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120 Cards in this Set

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Normal Calcium

8.5-10.2

Normal Chloride

96-106

Normal Magnesium

1.7-2.2

Normal Phosphorus

2.4-4.1

Normal Potassium

3.5-5.1

Normal Sodium

135-145

Normal RBC


Males & Females

Male= 4.7-6.1


Female= 4.2-5.4

Normal WBC

4.5-11

Normal Platelets

150-400

Normal Hemoglobin


Males & Females

Males= 13.8-17.2


Females= 12.1-15.1

Normal Hematocrit


Males & Females

Males= 40.7-50.3%


Females= 36.1-44.3%

Normal INR


Ideal INR for Warfarin (Coumadin) therapy

Normal INR= 0.8-1.1


Warfarn Ideal range= 2-3

Normal pH

7.35-7.45

Normal pCO2

35-45

Normal HCO3-

22-26

Normal pO2

75-100


<60 give supplemental oxygen


<26; imminent death near, oxygenate STAT

Normal Glucose

70-99

Normal Spec Gravitiy

1.003-1.030

Normal BUN

7-20

Normal Serum Creatinine

0.6-1.2

Normal LDH

105-333

Normal CPK

10-120

Normal Uric Acid

3.5-7.2

Normal Triglyceride

<150

Normal Total Cholesterol

180-200

Normal Total Bili


Normal Direct (Conjugated) Bili

Total bili= 0.3-1.9


Direct (Conjugated) bili= 0-0.3

Normal Protein

6-8.3

Normal Albumin

3.4-5.4

Which vitamins are fat soluble?

A


D


E


K

Which vitamins are water soluble?

B, C

Function of Vitamin A: Retinol

Vision adaptation, night vision, normal bone and tooth formation

Food sources of Vitamin A: Retinol

Liver, whole milk, egg yolk, yellow/green vegetables

Nursing Implications regarding Vitamin A: Retinol

Too much Vitamin A will result in yellow skin.


Children with reduced fat absorption (CF, hepatitis, etc.) will have deficiency because they cannot absorb Vitamin A

Function of Vitamin D: Cholecalciferol

Promotes normal absorption of calcium and phosphorus

Food sources of Vitamin D: Cholecalciferol

Fish, direct sunlight, enriched foods (milk products, cereals)

Nursing Implications regarding Vitamin D: Cholecalciferol

All infants need 400 IU supplement every day. Expose infants to short periods of mild sunlight

Function of Vitamin E: Tocopherol

Production of normal RBC's, antioxidant

Food sources of Vitamin E: Tocopherol

Milk, meat, egg yolks, whole grains, legumes, spinach, broccoli

Nursing Implications regarding Vitamin E: Tocopherol

Preterm infants may need supplement

Function of Vitamin K: Aqua-Mephyton

Necessary for production of clotting factors

Food sources of Vitamin K: Aqua-Mephyton

Pork, liver, green leafy vegetables, tomatoes, egg yolks, cheese

Nursing Implications regarding Vitamin K: Aqua-mephyton

Administer Vitamin K to newborns. Intake may be decreased in clients receiving warfarin and dicumarol antocoagulants

Function of Vitamin B1: Thiamine

Necessary for healthy nervous system, coenzyme for carbodohydrate metabolism

Food sources for Vitamin B1:Thiamine

Pork, beef, legumes, whole grains, enriched cereals, green vegetables

Nursing Implications regarding Vitamin B1: Thiamine

Clients with increased metabolic rate need more Vitamin B1 (clients with fever, pregnant, or receiving long term IV therapy). Also increase intake in alcoholic clients

Function of Vitamin B6: Pyridoxine

Stimulates heme production for RBC's, necessary for antibody formation

Food sources of Vitamin B6: Pyrodixine

Organ meats, wheat and corn cereal grains, soybeans, tuna, chicken and salmon

Nursing Implications regarding Vitamin B6: Pyridoxine

Be aware of drug induced deficiencies including isoniazid and oral contraceptives

Function of Vitamin B12: Cobalamin

Formation of normal RBC's, nerve function

Food sources of VItamin B12: Cobalamin

Meat, liver, fish, poultry, milk, eggs, cheese

Nursing Implications of Vitamin B12: Cobalamin

Supplement necessary for clients with gastric resection; must have intrinsic factor for normal absorption

Function of Vitamin C: Ascorbic Acid

Increases absorption of iron for hemoglobin formation, necessary for collagen formation, and an antioxidant

Food sources of Vitamin C: Ascorbic acid

Citrus fruits, tomatoes, strawberries, potatoes, cabbage, broccoli, melons and spinach

Nursing Implications regarding Vitamin C: Ascorbic acid

Cook vegetables witha lid and minimum water added. Need for Vitamin C is increased during growth or conditions that cause in increase in metabolism

Function of Iron (Fe)

Normal formation of hemoglobin, essential part of enzymes

Food sources of Iron (Fe)

Red meat such as liver, pork, and beef; poultry; beans; whole grains; enriched infant formulas; enriched cereals and breads

Nursing Implications regarding Iron (Fe)

Administer iron between meals with citrus juices to increase absorption; avoid use of antacids; stool will be black; Increase iron intake for clients with iron-deficiency anemias, vegetarians, pregnant woman and infants consuming excessive amounts of milk

Function of Calcium (Ca)

Normal formation of bone and teeth; muscle contraction, especially the heart; clotting factors; normal nerve conduction

Food sources of Calcium (Ca)

Dairy products, dark-green leafy vegetables, fortified grains and cereals, sardines

Nursing Implications regarding Calcium (Ca)

Adequate intake is needed for normal bone and tooth formation. Administer IV preparations with caution because of effects on heart. Increase supplements during pregnancy and lactation and after menopause.

Function of potassium (K)

Acid-base balance, nerve conduction, cardiac muscle contraction

Food sources of potassium (K)

Dried fruits, bananas, citrus fruits, tomatoes, avocados

Nursing Implications regarding Potassium (K)

Supplement when client is taking diuretics. Decreased potassium increases effects of Digoxin (digitalis)

Function of Sodium (Na)

Acid-base balance, fluid balance

Food sources of Sodium (Na)

Table salt, processed foods

Nursing Implications of Sodium (Na)

Sodium deficiency is rare, focus is on decreasing intake except in situations of significant sodium loss (CF, diaphoresis)

What is the purpose of a clear liquid diet?

To begin introduction of food after removal of NG tube, after GI surgery and/or before GI diagnostics

What foods are allowed on a clear liquid diet?

Liquids that are clear, such as tea and coffee without cream, apple juice, ice pops, broth, clear sodas

What foods are restricted on a clear liquid diet?

Milk products, juice with pulp, any solid food, anything that is not liquid at room temperature

What is the purpose of a full liquid diet?

To begin introduction of food after NG tube or GI surgery

What foods are allowed on a full liquid diet?

Any food that is liquid at room temperature

What foods are restricted on a full liquid diet?

Any solid food

What is the purpose of a soft diet?

To progress diet as tolerated; food should be easy to chew and swallow

What foods are allowed on a soft diet?

Soft, tender foods that are easy to swallow and digest; eggs

What foods are restricted on a soft diet?

Highly seasoned foods, whole grains, fruits, vegetables, nuts, fried foods

What is the purpose of a mechanical soft diet?

To assist clients who cannot chew effectively

What foods are allowed with a mechanical soft diet?

Soft foods that are easy to chew and swallow

What foods are restricted on a mechanical soft diet?

Tough foods that are difficult to digest and swallow; steak

What is the purpose of a bland diet?

To eliminate foods irritating to the digestive system; used in clients after GI surgery, and those with peptic ulcer disease and GI inflammatory problems

What foods are allowed on a bland diet?

Milk, custards, refined cereals, creamed soups, potatoes (baked or broiled); all foods are white; no bright colored foods

What foods are restricted on a bland diet?

HIghly seasoned or strong flavored floods; tea, colas, coffee, fruits, whole grains, raw fruits

What is the purpose of a low-residue diet?

To decrease fiber or stool in GI tract; acute episodes of enteritis, diarrhea, before/or after GI surgery

What foods are allowed in a low residue diet?

Clear liquids, meats, fats, eggs, refined cereals, white bread, peeled white potatoes, small amounts of milk

What foods are restricted on a low residue diet?

Cheeses; whole grains; raw fruits and vegetables; high carbodyhydrate foods which are usually high in residue and fiber

What is the purpose of a high-residue diet?

To prevent constipation and acute diveriticulitis; recommended for clients with irritable bowel syndrome (IBS)

What foods are allowed on a high residue diet?

Raw fruits and vegetables; whole grains; high-carb foods, which are high in residue and fiber

Which foods are restricted on a high residue diet?

Indigestible fibers, celery, whole corn, seeds such as sesame or poppy, foods with small seeds

What is the purpose of a lactose free diet?

To prevent GI effects of lactose intolerance

What foods are allowed on a lactose free diet?

Nonmilk products, yogurt

What foods are restricted on a lactose free diet?

Milk and milk products, processed foods that may have dried milk as a filler

What is the purpose of a PKU diet?

To control intake of phenylalanine, an essential acid; affected children cannot metabolize it

What foods are allowed on a PKU diet?

Specially prepared infant formula if infant is not breastfed, vegetables, fruits, juices, some cereals, and breads; may allow 20-30 mg of phenylalanine per kilgram of body weight to fulfill normal growth needs

What foods are restricted on a PKU diet?

Most high protein foods, including meat and dairy products

What is the purpose of a low-fat/low-cholesterol diet?

To prevent gall bladder spasms, clients with increased cholesterol levels or problems with malabsorption of fat (CF)

What foods are allowed on a low-fat/low-cholesterol diet?

Low-fat or fat-free milk, fruits, vegetables, breads, cereals, reduced amounts of red meat

What foods are restricted on a low-fat/low-cholesterol diet?

Egg yolks, whole milk, fried foods, processed cheese, shrimp, avocado, pastries, butter

What is the purpose of a low sodium diet?

To reduce sodium intake to decrease retention of fluids, especially in clients with cardiac disease or hypertension

What food are allowed on a low sodium diet?

Salt free preparation, fresh fruits, vegetabales with no added salt

What foods are restricted on a low sodium diet?

Processed foods, smoked or salted meats, prepared foods, frozen and canned vegetables, breads and pastries

What is the purpose of a high potassium diet?

To replace lost potassium in clients taking diuretics or digitalis

What foods are allowed on a high potassium diet?

Dried fruits, fruit juices, fresh fruits (bananas, apricots, grapefruit, oranges, and tomatoes), sweet potatoes and legumes

What foods are restricted on a high potassium diet?

No specific restrictions

What is the purpose of the renal diet?

Control potassium, sodium, and protein levels in clients with renal problems

What foods are allowed on the renal diet?

High biologic protein (Limited intake): eggs, milk, meat; decreased sodium products and decreased potassium (cabbage, peas, cucumbers are low in potassium)

Which foods are restricted on the renal diet?

High potassium foods (dried fruits), high sodium foods (processed foods), salt substitutes with high potassium content

What is the purpose of a low-purine diet?

To decrease serum levels of uric acid; prescribed for clients with gout and high levels of uric acid

What foods are allowed on the low-purine diet?

Vegetables, fruits, cereals, eggs, fat free milk, cottage cheese

What food are restricted on the low-purine diet?

Glandular meats, fish, poultry, nuts, beans, oatmeal, whole wheat and cauliflower

What medications end in -afil?

Genitourinary; Erectile dysfunction drugs


Sildenafil


Tadalafil


Vardenafil

What medications end in -asone?

Allergy & Asthma medications; Corticosteroids


Beclomethasone


Fluticasone


Mometasone

What medications end in -azosin?

Cardiovascular; Alpha blockers


Doxazosin


Prazosin


Terazosin

What medications end in -cillin?

Anti-infectives; Penicillins


Amoxicillin


Ampicillin


Penicillin

What medications end in -dipine?

Cardiovascular; Calcium channel blockers


Amlodipine


Felodipine


Nifedipine

What medications end in -olol?

Cardiovascular; Beta Blockers


Atenolol


Metorpolol


Propranolol

What medications end in -pam?

Mental health; Antianxiety


Diazepam


Lorazepam


Citalopram

What medications end in -pril?

Cardiovascular; ACE inhibitors


Benazapril


Captopril


Enalapril


Lisinopril


Ramipril

What medications end in -romycin?

Anti-infectives; Macrolides


Azithromycin


Clarithromycin


Erythromycin



What medications end in -statin?

Cardiovascular; Antilipemic


Atorvastatin


Fluvastatin


Lovastatin


Pravastatin


Rosuvastatin


Simvastatin

What medications end in -tidine?

GI; Antiulcer


Cimeditine


Famotidine


Ranitidine

What medications end in -vir?

Anti-infectives; Antiviral


Acyclovir


Oseltamivir


Valacyclovir