ATI PN Comp Predictor Review

BUN levels - 10-20 WBC levels - 5,000-10,000 Serum creatinine levels - males 0.6-1.2; females 0.5-1.1 Therapeutic digoxin levels - 0.8-2.0 HbA1c levels - 4%-6% Fasting glucose levels - 70-105 HDL levels - males 35-65; females 35-85 Total serum cholesterol levels - less than 200 LDL levels - less than 130 ABG values [pH, PCO2, HCO3] - pH 7.35-7.45 PCO2 35-45 HCO3 21-28 Phosphorus levels - 3-4.5 Platelet levels - 150,000-400,000 aPTT levels; therapeutic level? - 30-40 seconds; therapeutic is 1.5 to 2 times the normal INR levels - 0.7-1.8 Therapeutic level for INR with anticoagulant therapy - 2-3 PT levels; therapeutic level? - 11-12.5 seconds; therapeutic is 1.5 to 2 times the normal Chloride levels - 98-106 Calcium levels - 9-10.5 Diseases that require airborne precautions - measles, TB, herpes zoster and varicella Heparin antidote - protamine sulfate Coumadin antidote - vitamin k Digoxin antidote - digibind Alcohol withdrawal antidote - librium (chlordiazepoxide) Potassium levels - 3.5-5 Sodium levels - 136-145 Magnesium sulfate antidote - calcium gluconate Magnesium levels - 1.3-2.1 Diseases for droplet precautions [SPIDERMAN] – S - scarlet fever; sepsis P - pneumonia; pertussis I - influenza D - diphtheria E - epiglottitis R - rubella M - mumps; meningitis AN - adenovirus Risk factors of metabolic alkalosis - ingestion of antacids; GI suction; hypokalemia; blood transfusion; prolonged vomiting; total parenteral nutrition A cause of metabolic acidosis - diarrhea [acidosis - from the ass]; fever; hypoxia; starvation; seizure; kidney failure; diabetic ketoacidosis; dehydration Hemoglobin levels - males 14-18; females 12-16 Hematocrit levels - males 42%-52%; females 37%-47% ESR levels - less than 20 Glucose levels [urinalysis] - less than 0.5g/day Specific gravity [urinalysis] - 1.005-1.025 Therapeutic lithium levels - 0.4-1.4 1mg = _mcg - 1,000 1g = _mg - 1,000 1kg = _g - 1,000 1kg = _lb - 2.2 30mL = _oz - 1 1L = _mL - 1,000 5mL = _tsp - 1 15mL = _tbsp - 1 1tbsp = _tsp - 3 Common suffix for ACE inhibitors - -pril Common suffix for anesthetics - -caine Common suffix for beta blockers - -olol Common suffix for bronchodilators - -phylline Common suffix for anticoagulants - -arin Common suffix for calcium channel blockers - -dipine Common suffix for benzodiazephines - -pam; -lam Common suffix for PPIs - -prazole Common suffix for SSRIs - -pram; -ine Common suffix for antibiotic - -floxacin; -mycin Common suffix for thrombolytics - -ase Common side effect with ACE inhibitors - persistent, non-productive cough; angioedema Position of cane walking - cane opposite affected leg [COAL] Don't give Metformin when ... - someone is having procedures with contrast dye; can cause acute renal failures Diseases for contact precautions [Mrs. Wee] - M - multidrug resistant organism R - respiratory infections S - skin infections W -wound infections E - E - eye infection; conjuctivitis Do not delegate to AP - assessment, teaching, medication, evaluation, and unstable patients Immediate treatment for MI [MONA] - M - morphine O - oxygen N - nitroglycerin A - aspirin Bleeding precautions [RANDI] - R - razor (electric) A - aspirin (NO!) N - needles (small gauge) D - decrease needle sticks I - injury (protect from) Stomach pain in upper right quadret - gallstones, stomach ulcers, pancreatitis Stomach pain in upper left quadret - stomach ulcer, duodenal ulcer, biliary colic, pancreatitis Stomach pain in lower right quadret - appendicitis, constipation, pelvic pain, groin pain (inguinal hernia) Stomach pain in lower left quadret - diverticular disease, pelvic pain, groin pain Stomach pain in upper middle quadret - stomach ulcer, heartburn/indigestion, pancreatitis gallstones, epigastric hernia Lab values for renal failure - low magnesium and high creatine -tomy - the surgeon cut something -ectomy - the surgeon cut something out -ostomy - the surgeon made an opening -plasty - the surgeon changes the shape of something -pexy - the surgeon moved the organ to the right place -rraphy - the surgen sewed something up -desis - the surgeon made two things stick together Vaccinations contraindicated in pregnant women - smallpox, measles, mumps, rubella, varicella Don't give what food with MAOIs - tyramine (chocolate, alcohol, and fermented foods like cheese) NEVER give _ in IV push - potassium Do not give _ at bedtime - tetracycline; don't let them lie down b/c it might cause gastric reflux S/S of LSHF - cyanosis, tachycardia, orthopnea, pulmonary congestion (cough, crackles, wheezes, blood-tinged sputum, tachypnea) restlessness, paroxysmal nocturnal dyspnea S/S of RSHF - edema, weight gain, ascites, distended jugular veins, fatigue, anorexia Risk factors of respiratory acidosis - respiratory depression; pneumothorax; airway obstruction; inadequate ventilation Risk factors of repiratory alkalosis - hyperventilation; hypoxemia; altitude sickeness; asphyxiation; asthma; pneumonia Response for fire [RACE] - R - rescue A - alarm C - contain E - extinguish How often to remove restraints and check on client - every 2 hours Characteristics that increase risk for falls - older age, cognitive/sensory impairment, impaired mobility, bowel and bladder dysfunction, side effects of medications, and history of falls Equipment at client's bedside for seizure precautions - oxygen, oral airway, and suction equipment Description of semi-fowlers - head of bed elevated at 30 degrees Description of fowlers - head of bed elevated to 45 degrees Description of high-fowlers - head of bed elevated to 90 degrees Description of supine - lying on back, head, and shoulders Description of prone - lying on abdomen, legs extended, and head turned to side Description of lithotomy - lying on the back with hips and knees flexed at righ angles and feet in stirrups Description of sims - lying on left side with most of the body weight borne by the anterior aspect of the ilium, humerus, and clavicle (client is unconscious or receiving enema) If patient isn't voiding, don't give ... - potassium Manifestations of hypokalemia (low potassium) - muscle weakness, cramping, nausea, vomiting, decreased bowel motility, dysrhythmias, irritability