrial flutter – Only given after client has beendigitalized. Take exactly as prescribed, do not chew the extended release capsules or open thecapsules and mix them with food. Wear a Medic-Alert bracelet and to continue taking digoxin as prescribedPR interval – Impulse from the atrial to the ventricles: Normal is 0.12 to 0.20 secondsVentricular tachycardia – Check for client’s unresponsiveness. This way you can determine if the client ifsaffected by the decreased cardiac output caused by the VT state

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