1
Q
Sodium
A
135-145 mEq/L
2
Q
Potassium
A
3.5-5.5 mEq/L
3
Q
Calcium
A
8.5-10.5 mEq/L
4
Q
Chloride
A
95-105 mEq/L
5
Q
Magnesium
A
1.5-2.5 mEq/L
6
Q
Phosphorus
A
2.5-4.5 mg/dl
7
Q
RBC
A
4.5-5.0 million
8
Q
WBC
A
5000-10000
9
Q
Platelet
A
200000-400000
10
Q
Hemoglobin Female
A
12-16gms
11
Q
Hemoglobin Male
A
14-18gms
12
Q
Hematocrit Female
A
40-48%
13
Q
Hematocrit Male
A
42-50%
14
Q
HCO3
A
24-26 mEq/L
15
Q
CO2
A
35-45 mEq/L
16
Q
PaO2
A
80-100%
17
Q
SaO2
A
> 95%
18
Q
Glucose
A
70-110 mg/dL
19
Q
Spec. Gravity
A
1.010-1.030
20
Q
BUN
A
7-22 mg/dL
21
Q
Creatinine
A
0.6-1.35 mg/dL (<2 in older adults)
22
Q
Lolt
A
100-190 U/L
23
Q
CPIC
A
21-232 U/L
24
Q
Uric Acid
A
3.5-7.5 mg/dL
25
Triglyceride
40-50 mg/dL
26
Total cholesterol
130-200 mg/dL
27
Billirubin
<1.0 mg/dL
28
Protein
6.2-8.1 g/dL
29
Albumin
3.4-5.0 g/dL
30
Digoxin
0.5-2.0 ng/mL
31
Lithium
0.8-1.5 mEq/L
32
Dilantin
10-20 mcg/dL
33
Theophylline
10-20mcg/dL
34
HR
80-100
35
RR
12-20
36
Bp
110-120 systolic
| 60-90 diastolic
37
Temp
98.6
38
FHR
120-160 bpm
39
Variability
6-10 bpm
40
Early Decels
Ok
| No intervention
41
Variable Decels
```
Change position
Stop pitocin
Apply o2
Increase IVF rate
Contact dr if problem persists
```
42
Late Decels
```
Change position
Stop pitocin
Apply o2
Increase IVF rate
Contact dr if problem persists
```
43
Coumadin
PT 10-12 seconds control
1-1/2-2X control
Vitamin k
44
Heparin
Lovenox
Dalteparin
PTT 30-45 sec control
| Protamine sulfate
45
Rule of Nines
```
Head 9%
Arms 18%
Back 18%
Legs 36%
Genitalia 1%
```
46
Resp Acid
Ph dec
Co2 incr
Hco3 incr
47
Metabolic acid
Ph decr
Co2 decr
Hco3 decr
48
Resp alk
Ph incr
Co2 decr
Hco3 decr
49
Metabolic alk
Ph incre
Co2 incre
Hco3 incr
50
Addison's disease
Inadequate production of cortisol
Incre sodium intake
Meds - cortisone preparations
51
Cushing's disease
Overproduction of cortisol
Restrict sodium intake
Observe for signs and symptoms of infection
52
Tx of spider bites
RICE
Rest
Ice
Compression
Elevate extremities
53
Tx of sickle cell crises
HHOP
Heat
Hydration
O2 pain meds
54
5ps of Fractures and Compartment Syndrome
S/Sx
Pain
Pallor
Pulselessness
Polar
55
Gallbladder Disease
```
Fair
Fat
Forty
Five pregnancies
Flatulent
```
56
Tort
Negligence false imprisonment, assault and battery
Results in injury
57
Negligence
Failure to do something that a reasonable person would
58
Malpractice
Unskillful and faulty medical / surgical tx
59
Slander
Oral defamation, false and malicious words
60
Assault
Threaten a person with bodily harm or injury
61
Battery
Actually touching a patient
62
Placenta Previa
Painless bleeding. Bright red
63
Abruptio Placenta
Pain board like abdomen .. Dark blood
64
Somogyi Phenomen
```
Type 1 dm
Normal or increase BG levels at bedtime
BG drops in early morning 2-3am
Tx increase bedtime snack
Tx decrease intermediate insulin (NPH Lente)
```
65
Dawn Phenomenon
Decrease in tissue sensitivity to insulin
Occurs between 5-8am
Tx give intermediate insulins (NPH AND Lente) @ 10pm
66
Beta Blockers
"LOL"
Blocks the effect of epi or norepinephrine
Decrease afterload and contractility
Decrease Bp and HR
Helps vessels open up and improve blood flow
Propranolol (Inderal)
Metoprolol (lopressor and toprol xl)
Atenolol (tenormin)
Carvedilo (coreg)
DON'T GIVE TO ASTHMATICS
DON'T GIVE TO DM
67
ACE Inhibitors
Promote vasodilation and dieresis
Decrease the secretion of aldosterone
Get rid of sodium and h2o
Retain potassium
Enalapril (vasotec)
Fosinopril (monopril)
Captopri (capoten)
Used for HTN and heart failure
```
Watch for:
Hyperkalemia
Hypotension
Renal dysfunction
Angioedema (laryngeal spasms FATAL)
Dry non-productive cough
```
68
Calcium Channel Blockers
Reduces Bp
Prevents CA from entering cells of the heart and blood vessels
Decrease heart rate, angina, irregular heart beat
Verapamil, cardizeum, norvasc
69
Diuretics
HCt, lasix - does not spare potassium
Aldacton - spares potassium
70
Digoxin Toxicity s/sx
Nauseated and Halo
71
Dilantin
DO NOT MIX
72
Albumin effects what?
Effects fluid levels
73
Pre-Albumin shows what?
Nutritional Status
74
Neutropenic Isolation
WBC under 2
Neutrophil absolute under 1500
75
Renal Failure Lab Values
BUN and Creatinine
76
Liver Failure lab values
Bilirubin, AST, ALT
77
Pancreas
Lipase and Amylase
78
Gallbladder
AST, ALT
Carafate given
79
When someone is alcoholic what organs do u look at
Liver and pancreas
Nursing
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