Quick NCLEX Facts:

Na 135-145
K 3.5-5
Ca 8.5-10.5
Mg 1.6-2.6
Cl- 95-105
P- 2.5-4.5
PTT (heparin) 30-60 seconds
PT 12-20 sec
Platelets 150,000-450,000
WBC 5,000-10,000 cmm
RBC 4.5-6.0 million
pH 7.35-7.45
PaCO2 35-45 (Respiratory)
HCO3 22-26 (Metabolic)
Hct 35-45
Hgb 12-16
BUN 10-20
Creatinine 0.6-1.6
Dilantin 10-20 (Anti seizure)
Digoxin 0.8-2.0 (Dec. BP)
--OPPA
Observe, Palpate, Percuss, Ascultate
Abdominal: Observe, Auscultate, Palpate,
--Quickening 16 weeks
fetal heart tones 20 weeks
fetal heart rate 120-160
--Litium intial 1.0-1.5, therapeutic 0.6-1.2
Heparin look at PTT and antidote is Protamine Sulfate
Coumadin (Warfarin) look at INR and antidote is Vitamin K
Mag Sulfate antidote is Calcium Gluconate
Narcotic antidote is Naloxone (Narcan)
Tylenol antidote is Acetylcysteine (Mucomist)
--Insulin:
Long Acting: 1 hr onset, No Peak, 24 duration
(ex. Lantus, Levemir, Ultralente (U))

Percuss

Intermediate NPH: 1-3 hr onset, 6-12 hr peak and 18-24 duration

(ex. -lin N, Lente (L))
Regular (Short): 30-60 min onset, 2-4 hr peak and 5-7 duration
(ex. -lin R)
Rapid Acting: 15-30 min onset, 30-90 peak, 5 duration
(ex. -log, Apidra, Logs roll down the rapids!)
--Rules of Nines: 9% is head and both arms, 18% is front torso, back torso and bot
h legs and 1% is groin
--5 P's with fractures: pain, pallor, pulselessness, paresthesia and paralysis
Cranial nerves: Olfactory, Optic, Oculomotor, Trochlear, Trigeminal, Abducens, F
acial, Acoustic, Glassopharnygeal, Vagus, Spinal Accessory and Hypoglossal
--Fetal Heart strips: VEAL CHOP
(Variable is cord, early is head, accelerations is ok and late is placental insu
fficiency)
--Cancer: CAUTION signs
--starve a gastric ulcer, feed a duo ulcer
--200-300 ml blood loss with vaginal birth, 500 ml with c-section
--urine specific gravity: 1.010-1.030
HHNK: glucose > 800, no ketones, acidosis
--total cholesterol: optimal <200.
borderline 200-230. high > 239.
ldl: optimal <139. borderline 140-160. high >160.
ast: 10-40
alt: 5-35
serum albumin: 3.5-5.5
hemophilia a: no asa, nsaids
blood type o = universal donor.
blood type ab = universal recipient
cvp: nl 3-12. >12: hypervolemia, <3: hypovolemia
isotonic: 0.9% nacl, lr, d5w
hypotonic: 0.45% nacal
hypertonic: d10-15w, 3% nacl
60 mg = 1grain
1 oz = 30 ml
1 cup = 8 oz
1 lb = 16oz

33.8 F = 1 C
98.6 F = 37 C
--carbamazepine: therapeutic 5-12
antabuse: avoid otc cough/cold-contain alcohol
24-34wks: fundal height correlates with wks gestation
no grapefruit juice: cyclosporine, carbamazepine, buspar, zocor, verapamil
od benzodiazepines antidote: flumazenil (romazicon)
24 hour old jaundice is abnormal, normal is over 24 hrs old
Parkland Formula: 4 ml x (Weight in kg) x(%TBSA)
24 hour fluid replacement with first 8 hrs and 2nd second and third 8 hrs
Example:
4ml(54.5 kg)(60%)=13080 with 6540 first 8hr and 3270 second and third 8hr
PR Interval is 0.12-0.20 and QRS Complex is 0.04-0.12
addison's (ad-aldosterone deficiency to remember) disease- na and k,
hypoglycemia.
remember if there is low/absent na+ in the body, than nothing holds h2o in. thus
, urine output, hypotension +, hypovolumia, dehydration and co.
major function of aldosterone is to keep na+ in & k+ out of the body .
cushings (too much glucocorticoids) syndrome is opposite to addisons.
adrenal hypersecretion of glucocorticoids. na k and ca, hyperglycemia.
when assessing think of the cushion (moon face, buffalo hump, truncal obesity).
pheochromocytoma - HTN is a hallmark.
@ 20 weeks of gestation - fundus is @ umbilicus.