buy hypertropin

Student Gains Immediate Admission to Nursing School Using The Book, “Pass The NET, The First Time”

Written by kimmel52 on March 7, 2010 – 10:00 am

One of my students in my phlebotomy class told me the wonderful news. She was accepted to the ITT Registered Nursing Program. She has been trying to get into many nursing programs in the greater metro Detroit area without success, due to a two to five year wait list. She had also explained to me that when she first took the TEAS test she scored a 73%. When she came into my school to inquire about the phlebotomy program, she explained that she had already acheived a Bachelor Degree and wanted to find an expedited nursing program. What a surprise. A student had just came in a few hours earlier that day and explained that there was a expedited nursing program offered by ITT that was not even being advertised. Long story short, when my student came in to inquire about the program, she was delighted to hear about the nursing program at ITT, now all she had to do was to pass the TEAS with a higher score. Once again, we all wonder how things work out. She was delighted once more to hear about the book entitled,Pass The NET®, The First Time, by Nancy L. Kimmel RN PhD.  Both she and her friend purchased copies.  Well lo and behold, what a wonderful surprise when she came to class and announced that she scored an 84% on the TEAS.  She explained that the dean of the nursing program was shocked and  surprised that a student was able to score so high on the TEAS.   The student stated that the Dean asked her how she was able to increase her score so dramatically.  The student replied, “I just studied Dr. Kimmel’s book, entitled, “Pass The NET, ®The First Time,” and showed the book to the Dean.  Moral of the story is the the book, entitled, “Pass The NET®, The First Time, is indeed a SECRET WEAPON to Passing The NET, The First Time.

                          


Tags: , , , , ,
Posted in The NET Study Guide | 1 Comment »

Testimonials from Students

Written by kimmel52 on August 24, 2009 – 3:19 pm

My students and customers will write to me or send me e-mails from time to time.. I thought it would be nice to share some of them with my readers.

“Professor Kimmel’s book was wonderful.  I passed the HESI on my first try!  I am glad that I found her book.”

Linda, Dearborn MI

“I was able to call Ms. Kimmel, and we spent over an hour on the phone going over tips and methods of testing for The NET.  What author does that?”

Rene, Tempe, AZ

“I have been out of school for over twenty years, and the thought of taking a comprehensive test like the HESI was a scary thought.  Professors Kimmels book not only helped me to prepare, but I passed with higher than national average scores.”

Jim, Livonia, MI

More to come…as they roll in.

“Thank you for teaching me”
Robert, Taylor MI


Tags: , , , ,
Posted in Testimonials from Students | 1 Comment »

Hyperkalemia

Written by kimmel52 on November 11, 2008 – 10:41 am

Electrolyte imbalances within the body can occur in response to many factors. When a person is dehydrated either from sickness or starvation, their electrolytes can become depleted. Certain medications can cause electrolyte imbalances as well as chronic diseases such as diabetes and renal failure. Electrolytes have a large role in balancing all metabolic reactions related to the delicate pH balance of the body, which is 7.35-7.45. Within this limited pH range all metabolic reactions can go to completion. For instance ATP can be released and produced, muscle contractions occur in simple or complex body movements, our thinking processes and those muscle contractions not in conscious control such as our beating heart and peristalsis of the bowel. When a particular electrolyte is either in to great or too small a concentration the pH of the body responds in kind to correct the imbalance by pulling from other sources in the body. When this happens the person begins to have symptoms that something is wrong. Sometimes the symptoms are barely noticeable while other times the person must be immediately hospitalized in intensive care. Hyperkalemia deals with an electrolyte imbalance in which there is too much potassium or (K+) in the body. When the serum potassium levels rise above 5.3 mEq/L or the blood pH drops below 7.35 the person is considered to be in a state of hyperkalemia. Hyperkalemia is diagnosed in up to 8% of hospitalized patients. Death can be as high as 67% if severe hyperkalemia is not treated quickly. Drugs are an underlying cause in 75% of inpatient cases. Some of the causes of hypekalemia can be seen in the table below;

Decreased Excretion

Excessive Ingestion

Interstitial Fluid Shift

Renal Failure (creatinine <10mL/min

Rapid IV infusion

Metabolic acidosis

Use of potassium sparing diuretics

Potassium supplements

Diabetic Ketoacidosis, K+ moves out into blood stream

Decreased aldosterone secretion

Metabolic acidosis

Anti hypertensives such as Beta Blocker and ACE Inhibitors

Signs and symptoms of hyperkalemia include muscle cramps, weakness in the lower extremities, nausea, diarrhea, low blood pressure, bradycardia, and an abnormal electrocardiogram. It is important to carefully monitor the elderly and small children for hyperkalemia. Normal occurrences like diarrhea and vomiting can be life threatening to infants and the elderly. This is due to the lack of fluids within them prior to the occurrence. Therefore careful observation for the above signs and symptoms can save a life. The first step in treatment is to determine whether life threatening cardiac toxicity is present and treat if required. Treatment is based on eliminating or decreasing potassium intake, shifting potassium form the ECF to the ICF, and improving renal and gastrointestinal potassium excretion. With cardiac arrhythmias or changes in the ECG, IV calcium gluconate is given first, then insulin or sodium bicarbonate is administered. If output does not exceed greater than 30 mL per hour then dialysis is usually started.

ECG abnormalities from hyperkalemia related to the P wave include either a low amplitude or wide and flattened to non discernible in severe states. The PR interval may be normal or prolonged, or not measurable if there is no P wave. The QRS complex is widened, and the T wave is tall and peaked. The QT interval is shortened and the ST segment may be elevated.

References

Lippincott Williams & Wilkins, ECG Interpretation an Incredibly Easy Pocket Guide., copyright 2006

Macklin, Murphy-Ende., Saunders Nursing Survival Guide Fluids and Electrolytes, Copyright 2006, Saunders Elsevier, St. Louis Missouri

If you have the desire to go into nursing, then you must first get ready to take the N.E.T., the HESI or the TEAS entrance test. You can begin preparing for your career by practicing your skills using the online tutorials and tests at The Nurses Learning Center. There are over 1000 questions and answers. You will get unlimited internet access, 24/7. It is yours to keep. New questions are added daily. It’s like sitting for the N.E.T., The HESI or the TEAS in your home.


Tags: , , ,
Posted in Hyperkalemia | No Comments »