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69 Cards in this Set

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SERUM ELECTROLYTE

SODIUM
135 - 145 MEQ/L
SERUM ELECTROLYTE

POTASSIUM
3.5 - 5.5 MEQ/L
SERUM ELECTROLYTE

CALCIUM
9.3 - 10.9 MG/DL
SERUM ELECTROLYTE

CHLORIDE
95 - 105 MEG/L
SERUM ELECTROLYTE

MAGNESIUM
1.5 - 2.5 MEQ/L
SERUM ELECTROLYTE

PHOSPHORUS
2.5 - 4.5 MEQ/L
HEMATOLOGY VALUES

RBC
4.5 - 5.0 MILLION
HEMATOLOGY VALUES

WBC
5,000 - 10,000
HEMATOLOGY VALUES

PLT
200,OOO - 400,000
HEMATOLOGY VALUES

HGB
WOMEN = 40% - 48%
MEN = 42% - 50%
ABG VALUES

HCO3
24 - 26 MEQ/L
ABG VALUES

CO2
35 - 45 MEQ/L
ABG VALUES

PAO2
80% - 100%
ABG VALUES

SAO2
> 95%
CHEMISTRY VALUES

GLUCOSE
70 - 110 MG/DL
CHEMISTRY VALUES

SPECIFIC GRAVITY
1.010 - 1.030
CHEMISTRY VALUES

BUN
7 - 22 MG/DL
CHEMISTRY VALUES

CREATINE
0.6 - 1.35 MG/DL

< 2 IN OLDER ADULTS
CHEMISTRY VALUES

LDH
100 - 190 U/I
CHEMISTRY VALUES

CPK
21 - 232 U/I
CHEMISTRY VALUES

URIC ACID
3.5 - 7.5 MG/DL
CHEMISTRY VALUES

TRIGLYCERIDE
40 - 50 MG/DL
CHEMISTRY VALUES

TOTAL CHOLESTEROL
130 - 200 MG/DL
CHEMISTRY VALUES

BILIRUBIN
< 1.0 MG/DL
CHEMISTRY VALUES

PROTEIN
6.2 - 8.1 G/DL
CHEMISTRY VALUES

ALBUMIN
3.4 - 5.0 G/DL
THERAPEUTIC DRUG LEVELS

DIGOXIN
0.5 - 2.0 NG/ML
THERAPEUTIC DRUG LEVELS

LITHIUM
0.8 - 1.5 MEG/L
THERAPEUTIC DRUG LEVELS

DILANTIN
10 - 20 MCG/DL
THERAPEUTIC DRUG LEVELS

THEOPHYLLINE
10 - 20 MCG/DL
VITAL SIGNS OF ADULT

HR
80 - 100 BPM
VITAL SIGNS OF ADULT

RR
12 - 20 RPM
VITAL SIGNS OF ADULT

BP
110-120 (SYSTOLIC)
60-90 (DIASTOLIC)
110/60 - 120/90
VITAL SIGNS OF ADULT

TEMP
98.6 (+/- 1)
VITAL SIGNS OF ADULT

CVP
2 - 6 MM/H20
MATERNITY NORMALS

FHR
120M - 160 BPM
MATERNITY NORMALS

VARIABILITY
6 -10 BPM
MATERNITY NORMALS

CONTRACTIONS
NORMAL FREQUENCY = 2-5 MIN APART

DURATION = <90 SEC

INTENSITY = <100 MM/HG
MATERNITY NORMALS

AMNIOTIC FLUID
500 - 1200 ML
NITROZINE URINE-LITMUS PAPER GREEN
AMNIOTC FLUID - LITMUS PAPER BLUE
MATERNITY NORMALS

APGAR SCORING
A=APPEARANCE
P=PULSES
G=GRIMACE
A=ACTIVITY
R=REFLEXES

DONE AT 1 AND 5 MIN WITH A SCORE OF
0 FOR ABSENT
1 FOR DECREASED
2 FOR STRONG
MATERNITY NORMALS

AVA
THE UMBILICAL CORD HAS TWO ARTERIES AND ONE VEIN.

ARTERIES CARRY DEOXYGENATED BLOOD

VEIN CARRIES OXYGENATED BLOOD
MATERNITY NORMALS

FAB9
FOLIC ACID= B9
B STANDS FOR BRAIN
(DECREASES NEURAL TUBE DEFECTS)
THE CLIENT SHOULD BEGIN THREE MONTHS PRIOR TO BECOMING PREGNANT
ABNORMALITIES IN THE OBSTETRIC CLIENT

EARLY DECELERATIONS
EARLY
BEGIN PRIOR TO THE PEAK OF THE CONTRACTION AND END BY THE END OF THE CONTRACTION

CAUSED BY HEAD COMPRESSION
ABNORMALITIES IN THE OBSTETRIC CLIENT

VARIABLE DECELERATIONS
VARIABLE
CAN OCCUR ANY TIME DURING MONITORING OF THE FETUS AND ARE V SHAPED.

CAUSED BY CORD COMPRESSION

INTERVENTION FOR HYPOTENSION
S=STOP PITOCIN IF INFUSING
T=TURN CLIENT ON LEFT SIDE
O=OXYGEN ADMINISTRATION
P=PUSH IV FLUIDS
ABNORMALITIES IN THE OBSTETRIC CLIENT

LATE DECELERATIONS
LATE OCCUR AFTER THE PEAK OF THE CONTRACTION AND MIRROR THE CONTRACTION IN LENGTH AND INTENSITY.

CAUSED BY UTEROPLACENTAL INSUFFICIENCY INTERVENTION FOR HYPOTENSION
S=STOP PITOCIN IF INFUSING
T=TURN CLIENT ON LEFT SIDE
O=OXYGEN ADMINISTRATION
P=PUSH IV FLUIDS
DEFINE TORCHS SYNDROME IN THE NEONATE?
THIS IS A COMBINATION OF DISEASES INCLUDING
TOXOPLASMOSIS
RUBELLA (GERMAN MEASLES)
CYTOMEGALOVIRUS
HERPES
SYPHYLIS
WHAT IS THE TREATMENT FOR HYPOTENSION AFTER AN EPIDURAL ANESTHETIC?
STOP

S=STOP PITOCIN IF INFUSING
T=TURN CLIENT ON LEFT SIDE
O=OXYGEN ADMINISTRATION
P=PUSH IV FLUIDS
ANTICOAGULANT TREATMENT

COUMADIN (SODIUM WARFARIN)
PT 10 - 12 SEC (CONTROL)
ANTICOAGULANT TREATMENT

ANTIDOTE FOR COUMADIN
VITAMIN K
ANTICOAGULANT TREATMENT

HEPARIN/LOVENOX/DALTEPARIN
PTT 30 - 45 SEC (CONTROL)
ANTICOAGULANT TREATMENT

ANTIDOTE FOR HEPARIN
PROTAMINE SULFATE
THERAPUTIC LEVEL
IT IS IMPORTANT TO MAINTAIN THE BLEEDING TIME SLIGHTLY PROLONGED SO THAT CLOTTING WILL NOT OCCURE; THEREFORE, THE BLEEDING TIME WITH MEDICINE SHOULD BE 1 1/2 TO 2 TIMES THE CONTROL. THE CONTROL IS THE PREMEDICATION BLEEDING TIME.
RULE OF NINES FOR BURNS
HEAD
ARMS
BACK
LEGS
GENITALIA
HEAD = 9%
ARMS = 18% (9% EACH)
BACK = 18%
LEGS = 36% (18% EACH)
GENITALIA = 1%
RELIGIOUS BELIEFS

JEHOVAH'S WITNESS
HINDU
JEWISH
JEHOVAH'S WITNESS = NO BLOOD PRODUCTS
HINDU = NO BEEF OR ITEMS CONTAINING GELATIN
JEWISH = NO PORK
DIETS

RENAL DIET
HIGH CALORIE, HIGH CARBOHYDRATE, LOW PROTEIN, LOW POTASSIUM, LOW SODIUM, AND FLUID RESTRICTED TO INTAKE = OUTPUT + 500 ML
DIETS

GOUT DIET
LOW PURING; OMIT POULTRY MEDICATION FOR ACUTE EPISODES = COLCHICINE; FOR MAINTENANCE ZYLOPRIM
DIETS

HEART HEALTHY DIET
LOW FAT (LESS THAN 30% OF CALORIES SHOULD BE FROM FAT
ADDISON'S VS. CUSHINGS
ADDISON'S AND CUSHING'S ARE DISEASES OF THE ENDOCRINE SYSTEM INVOLVING CORTISOL.

ADDISON'S NOT ENOUGH CORTISONE

CUSHING'S TOO MUCH CORTISONE
TREATMENT FOR SPIDER BITES AND BLEEDING?
RICE
REST
ICE
COMPRESSION
ELEVATE EXTREMITY
TREATMENT FOR SICKLE CELL CRISES?
HHOP
HEAT
HYDRATION
OXYGEN
PAIN MEDICATIONS
FIVE P'S OF FRACTURES AND COMPARTMENT SYNDROME?
PAIN
PALLOR
PULSELESSNESS
PARESTHESIA
POLAR (COLD)
SCHEDULE I DRUGS
REASEARCH USE ONLY
(LSD)
SCHEDULE II DRUGS
REQUIRES A WRITTEN PRESCRIPTION.
(NARCOTICS, RITALIN, PHENOBARBITAL)
SCHEDULE III DRUGS
REQUIRES A NEW PRESCRIPTION AFTER SIX MONTHS OR FIVE REFILLS.
(CODEINE, STEROIDS, ANTIDEPRESSANTS)
SCHEDULE IV DRUGS
REQUIRES A NEW PRESCRIPTION AFTER SIX MONTHS.
(DIAZEPAM)
SCHEDULE V DRUGS
DISPENSED AS ANY OTHER PRESCRIPTION OR WITHOUT PRESCRIPTION IF STATE LAW ALLOWS.
(ANTIDIARRHEALS, ANTITUSSIVES)
ANGIOTENSIN CONVERTING ENZYME AGENTS
GENERIC NAMES INCLUDE THE SYLABLE "PRIL"
Action: antihypertensive
S.E. hypotension, bradycardia, tachycardia, headache, N/V, respiratory problems
Nursing Considerations: monitor V.S., WBC count, electrolyte levels
BETA ADRENERGIC BLOCKERS
GENERIC NAMES INCLUDE THE SYLLABLE "OLOL"
Action: blocks the sympathetic vasomotor response lowering B/P, Pulse rate, cardiac output
S.E. orthostatic HTN, bradycardia, N/V, diarrhea, CHF, blood dyscrasias.
Nursing Considerations: Monitor for changes in lab values (protein, BUN, creatinine)that would indicate nephrotic syndrome, B/P, HR and rhythm, signs of edema.
ANTI-INFECTIVES (AMINOGLYCOSIDES)
GENERIC NAMES INCLUDE THE SYLLABLE "CIN" OR "MYCIN"
Action: interfere with protein synthesis of the bacteria causing the bacteria to die.
S.E. ototoxicity, nephrotoxicity, seizures, blood dyscasias, hypotension, rash