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Med-surg: who do you see first

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Med-surg: who do you see first

Priority rules, the lab ranges the exam loves and the who-do-you-see-first drill, in cards and quiz.

Med-surg exams ask one question a hundred ways: who do you see first?

Priority rules

Airway, breathing, circulation — then safety, then pain. Acute beats chronic; unstable beats stable; new-onset beats known.

Normal potassium range

3.5 to 5.0 mEq/L. Outside it, think cardiac: potassium moves the heart before it moves anything else.

Four patients. Who do you see FIRST?

  1. AChronic COPD, sats 91%, at baseline
  2. BPost-op day 1 with new confusion
  3. CScheduled meds due now
  4. DPain 7/10 with stable vitals

New confusion is a change in status — possible hypoxia or shock. Baseline COPD at 91% is expected; meds and stable pain can wait minutes.

Labs the exam loves

Potassium, sodium, glucose and creatinine carry most questions. For each one: the range, and what moves it.

First action for suspected hypoglycemia

Check the glucose — assess before you treat. Confirmed and awake: 15 g of fast carbs, recheck in 15 minutes.

Before the exam

  1. Turn the syllabus into cards, system by system
  2. Drill who-do-you-see-first daily
  3. Redo only what you miss

Nursing school is volume. Priorities are the shortcut.

Now do it with yours.

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  • Exams — SAT vocabulary, the citizenship questions: the parts that repeat
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Built from a med-surg syllabus, dropped into Claude

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