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NCLEXprep episodes

  • respiratory review
    here's a review list to supplement studies for nclex and class. the books i used can be bought here : https://www.amazon.com/Harrisons-Manual-Medicine-Dennis-Kasper/dp/0071828524
     https://www.amazon.com/Medical-Surgical-Nursing-Assessment-Management-Clinical/dp/0323086780/ref=sr_1_1?s=books&ie=UTF8&qid=1507748370&sr=1-1&keywords=medical+surgical+nursing+9th+edition

    and online resources that are linked in the review notes.

    hope this helps people in practice and on tests.


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  • OB review part 2
    rest of OB. GTPAL, Meds, Fetal HR monitoring


    don't know how to get rid of that clicking sound at the end ... but here's a link to the hard file

    something i said, that >1 pad / 15min = bad. this is very true. However, >1pad/hour should make the nurse concerned about post partum hemorrhage. So some facts below to help with differentiating test questions
    Post-partum HEMORRHAGE
    >500mL estimated blood loss on Vaginal birth is considered significant
    >1000mL estimated blood loss on Cesarian birth is considered significant

    steps to correct this include:
      - assess and monitor for signs of HYPOVOLEMIC SHOCK and REMAIN WITH THE CLIENT
      - massage the fundus if not firm and midline.
      - notify the HCP
      - administer stimulant meds described in podcast

    When massaging the fundus, make sure to have one hand just above the pubis symphysis to support it while you press firmly massage the fundus

    https://ia601500.us.archive.org/28/items/OBREVIEW_201704/OBREVIEW.pdf

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