Med Surge Final

Front 1

lispro

Back 1

onset- 5-15 min
peak- 1 hr
duration- 3 hr

Front 2

aspart

Back 2

onset- 5-15 min
peak 45 min- 1.5 hr
duration 3-4 hrs

Front 3

regular insulin

Back 3

onset 30 min
peak 2.5-3.5 hrs
duration 6-8 hrs

Front 4

humulin or novolin nph

Back 4

onset 1.5 hrs
peak 4-12 hrs
duration 22 hrs

Front 5

humulin lente

Back 5

onset- 2.5 hrs
peak 7-15 hrs
duration- 22 hrs

Front 6

glargine

Back 6

onset 1-2 hrs
no peak
duration- 24+

Front 7

humulin ultralente

Back 7

onset- 4 hrs
no peak
duration- 28 hrs

Front 8

humulin 50/50

Back 8

onset 30 min
peak 2-5 hr
duration 22 hrs

Front 9

humulin or novolin 70/30

Back 9

onset 30 min
peak 1.5-16 hr
duration 22 hrs

Front 10

humalog mix 75/25

Back 10

onset 5-15 min
peak 1-6.5 hrs
duration 22 hrs

Front 11

novolog mix 70/30

Back 11

onset 5-15 min
peak 1-4 hrs
duration 22 hrs

Front 12

causes for metabolic acidosis

Back 12

DKA
severe diarrhea
renal failure
shock
K sparing diuretics

Front 13

causes for metabolic alkalosis

Back 13

severe vomitting
excessive GI suctioning
diuretics
excessive bicarb intake
hypercalcemia
hypokalemia

Front 14

causes for respiratory acidosis

Back 14

dec resp stimuli (anesthesia, drug overdose)
COPD
pneumonia
atelectasis
flail chest

Front 15

causes for respiratory alkalosis

Back 15

hyperventilation (anxiety, fear, PE)
mechanical ventilation
salicylate overdose
high altitude residence

Front 16

ph

Back 16

7.35-7.45

Front 17

C02

Back 17

35-45

Front 18

HCO3

Back 18

21-26

Front 19

Na

Back 19

135-145

Front 20

K

Back 20

3.5-4.5

Front 21

Cl

Back 21

98-106

Front 22

BUN

Back 22

7-18

Front 23

Cr

Back 23

.7-1.3

Front 24

Gluc

Back 24

70-110

Front 25

Ca

Back 25

8.5-10.5

Front 26

ALT

Back 26

5-40

Front 27

AST

Back 27

10-40

Front 28

ALP

Back 28

30-120

Front 29

Total Bili

Back 29

2-14

Front 30

direct bili

Back 30

0-4

Front 31

PT

Back 31

10-14
18-24 (on coumadin)

Front 32

PTT

Back 32

30-45
60-80 (on heparin)

Front 33

INR

Back 33

.8-1.24 not on blood thinners

Front 34

Mg

Back 34

1.5-2.5

Front 35

hypermagnesemia

Back 35

drowsy, lethargic, diminished reflexes, hypotension, flushing, skin warmth, bradycardia, av conduction block, cardiac arrest

Front 36

hypomagnesemia

Back 36

tetany muscle contractions, tachycardia, v dysrhythmias, torsades des pointes, widened qrs, prolonged pr, flat or inverted t waves

Front 37

hyperkalemia

Back 37

widened qrs, peaked t waves, parathesias, paralysis, diarrhea, colic, numbness, irritability, weakness in muscles, v fib, oliguria anuria

Front 38

hypokalemia

Back 38

smooth muscle weakness, dec GI, decreased reflexes, weakness, resp depression, vent dysrhythmias

Front 39

hypernatremia

Back 39

thirst, warm flushed skin, fever, dry sticky mucous membranes, firm rubbery subq tissue, rough tongue, concentrated urine, inc hct and bun, manic dec reflexes seizures in late stages

Front 40

hyponatremia

Back 40

headache, muscle cramps, weakness, fatigue, irritable, apprehensive, tachycardia, postural hypotension, anorexia, nv, abd cramps, diarrhea, wt loss or gain, signs of excess fluid volume from water--finger print edema, mental confusion, delirium, shock

Front 41

hypercalcemia

Back 41

stones, kidney damage, dec reflexes, lethargy, fractures, bone pain, dec gi motility, weakness, dysrhythmias

Front 42

hypocalcemia

Back 42

trouseaus and chvostek's sign, numbness and tingling, painful muscle spasms, convulsions

Front 43

hgb

Back 43

12-16 for females
13.5-17.5 for males

Front 44

hct

Back 44

37-47% for females
40-54% for males

Front 45

wbc

Back 45

5,000-10,000

Front 46

platelets

Back 46

150,000-300,000

Front 47

albumin

Back 47

3.5-5.5