Important Update: Remedial Course & NCLEX Review Courses
All Remedial Course groups & NCLEX Review schedules will be Online due to changes regarding the COVID-19 Pandemic. Theory online self study, or face to face via video conferencing; Clinical Training via Simulation and Skills practice. Schedules remains the same. We continue to practice social distancing and follow updates from the CDC & WHO.
For questions or clarification – contact us at 727-656-0077
Myxedema coma – a rare life-threatening form of hypothyroidism. It is a disorder characterized by hypoventilation, hypoglycemia, and hypotension. The client with myxedema presents with severe metabolic disorders, generalized nonpitting edema, puffy face, weakness, hypothermia, cardiovascular collapse, and coma.
Diagnostic tests: blood gases, electrolyte levels, ECG, blood sugar, and thyroid hormone levels. Intravenous fluid, electrolyte replacement, intravenous cortisol or other adrenal cortical hormone are used in the treatment. Warm blanket for low body temperature, glucose supplements for hypoglycemia.
Content area: Med-Surg | Endocrine
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Enjoy the most wonderful time of the year and be safe!
Thyrotoxicosis (Thyroid Storm) – a form of severe hyperthyroidism that can be precipitated by stress, injury, or infection. It is a life-threatening emergency. Manifestations of thyroid storm include temperature above 102 degrees F (39 degrees C) – with this high temperature, all organ systems will be affected, tachycardia, abdominal pain, systolic hypertension, N/V, confusion, agitation, tremors, and possible seizures. Management of treatment requires careful follow-up by an endocrinologist. Medications include antithyroid medications and radioactive iodine.
Content area: Med-Surg | Endocrine
Dilated Cardiomyopathy – a disease that causes the enlargement of all the chambers of the heart, usually starting in the left ventricle which is heart’s main pumping chamber. The ventricle stretches, dilates, and unable to pump blood as it should. There is decreased cardiac out and decrease contractility as a result. Causes of primary cardiomyopathy is unknown, secondary cardiomyopathy may be caused by ischemia, infection, or metabolic disorders.
Cardiomyopathy is a common cause of heart failure and dysrhythmia, dilated cardiomyopathy can also contribute to irregular heartbeats (arrhythmias), blood clots or sudden death. Treatment include digoxin, antidysrhythmics, beta blockers, and calcium channel blockers. Heart transplantation may be considered if the damage to the heart is considered to be permanent and unrecoverable.
Content area: Med-Surg | Cardiac
Status Asthmaticus – a severe, life-threatening acute exacerbation of asthma attack that is unresponsive to initial treatments and interventions for asthma attack with bronchodilators. Status Asthmaticus places the client at high risk for respiratory failure. The client has acidosis, hypoxemia, hypoxia, and hypercapnia; all of these together with effects of increase lung volume place the client at risk for pneumothorax and cardiac arrest. Status asthmaticus is considered a medical emergency.
Content Area: Med-Surg – Respiratory
Work hard for what you want because it won’t come to you without a fight. You have to be strong, courageous, and know that you can do anything you put your mind to. If somebody puts you down or criticizes you, just keep on believing in yourself and keep pushing. Don’t give up! #Ambition #Success #youcanpassnclex!