February 5th, 2010 | 
Author: 1. Don’t hold anything especially when giving medications
2. Don’t delay Endorsement
3. All about Neoplastic always look for ESTROGEN
4. Inflammation, Always Elevate
5. Meniere’s disease look for vertigo
6. Always stay will your patient
7. Tracheostomy tube should be Inflated to avoid aspiration when giving oral hygiene or feeding.
8. Never clamp chest tube to prevent lung collapse
9. If the chest tube is disconnected from the client—apply a tented dressing to the clients’ insertion site.
10. if the chest tube is disconnected from the drainage—insert end of the chest tube in a container of a normal saline
11. if the chest tube reach the floor cut the end of the test tube (1inch) and insert in a normal saline bottle
12. About TPN, never stop or slow down the rate to prevent rebound Hypoglycemia
13. Hip displacement look for abducted
14. Adducted—remember the letter ADD…means add to the body and abducted the vice versa of adducted
15. Hypoglycemia— give Glucagon for unconscious patient; but orange juice for conscious patient. Because common mistakes of students is that they know that orange juice is for hypoglycaemia but unconscious patient can take oral fluids so its best to give glucagon parenterally.
16. 3 chamber water seal
a. Drainage is the one close to the patient
b. Water seal chamber- should be intermittent bubbling
c. Suction- continuous bubbling
17. if asking about goal look for the specific goal
18. Always delegate traction, fracture and tube feeding
19. Step on the call light of Nurse.
20. Depressed patient—socialization
MAYBE YOU’RE WONDERING HOW YOU CAN APPLY THIS IN YOU ACTUAL EXAM. But just trust me… These are the things that you need to know… and once you mastered this it will naturally comes out during your exam. I’m going to update this post soon…if you have questions just leave a comment and I will try to answer it for you.. Thank you.
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chest tubes should be monitored for chest tube clogging or occlusion. The tube does not do any good if it is “goo’ed Up” with clotted blood. You will need to strip the chest tube to milk it and keep it open. If this does not work, call the doctor, as they may have to open the tube and suck it out. If not, the blood will build up around the heart and they can tamponade.
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