need to memorize

7/27/2019 Need to Memorize

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NEED TO MEMORIZE

Tonometry: (10-21 mm Hg)

PR Interval: (0.12-0.20 seconds)

Serum Amylase: (2-11 un!ts"d#)

Serum Ammon!a: ($ to % mcg"d#)

&alc!um: adult ('.%-10 mg"d#)c!ld (' to 10. mg"d#)term1*ee+ (, to 12 mg"d#)

Part!al Tromolast!n T!me (aPTT): (20-$% seconds)teraeut!c 1.-2.

Protrom!n T!me: (/ale: .%-11.' seconds)(emale: .-11.$ seconds)

Platelet &ount: (10000-300000 cells"u#)

Alum!n level: ($.3 to g"d#)

Serum 4smolal!ty: (2' to 2 m4sm"+g) !g value !nd!cates deydrat!on

Sa5e Suct!on Range: 6In5ant7 0- mm Hg6&!ld7 -11 mm Hg6Adult7 100-120 mm Hg

Serum #!t!um: (1 to 1. m89"#)

acute man!a (0.% to 1.3 m89"#) ma!ntenance treatment



Penyto!n (!lant!n): normal serum (10 to 20 mcg"m#)

!go;!n: teraeut!c lood level (0.' to 2.0 ng"ml)

/agnes!um Sul5ate: Teraeut!c Range (3 to ' mg"dl)

Pregnancy Temerature: ($%.2-$,.% celc!us or '-.%arene!t)

<=&>s In Pregnancy: normal (11000 to 1000 cells"mm$u to 1'000 cells"mm$). Immed!ate ostartum er!od(maye as !g as 2000 to $0000 cells"mm$)

Stomac &aac!ty:

?e*orn !n5ant¬ (10 to 20 m#)

1-*ee+-old ¬ ($0 to %0 m#)

2-$-*ee+-old !n5ant¬ (, to 100 m#)

1-mont-old !n5ant¬ (0 to 10 m#)

#e5t Atr!al Pressure: (1 to 10 mm Hg)

!r!nogen #evels (male: 1'0 to $30 mg"d#)(5emale: 10 to 320 mg"d#)

Insul!n(Regular Humul!n R)Tye: ast act!ng

4nset: @ -1 rPea+: 2-3 r

urat!on: %-' r Insul!n(?PH Humul!n ?)

Tye: Intermed!ate act!ng4nset: 2r

Pea+: %-12r

urat!on 1'-2%r Insul!n(ltralente Humul!n )

Tye: Slo* act!ng

4nset: 3rPea+: '-20r

urat!on: 23-$%r Insul!n



(Humul!n ,0"$0)Tye: &om!nat!on

4nset: @ rPea+: 2-12r

urat!on: 23r

&entral Benous Pressure: $ mm Hg C !nade9uate 5lu!d and D11 mm Hg C toomuc 5lu!d

Potass!um: $.-.0 m89"#Sod!um: 1$-13 m89"#

&alc!um: 3.-.2 m89"# or '.%-10 mg"d#/agnes!um: 1.-2. m89"#

&lor!de: %-10, m89"#Posorus: 2., to 3. mg"d#

PR measurements: normal (0.12 to 0.20 second)

ERS measurements: normal (0.03 to 0.10 second)

Ammon!a: $ to % ug"d#

Amylase:2 to 11 IB"#

#!ase: 10 to 130 "#

&olesterol: 130 to 1 mg"d###: 1$0 mg"d#

H#: $0 to ,0 mg"d#Tr!glycer!des: 200 mg"d#

=!lr!u!nF !rect: 0 to 0.$ mg"d#

F Ind!rect: 0.1 to 1.0 mg"d#F Total: 1. mg"d#

Prote!n: %.0 to '.0 g"d#

r!c ac!d: /ale 3. to ' mg"d#

emale 2. to %.$ mg"d#

Glycosylated Hemoglo!n HA1c: good control ,. or less

Serum creat!n!ne: 0.% to 1.$ mg"d#

=?: -2 mg"d#

?ormal & !s 2%-1,3 "#

Troon!n I value: normal (0.% ng"m#)Troon!n T D0.1 to 0.2 ng"m# C /I



8rytrocyte stud!es: 0-$0 mm"our

Serum !ron: /ale %-1, ug"d#emale 0-1,0 ug"d#

R=&: /ale 3. to %.2 /"u#

emale 3.0 to . /"u#

Teoyll!ne levels normal (10 to 20 mcg"dl)

/4T4R 8B8#4P/8?T

&!n u

1 mont

&est u

2 mont

nee us and Js*!mK% mont

S!ts alone"stands *!t el

, mont

&ra*ls on stomac

' mont

Stands old!ng on 5urn!ture10 mont

<al+s *en led

11 mont

Stands alone

13 mont

<al+s alone1 mont

AT TH8 P#AL GR4?

M Stranger an;!ety: 0 -1 yearM Searat!on an;!ety: 1 - $ years

M Sol!tary lay: 0 N 1 yearM Parallel lay: 2 N $ years

M Grou lay: $ N 3 years



PSL&H4#4GI&A# 8B8#4P/8?T

AG88RIS4?

R8PIAG8TIn5ant

0 N 1.

Trust vs. m!strust 4ral (trust O deendencesensor!motor

Toddler1. -$

Autonomy vs. same Anal (old!ng vs. lett!ng out)reoerat!onal

Pre-scool$ - %

In!t!at!ve vs. gu!lt Pall!c (4ed!us comle;)

reoerat!onalScool age% - 11 Industry vs. !n5er!or!ty

latency&oncrete oerat!onal

11 - 20 Ident!ty vs. role con5us!on

gen!talormal oerat!onal

20 N 2

Int!macy vs. !solat!on

2 N 0 Generat!v!ty vs. stagnat!on

0 -

Integr!ty vs.desa!r

#A=4RAT4RL BA#8S

8#8&TR4#LT8S

Sod!um (?aQ): 1$ N 13 me9"#(!ncrease-deydrat!on decrease overydrat!on)

Potass!um (Q): $. - .0 me9"#/agnes!um (/gQQ): 1. N 2. me9"#

&alc!um (&aQQ): 3. N .' me9"#?eonate : ,.0 to 12 mg"d#

&!ld: '.0 to 10. mg"d#Posorus (P43): 1., N 2.% me9"#

&lor!de (&l-): % N 10% me9"#

&4AG#ATI4? STI8S



Act!vated art!al tromolast!n t!me(APTT): 20 N $% seconds deend!ng on te tye

o5 act!vator usedProtrom!n t!me(PT): male: .% N 11.' seconds

emale: . N 11.$ secondsInternat!onal ?ormal!ed Rat!o(I?R): 2.0 - $.0 5or standard &oumad!n teray

$.0 N 3. 5or !g-dose &oumad!n teray&lott!ng t!me: ' N 1 m!nutesPlatelet count: 10000 to 300000 cells"l

=leed!ng t!me: 2. to ' m!nutes

S8R/ GASTR4I?T8STI?A# STI8S

Alum!n: $.3 to g"d#

Al+al!ne osatase: 3. to 1$ !ng-Armstrong un!ts"d#Ammon!a: 1 to 3 ug"d#

Amylase: 0 N 1'0 Somogy! "d# !n adult20 N 1%0 Somogy! "d# !n te older adult

=!l!ru!n: d!rect: 0 - 0.$ mg"d#

Ind!rect: 0.1 N 1.0 mg"d#Total: less tan 1. mg"d#&olesterol: 120 N 200mg"d#

#!ase: $1 -1'% "##!!ds: 300 N '00 mg"d#

Tr!clycer!des: ?ormal range: 10 N 10 mg"d#=orderl!ne !g: 200 N 300 mg"d#

H!g: 300 N 1000mg"d#Bery !g: greater tan 1000mg.d#

Prot!en: %.0 N '.0 g"#r!c ac!d: male: 3. N ' ng"d#

emale: 2. N %.2 ng"d#

G#&4S8 STI8S

ast!ng lood sugar: ,0 N 10 mg"d#Glucose mon!tor!ng (ca!llary =lood): %0 N 110 mg"d#

R8?A# ?&TI4? T8ST

&reat!n!ne: 0.% N 1.$ mg"d#=lood urea n!trogen (=?): N 20 mg"d#

8RLTR4&LT8S STI8S

8rytrocyte sed!mentat!on rate(8SR): 0 N $0 mm"r deend!ng on age

Hemoglo!n: male: 13 N 1%. g"d#emale: 12 N 1 g"d#

Hematocr!t: male: 32 - 2 (!ncreased !n emoconcentrat!on 5lu!d loss and



deydrat!on)emale: $ - 3, ( decreased !n 5lu!d retent!on)

Red lood cell (R=&): male: 3. to %.2 m!ll!on"u#emale: 3 to . m!ll!on"u#

<!te lood cell (<=&): 300 to 11000"u#

8rytrocyte Protoortyr!n (8P) : ug"d#Penylalan!ne #evel: 2 mg"d#P: D2 mg"d#

&RA?IA# ?8RB8S

/A4R ?&TI4?S

I. 4l5actory (S)smell

II. 4t!c (S)

v!s!on

III. 4culomotor (/)IB. Troclear (/)

8ye movement

B. Tr!gem!nal (S-/) ac!al sensat!ona* movement

BI. Aducent (/)

8ye movement

BII. ac!al (S-/) Taste

ac!al e;ress!on

BIII. Acoust!c (S)Hear!ng and alance

IU. Glossoaryngeal (S-/) Taste

Troat sensat!on

Gag and s*allo*

U. Bagus (S-/) Gag and s*allo*Parasymatet!c act!v!ty

UI. S!nal Accessory (/) ?ec+ and ac+ muscles

UII. Hyoglossal (/)

Tongue movement

4n 4ld 4lymus> To*er!ng Tos A !nn And German B!e*ed Some HosSome Says /arry /oney =ut /y =roter Says =ad =us!ness /arry /oney

ART8RIA# =#44 GAS (A=G)



H: ,.$ N ,.3P&42: $ - 3 mmHg

P42: '0 - 100 mmHgH&4$: 22 - 2, m89"#

42 saturat!on: % - 100Ac!d-ase JRA/SK(Res!ratory Alternate /etaol!c Same)

G#ASG4< &4/A S&A#8

8ye oen!ng resonse

/otor resonseBeral resonse

AT4?4/I& ?8RB4S SLST8/

SL/PATH8TI&"

AR8?8RGI& PARASL/PATH8TI&"&H4#I?8RGI&

Heart Increased eart rateIncreased conduct!onIncreased 5orce

ecreased eart rate

=ronc!d!lat!on

constr!ct!on

GI tractReduced mot!l!ty

Increased mot!l!ty

Rectum

Allo*s 5!ll!ng 8mt!es rectumRela;es !nternal s!ncter

=ladder

Allo*s 5!ll!ng 8mt!es ladder

Rela;es !nternal s!ncter

8rect!on/a!nta!ns erect!on

8Vaculat!on

Tr!ggers eVaculat!on

Pu!ls o5 eye=!g (mydr!as!s)

Small (m!os!s)

Sal!vary glandsSecret!on



=lood vessels eends on recetors-a contr!ct

- d!lates

#4< 4 =#44 THR4GH TH8 H8ART

In5er!or vena cava and suer!or vena cava N r!gt atr!um N tr!cus!d valve N r!gt

ventr!cle N ulmon!c valve N ulmonary artery N lungs N ulmonary ve!ns N le5tatr!um N !cus!d valve (m!tral) N le5t ventr!cle N aort!c valve aorta N system!c

c!rculat!on

&ARIA& I/P#S8S

S!noatr!al (SA) node N r!gt and le5t atr!a (atr!a contract) N atr!oventr!cular (AB) node

N undle !s N undle races N urV!nVe>s 5!ers N ventr!cles contract.

=lood volume: 000m#

&entral venous ressure: 3 to 10 cmH24 (!ncreased !n card!ac overload decreased!n deydrat!on)

Pressure *!t!n te r!gt atr!um: 2 to , mmHg&a!llary re5!ll t!me: $ seconds

?ormal s*eat clor!de: 30 m89"#?ormal u!l d!ameter: $ to mm

?ormal ocular ressure: 10 to 21 mmHg?ormal Pulmonary ca!llary *edge ressure (P&<P): ' to 1$ mmg

?ormal card!ac outut : 3 to ' #"m!n.

TH8RAP8TI& S8R/ /8I&ATI4? #8B8#S

Acetam!noen (Tylenol) 10 N 20 ug"m#

Am!+ac!n (Am!+!n) 2 N $0 ug"m#Am!trytyl!ne (8lav!l) 120 -10 ng"m#

&aramae!ne (Tegretol) -12 ug"m#

&loramen!col (&loromycet!n) 10 N 20 ug"m#es!ram!ne (?orram!n) 10 -$00 ng"m#

!goto;!n ( &rystod!g!n) 1- 2 ng"m#!go;!n ( #ano;!n) 0. N 2.0 ng"m#

!soyram!de (?orase) 2 - ug"m#8tosu;!m!de ( Waront!n) 30 N 100 ug"m#

Gentamyc!n (Garamyc!n) N 10 ug"m#Im!ram!de (To5ran!l) 10 N $00 ug"m#

#!doca!ne (Uyloca!ne) 1. N .0 ug"m##!t!um (#!to!d) 0. -1. ug"m#

/agnes!um sulate 3 -, mg"d#?ortr!tyl!ne (Aventyl) 0 N 10 ng"m#

Penoar!tal (#um!nal) 10 N $0 ug"m#Penyto!n (!lant!n) 10 -20 ug"m#

Pr!m!done (/yol!ne) N 20 ug"m#



Proca!nam!de (Pronestryl) 3 N 10 ug"m#Proranolol (Inderal) 0 N 100 ng"m#

Eu!n!d!ne (Eu!nalaglute &ard!o9u!n) 2 N ug"m#Sal!sylate 100 -20 ug"m#

Teoyll!ne (Am!n!yll!ne Teo-ur) 10 -20 ug"m#Toramyc!n (?ec!n ) -10 ug"m#

Balro!c ac!d (dea+ene) 0 -100 ug"m#

Pulmonary ca!llary *edge ressure: to 1$ mmHgPulmonary artery ressure: systol!c: 1% to $0 mmHg

!astol!c: 0 to , mmHgS!nal ressure: ,0 to 200mmH24

/or!ne sulate ed!atr!c dose: 0.1mg"+g every $ N 3 our

S#4?L#R8ASor treatment o5 ?I/

Sul5onylureas sould not e g!ven to at!ents *!t l!ver or +!dney 5a!lure.¬

Accummulat!on o5 drug *!ll !ncrease r!s+ o5 yoglycaem!a.¬

RATI4?

tolutam!de'

Glycur!de gl!!!de

20 most otent

clorroam!de

3'

Aotecary and Houseold System

Gra!n Ngr 1 gr C %0 mg

ram N dr gr C $00 mg4unce No 1 gr C 1000mg or 1g

/!n!m N m!n / m 1"10 gr C0.3 mgEuart N 9t 1 o C $0 m#

P!nt N t 1 dr C 3 m#ro N gtt 1 T C 1 m# or $ ts

Talesoon N T or ts 1 m!n C 1 gttTeasoon N t or ts 1 m!n C 1m#

Pound N l %0 m!n C 1 dr' dr C 1 o

1 9t C 1000m# or 1#1 9t C 2 t or $2 o

1 t C 1% o



1% o C 1 l2.2l C 1 +g

arene!t to &elc!us ( N $2) d!v!de 1.' C &

&elc!us to arene!t 1.' & Q $2 C

ormula 5or &alculat!ng a /ed!cat!on osage

(des!red ) C te dosage tat te ys!c!an ordered

A (ava!lale) Cte dosage strengt as stated on te med!cat!on laelE (9uant!ty ) C te volume tat te dosage strengt !s ava!lale !n suc as talet

casules or m#

U E C UA

ormulas 5or Intravenous &alculat!ons

lo* Rates:Total volume ; gtt 5actor C gtt er m!n

T!me !n m!nutes

In5us!on T!me:

Total volume to !n5use C In5us!on t!mem# er our e!ng !n5used

I//?IWATI4?

=!rt Heat!t!s =1 monts Heat!t!s =

2 monts 4PB PT HI=3 monts PT HI= 4PB

% monts PT HI= eat!t!s =12 monts HI= 4PB

1 monts //R

1' monts PT12 N 1' monts Bar!cella vacc!ne

3 -% years PT 4PB //R11 N 12 years //R ( !5 not adm!n!stered at 3 -% years)

11 N 1% T ooster

SPI?A# &4R I?RL

&erv!cal InVury:

&2 to &$ !nVury usually 5atal¬

&3 !s te maVor !nnervat!on to te d!aragm y t ren!c nerve¬

Involvement aove t &3 causes res!ratory d!55!culty and aralys!s¬ o5 all te 5our

e;trem!t!es

& or elo* cl!ent may ave movement !n te soulder¬



Torac!c #evel InVury: loss o5 movement o5 te cest trun+ o*el ladder and legs deend!ng on te

level o5 !nVury¬

#eg aralys!s (araleg!a)¬

Autonom!c dysre5le;!a *!t les!ons aove T% and !n cerv!cal les!ons¬

¬ B!sceral d!stent!on 5rom a d!stended ladder or !macted rectum may cause

react!ons suc as s*eat!ng radycard!a yertens!on nasal stu55!ness andgoose5les

#umar and Sacral #evel InVur!es:

loss o5 movement and sensat!on o5 te lo*er e;trem!t!es.¬

S2 and S$ center on m!cturat!on tere5ore elo* t!s level te ladder *!ll contract

ut not emty (neurogen!c ladder)¬

¬ InVury aove S2 !n males allo*s tem to ave an erect!on ut tey are unale to

eVaculate ecause o5 symatet!c nerve damage. InVury et*een S2 and S3 damages te symatet!c and arasymatet!c resonse

revent!ng erect!on and eVaculat!on.¬

R#8 4 ?I?8

Head and nec+ Anter!or trun+ 1'

Poster!or trun+ 1'Arms () 1'

#egs (1') $%Per!neum 1

?4R/A# A#T <HIT8 =#44 &8## I8R8?TIA#

?eutro!ls % or 1'000 N ,'00"u#=ands $ or 0 N ,00"u#

8os!no!ls 2., or 0 N 30"u#=aso!ls 0.$ or 0 N 200"u#

#ymocytes $3 or 1000 N 3'00"u#/onocytes 3 or 0 N '00"u#

THLR4I STI8STyro!d Nst!mulat!ng ormone (tyrotro!n THS): 0.2 to .3 ug"d#

Tyro;!ne (T3): .0 to 12.0 ug"d#



Tyro;!ne 5ree (T$) : 0.' to 2.3 ng"d#Tr!!odotyron!ne (T$): '0 to 2$0 ng"d#

?ormal r!r!nogen level: 5or men: 1'0 to $30mg"d#

<omen: 10 to 320mg"d#r!r!nogen !s used u !n te clott!ng rocess.

8rytrocyte Protooryr!n (8P): ug"d#

Penylalan!ne level: 2mg"d#P: D2 mg"d#

r!ne sec!5!c grav!ty: 1.01% - 1.022 !ncrease !n SIAH decrease !n d!aetes!ns!!dus

?ormal &S rote!n: 1 N 3 mg"d# !ncrease !n Gu!lla!n-=arre syndrome?ormal &S ressure: N 1 mmHg

?ormal serum osmolal!ty: 2' N 2 m4sml+gH24 !ncrease !n deydrat!onecrease !n over ydrat!on

?ormal scal H: ,.2% and aove

=orderl!ne ac!dos!s: ,.20 to ,.2Ac!dos!s: ,.1

4R STRAT8GI8S:

1. I5 te 9uest!on as+s *at you sould do !n te s!tuat!on. se te nurs!ng rocessto determ!ne *!c ste !n te nurs!ng rocess *ould e ne;t

2. I5 te 9uest!on as+s *at te cl!ent needs. se maslo*>s !erarcy to determ!ne*!c need to address.

$. I5 te 9uest!on !nd!cates tat te cl!ent doesn>t ave urgent ys!olog!c need

5ocus on te at!ent sa5ety.3. I5 te 9uest!on !nvolves commun!cat!ng *!t a at!ent. se r!nc!les o5

teraeut!c commun!cat!on.

R8/8/=8R:AIR<AL =R8ATHI?G&IR&#ATI4? A? SA8TL (A=&S)

Te nurse !n r!mary care cl!n!c !s car!ng 5or a 0-year-old *oman. H!story reveals

tat se ad e;er!enced on and o55 cest a!n. A5ter ser!es o5 card!ac tests (8G O=lood &em) te doctor orders 5or THA##I/ STR8SS T8ST. <!c o5 te 5ollo*!ng

med!cat!ons sould te R? reare !5 te at!ent needs an alternat!ve e;erc!se !ntall!um test

1.?!troglycer!n2./or!ne

$.Am!noyll!ne3.Persant!n

Te correct ans*er !s X3. Persant!n (d!yr!damole)Persant!n !s use as an alternat!ve to e;erc!se !n tall!um myocard!al er5us!on

!mag!ng 5or te evaluat!on o5 &A !n tose *o cannot e;erc!se ade9uately.Purose: to determ!ne myocard!al *all v!a!l!ty

4ter names:



1. &ard!ac ool!ng2. /GA-mult!gated rad!onucl!de ang!ogra!c scann!ng

$. nurclear scan3. sestam!! test

. tall!um scan%. d!yr!damole or ersant!n stress test

,. In sort eart scan :)

&erv!cal &ancer8t!ology:

M 8arly age o5 se;ual !ntercourseM /ult!le se;ual artners

M Se;ually Transm!tted !sease (Benereal <art)M B!rus - HPB

&ancer &arc!noma !n SIT - only !n e!tel!al l!n!ngsS!tu sounds l!+e W!ru - Stage 0

Tumor mar+er - &8AS!gns and Symtoms ($ PYs)

P4ST &4ITA# =#88I?G

PAI?# I?T8R&4RS8

PR4S8 (P8RI4 IRR8G#ARITI8s - menorrag!a and metrorrag!a)

need to memorize

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