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NCLEX RN UPDATED VERSION

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Insulin: Reg 30-60 min onset, 2-4 hr peak and 5-7 duration NPH 1-3 hr onset, 6-12 hr peak and 18-24 duration Lispro-fast acting and to eat right away, DON’T MIX Rules of Nines: 9% is head and bo... th arms, 18% is front torso, back torso and both legs and 1% is groin 5 P's with fractues: pain, pallor, pulselessness, paresthesia and paralysis Cranial nerves: Olfactory, Optic, Oculomotor, Trochlear, Trigeminal, Abducens, Facial, Acoustic, Glassopharnygeal, Vagus, Spinal Accessory and Hypoglossal Cancer: CAUTION signs Starve a gastric ulcer, Feed a duo ulcer Addison's (ad-aldosteron deficiency to remember) disease- ↓na and ↑ k, hypoglycemia. remember – if there is low/absent na+ in the body, than nothing holds h2o in. thus, ↑urine output, hypotension +, hypovolumia, dehydration and ↓ co. major function of aldosteron – is to keep na+ in & k+ out of the body . Cushing’s (too much glucocorticoids) syndrome is opposite to addison’s. adrenal hypersecretion of glucocorticoids. ↑ na ↓k and ca, hyperglycemia. When assessing think of the cushion (moon face, buffalo hump, truncal obesity). pheochromocytoma - htn is a hallmark. Sodium: 135-145 Hyponatremia: Nausea, muscle cramps, increased ICP, confusion, convulsions. Treat with LR or 0.9%NaCl and water restrictions Hypernatremia: weakness, disorientation, hallucinations, hypotension and tachycardia. Treat with hypotonic solutions (D5W, 0.3% or 0.45%NaCl) Potassium: 3.5-5.5 Hypokalemia: Muscle weakness, paresthesias, dysrhythmias, increased sensitivity to digitalis. [Show More]

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