Key features of PERRLA #nurseskills #NursingSchool #nursingstudent #nclexprep #perrla

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Step 1: No insulin → cells can't use glucose → blood glucose rises Step 2: Body breaks down fat for fuel → free fatty acids → liver → ketones produced Step 3: Ketones are acidic → accumulate faster than body clears → pH drops → metabolic acidosis Step 4: Lungs compensate → Kussmaul respirations

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GCS- super important to do on all your patients. You will also get report from EMS or other providers, so understanding what the scoring means is essential. Want an example question? Comment yes and I'll create one. 🤗. #nursingstudent #NursingSchool #glasgowcomascale #neuroexam #new

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#ecg #electrolytes #nursingstudent #nursingschool #nclexprep

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The heart block poem. Screenshot this. 👉If the R is far from P — First Degree PR >0.20s. Every beat conducts. Usually no treatment 👉Longer, longer, longer, drop — Wenckebach (Mobitz I) PR lengthens until a QRS drops. More benign. 👉If some P's don't get through — Mobitz II Constant PR,

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📌 ABG interpretation. Save this. 🧪 Normal ranges: pH 7.35–7.45 · CO₂ 35–45 mmHg · HCO₃ 22–26 mEq/L Use ROME: 👉Respiratory Opposite — CO₂ moves opposite to pH = respiratory problem 👉Metabolic Equal — HCO₃ moves same direction as pH = metabolic problem Compensation: The body always tries

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DKA trap: 📌If K⁺ drops below 3.3mmol/L while insulin is running —> hold it. Replace potassium first. Insulin drives K⁺ into cells. That's fatal if you miss it. The endpoint is anion gap closure + pH normalisation. Not the glucose. 📚Want 50 questions to develop clinical reasoning skills with f

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Third spacing explained in 30 seconds. Save this. 🩺 Fluid leaves the bloodstream and gets trapped in the tissue, edema, ascites, pleural effusion. It is still in your body. It just cannot circulate. 👉Total body fluid: unchanged. ⬇️Circulating fluid: critically low. That is why your patient

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These 3 medications are hiding early deterioration 🩺 👉Metoprolol — can masks tachycardia. 👉Furosemide — drops potassium silently. Unexpected arrhythmia? Check K⁺ first. 👉Morphine — blunts pain AND respiratory drive. Comfortable is not the same as safe. 📌Save this before your next shift. Sh

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O₂ sat 88% in a CHF patient and your first instinct is furosemide. Understandable. But wrong order. 🫁 Oxygenate first. Always. A hypoxic patient does not respond to diuretics the same way a well-oxygenated one does. Fix the breathing, then offload the fluid. The sequence is the clinical reasoni

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New confusion + low BP + fever + elevated WBC on day 1 = your body is screaming for help before the monitor catches up. 👉HR 112. RR 22. Temp 38.6. BP 92/58. WBC 16,000. New neuro change. That is SIRS criteria. That is early sepsis. That is a provider call right now. 📌Save this. It will click

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Nursing students, these 3 lab values will show up on your NCLEX and on your shift. ✅Lactate. Creatinine. Troponin. These are the labs that change your entire clinical decision. 👉Lactate = tissue hypoperfusion 👉Rising creatinine = kidneys in trouble 👉Elevated troponin = myocardial injury

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Comment GUIDE below for early access, I'll DM you the second it drops. 👇 I turned down a brand deal because I'm building something I actually believe in. 🩺 👉A clinical reasoning study guide --> 50 NGN-style NCLEX questions with full NP-level explanations. Not recall. Not memorization. Actual t

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🧠Adderall doesn’t “speed up” the brain ➡️ it sharpens it. By boosting dopamine + norepinephrine in the prefrontal cortex, it strengthens the circuits that control focus, attention, and impulse regulation. Save this for your pharm notes. 👩‍⚕️📚 #adhd #adhdtiktok #pharmacologynotes #nurs

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🚨 COMMENT “PRESSURE BAG” to get my FREE cheat sheet on how to use a pressure bag during a Code Blue --> including pro tips ICU and ER nurses use to troubleshoot when fluids aren’t flowing! If you don’t know how to use a pressure bag in an emergency…you could be losing precious seconds during a C

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🚨 COMMENT “PRESSURE BAG” to get my FREE cheat sheet on how to use a pressure bag during a Code Blue --> including pro tips ICU and ER nurses use to troubleshoot when fluids aren’t flowing! If you don’t know how to use a pressure bag in an emergency…you could be losing precious seconds during a C

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ADHD isn’t just “being distracted.” It’s when the brain’s focus center doesn’t get strong enough dopamine + norepinephrine signals to hold attention. So the brain shifts, looking for something that gives a clearer signal ➡️ which is why boring tasks feel harder and interesting ones feel easier.

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📥 Comment “CHEST” and I’ll DM you my FREE Chest Tube Cheat Sheet 📥Comment "GUIDE" for early access with freebies. 🫁 Chest tubes keep the lungs inflated after air, blood, or fluid enter the pleural space -but here’s the catch: ✅ The water seal should move with breathing (tidaling) ⚠️ Contin

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Comment ‘ECG’ on my IG reel and I’ll send you my free one-page ECG study cheat sheet. ECGs don’t have to feel overwhelming. When you understand what each wave represents, everything becomes easier. P wave = atria firing PR interval = AV node delay QRS = ventricles contracting ST segment = is

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Comment on my IG video to get access to the free cheat sheet, not on the tiktok video :). . #heartattack #myocardialinfarction #nursingstudent #nursingschool #foryoupage

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POLIA | ER Nurse• UGC