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Comprehensive NCLEX Review

NCLEX review cheat sheet covering key conversions, dosage calculations, IV flow rate formulas, vital signs, and critical lab values for sodium and potassium. Includes clinical signs, symptoms, and nursing considerations for high/low levels.

Alice Edwards
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NCLEXREVIEWTOPICS1mg-l,OOOm eg1g=1 , EOOmgl o z=30rnLBoz=1c u pI t s p=5mLI t b s p=15mLI t b s p=3t s pI L=1 , 00OmLI m L=1 5g t t s( d r o p so rd r o pf a c t o r )1 k g=2 . 2 l b sl i b=I G c zFORMULA METHOD FOR VOLUME RELATEDDOSAGE ORDERS:D e s i r e d / D o s a g ec fmeda v a i l a b l ex'sV o l u m emedi sa v a i l a b l ei n=Amountmedr e q u i r e dt og i v eI VFLOW RATES:mLs o l u t i o n / t o t a lh r s=m L / h rI fq u e s t i o ng i v e ni nm i n u t e s ,mLo fs o l u t i o n / m i nx ' s6 0m i n=m L / h rI fq u e s t i o na s k sd r o pf a c t o rp e rm i n :MLo fs o l u t i o n / t c t a Lm i n u t e sxd r o pf a c t o r=g t t / m i nLABS:EP:1 2 0S y s t o l i c / 8 0D i a s t o l i cMAP:7 0 - 1 0 5 ,MAP<60=i n a d e q u a t et i s s u ep e r f u s i o nHR:6 0 - 1 0 0R e s p i r a t i o n s :1 2 - 2 00 2 :9 5 - 1 0 0 %Temp:9 7 . 3 - 9 9 F .9 7 - 9 9 Fi sn o r mt e m p e r a t u r er a n g e .Chemon e u t r o p e n i cp a t i e n t ss h o u l dn o t i f yd o c t o rw i t ht e r pa b o v e0 0 F .1 0 0 . 4F+f o rc h i l dg i v ea c e t a m i n o p h e n .101F+-f o ra d u l tt ogivea c e t a m i n o p h e n Z i b u p r o f e n .S o d i u m :1 3 5 - 1 4 5L o w :C r a m p i n g( h y p e r a c t i v eb o w e l s ) ,o r t h o s t a t i ch y p o t e n s i o n ,m u s c l ew e a k n e s s .SIADH,k i d n e yd i s e a s e ,r t r tf a i l u r e .4D's( D i a p h o r e s i s ,D i u r e t i c s ,D i a r r h e a ,D r a i n s(NGs u c t i o n ) .H i g h :B i ga n db l o a t e d ,f l u s h e ds k i n .R e s t l e s s ,p i t t i n gedema,d e c r e a s eu r i n eo u t p u t ,s k i nf l u s h e d / d r y ,t h i r s t.H e r o c c n c e n t r a t i o n=i n c r e a s e ds o d i u m .D i a b e t e si n s i p i d u s .K i d n e yp r o b l e m sa n dd e c r e a s e ds o d i u me x c r e t i o n .S o d i u ma n dP o t a s s i u ma r eo p p o s i t e s .Oneg o e su p ,o t h e rg o e sd o w n .K :3 . 5-5 .L o w :weaki r r e g u l a rp u l s e ,o r t h o s t a t i ch y p o t e n s i o n ,l e t h a r g y ,coma,l o wr e f l e x e s ,c o n s t i p a t i o n ,s h a l l o wb r e a t h i n g ,STd e p r e s s i o n ,P r o m i n e n tUwaveo nECG.NEVER g i v eKb yI Vp u s h ,I M ,o rs u b c u t a n e o u s .A l w a y sd i l u t e da n dv i ai n f u s i o nd e v i c e .H i g h :C r a m p s ,T i g h ta n dc o n t r a c t e dsoLowHR a n dlowBP,T a l lp e a k e dTw a v e s ,w i d e n e dQRS,F l a tPwaveso nECG.ACE i n h i b i t o r s / N S A I D s / S p i r o n c l a c t o n e ,t h o s eond i a l y s i s( d e c r e a s e dKe x c r e t i o n ) .C a l c i u m :9 - 1 1 .F o u n di nb o n e s / t e e t h .L o w :c o n v u l s i o n s ,t e t a n y( r i n g i n go fe a r s ) ,s t r i d e r ,numbnessi nf i n g e r s / t o e s /f a c e ,A r r h y t h m i a s( d i m i n i s h e dp u l s e s ) ,i n i t i a t es e i z u r ep r e c a u t i o n s .P o s i t i v eT r o u s s e a u( h a n dspasmp u m p i n gEPc u f f )a n dC h v o s t e k ' s{ f a c i a lm u s c l e sc o n t r a c twhenf a c i a ln e r v et a p p e do n ) .H i g h :Bonep a i n ,C a r d i a ca r r e s t( b o u n d i n gp u l s e s ) ,k i d n e ys t o n e s ,e x c e s s i v e

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Subject
National Council Licensure Examination

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