ATIvRNvCapstonevWeeklyvtips
Fundamentals
LaboratoryvValues
Whilevlabvvaluesvvaryvslightlyvaccordingvtovthevsource,vknowingvanvaveragevrangevforvthevfollowingvcom
monvlabvtestsvwillvbevveryvhelpfulvonvtovyouvwhenvansweringvquestions.
Sodiumv136-145vmEq/L
Potassiumv3.5-
5.0vmEq/LvTotalvCalciumv9.0-
10.5vmg/dLvMagnesiumv1.3-
2.1vmg/dL
Phosphorusv3.0v–4.5vmg/dL
BUNv10-20vmg/dL
Creatininev0.6v–v1.2mg/dLvmales,v0.5v–
1.1vmg/dLvfemalesvGlucosev70v-105vmg/dL
v
HgbA1cv<6.5%vWBC5,
000-10,000/mm3
RBCvMenv4.7-6.1vmillion/mm3,vWomenv4.2-
5.4vmillion/mm3vHemoglobinvMenv14-
18g/100vmL,vWomenv12-16vg/100vmLvHematocritvMenv42-
52%,Womenv37-47%
Platelet150,000-
400,000/mm3vpHv7.35-7.45
pC02v35vto45vmmvHgv
p02v80-
100vmmHgvHCO3v21-
26mmol/L
NormalvPTv=v11-12.5vsec,vNormalvINRv=v0.7-1.8v(TherapeuticvINRv2-3)
NormalvPTTv=v30-40vsecv(TherapeuticvPTTv1.5v–v2vxvnormalvorvcontrolvvalues)
Digoxinv0.5vtov2.0ng/mLv
Lithiumv0.8vtov1.4vmEq/L
Dilantinv10-
20vmcg/mLvTheophyllinev10vt
ov20mcg/mL
LatexvAllergies:
Notevthatvclientsvallergicvtovbananas,vapricots,vcherries,vgrapes,vkiwis,vpassionvfruit,vavocados,vchestnu
,ATIvRNvCapstonevWeeklyvtips
ts,vtomatoes,vand/orvpeachesvmayvexperiencevlatexvallergiesvasvwell.
,ATIvRNvCapstonevWeeklyvtips
Ordervofvassessment:
I-
inspectionvP-
palpationvP-
percussion
A-auscultation
ExceptvwithvabdomenvitvisvIAPP-inspect,vauscultate,vpercussvandvpalpate.
Canevwalking:
C-cane
O-
oppositevA-
affectedvL-
leg
Crutchvwalking:
Remembervthevphasev“stepvup”vwhenvpicturingvavpersonvgoingvupvstairsvwithvcrutches.vThevgoodvlegvgo
esvupvfirstvfollowedvbyvthevcrutchesvandvthevbadvleg.vThevoppositevhappensvgoingvdownvthevstairs….O
Rv“upvtovheaven…downvtovhell”
Delegation:
RNsvDOvNOTvdelegatevwhatvtheyvcanvEAT--evaluate,vassess,vteach
HelpfulvtoolvtovremembervIsolationvPrecautions:vAIRBORNE
:v "MyvChickenvHezvTB"
-Measles
-Chickenvpox
-Herpesvzoster
-TB
Management:vneg.vpressurevroom,vprivatevroom,vmask,vn-
95vforvTB.vDROPLET:v"SPIDERMAn"
-Sepsis
-ScarletvFever
, ATIvRNvCapstonevWeeklyvtips
-Strep
-Pertussis
-Pneumonia
-Parvovirus
-Influenza
-Diphtheria
-Epiglottitis
-Rubella
-Mumps
-Adenovirus
Management:vPrivatevroom/mask
CONTACT:v"MRSvWEE"
-MRSA
-VRSA
-RSV
-
Skinvinfectionsv(herpesvzoster,vcutaneousvdiphtheria,vimpetigo,vpediculosis,vscabies,vandvstap
hylococcus)
-Woundvinfections
-Entericvinfectionsv(Clostridiumvdifficile)
-Eyevinfectionsv(conjunctivitis)
Management:vgown,vgloves,vgoggles,vprivatevroom
Testvtakingvtip:vSlowvDown!
Readingvquestionsvtoovquicklyvcanvleadvtoverrors.vWhenvyouvarevtesting,vtryvtovslowvdownvavbitvsovthatvy
ouvdovnotvmissvanyvkeyvwordsv-vBeforeveachvandveveryvquestionvtryvthis:
Takevavdeepvbreathvinvthenvout.vReadvthevstemvofvthevquestion,vreadvthevchoices.vREREADvthevs
temvofvthevquestionvtovmakevsurevtovunderstandvwhatvisvreallyvbeingvaskedv-
thenvmakevyourvselection.vStartvthevprocessvallvovervwithvavdeepvbreathvinvandvout.
Don’tvforgetvtovtakevadvantagevofvyourvfocusedvreviewvfollowingveachvassessment!vReviewingvt
hevtopicsvyouvmissvisvKEYvtovbuildingvupvyourvknowledgevbase.
Fundamentals
LaboratoryvValues
Whilevlabvvaluesvvaryvslightlyvaccordingvtovthevsource,vknowingvanvaveragevrangevforvthevfollowingvcom
monvlabvtestsvwillvbevveryvhelpfulvonvtovyouvwhenvansweringvquestions.
Sodiumv136-145vmEq/L
Potassiumv3.5-
5.0vmEq/LvTotalvCalciumv9.0-
10.5vmg/dLvMagnesiumv1.3-
2.1vmg/dL
Phosphorusv3.0v–4.5vmg/dL
BUNv10-20vmg/dL
Creatininev0.6v–v1.2mg/dLvmales,v0.5v–
1.1vmg/dLvfemalesvGlucosev70v-105vmg/dL
v
HgbA1cv<6.5%vWBC5,
000-10,000/mm3
RBCvMenv4.7-6.1vmillion/mm3,vWomenv4.2-
5.4vmillion/mm3vHemoglobinvMenv14-
18g/100vmL,vWomenv12-16vg/100vmLvHematocritvMenv42-
52%,Womenv37-47%
Platelet150,000-
400,000/mm3vpHv7.35-7.45
pC02v35vto45vmmvHgv
p02v80-
100vmmHgvHCO3v21-
26mmol/L
NormalvPTv=v11-12.5vsec,vNormalvINRv=v0.7-1.8v(TherapeuticvINRv2-3)
NormalvPTTv=v30-40vsecv(TherapeuticvPTTv1.5v–v2vxvnormalvorvcontrolvvalues)
Digoxinv0.5vtov2.0ng/mLv
Lithiumv0.8vtov1.4vmEq/L
Dilantinv10-
20vmcg/mLvTheophyllinev10vt
ov20mcg/mL
LatexvAllergies:
Notevthatvclientsvallergicvtovbananas,vapricots,vcherries,vgrapes,vkiwis,vpassionvfruit,vavocados,vchestnu
,ATIvRNvCapstonevWeeklyvtips
ts,vtomatoes,vand/orvpeachesvmayvexperiencevlatexvallergiesvasvwell.
,ATIvRNvCapstonevWeeklyvtips
Ordervofvassessment:
I-
inspectionvP-
palpationvP-
percussion
A-auscultation
ExceptvwithvabdomenvitvisvIAPP-inspect,vauscultate,vpercussvandvpalpate.
Canevwalking:
C-cane
O-
oppositevA-
affectedvL-
leg
Crutchvwalking:
Remembervthevphasev“stepvup”vwhenvpicturingvavpersonvgoingvupvstairsvwithvcrutches.vThevgoodvlegvgo
esvupvfirstvfollowedvbyvthevcrutchesvandvthevbadvleg.vThevoppositevhappensvgoingvdownvthevstairs….O
Rv“upvtovheaven…downvtovhell”
Delegation:
RNsvDOvNOTvdelegatevwhatvtheyvcanvEAT--evaluate,vassess,vteach
HelpfulvtoolvtovremembervIsolationvPrecautions:vAIRBORNE
:v "MyvChickenvHezvTB"
-Measles
-Chickenvpox
-Herpesvzoster
-TB
Management:vneg.vpressurevroom,vprivatevroom,vmask,vn-
95vforvTB.vDROPLET:v"SPIDERMAn"
-Sepsis
-ScarletvFever
, ATIvRNvCapstonevWeeklyvtips
-Strep
-Pertussis
-Pneumonia
-Parvovirus
-Influenza
-Diphtheria
-Epiglottitis
-Rubella
-Mumps
-Adenovirus
Management:vPrivatevroom/mask
CONTACT:v"MRSvWEE"
-MRSA
-VRSA
-RSV
-
Skinvinfectionsv(herpesvzoster,vcutaneousvdiphtheria,vimpetigo,vpediculosis,vscabies,vandvstap
hylococcus)
-Woundvinfections
-Entericvinfectionsv(Clostridiumvdifficile)
-Eyevinfectionsv(conjunctivitis)
Management:vgown,vgloves,vgoggles,vprivatevroom
Testvtakingvtip:vSlowvDown!
Readingvquestionsvtoovquicklyvcanvleadvtoverrors.vWhenvyouvarevtesting,vtryvtovslowvdownvavbitvsovthatvy
ouvdovnotvmissvanyvkeyvwordsv-vBeforeveachvandveveryvquestionvtryvthis:
Takevavdeepvbreathvinvthenvout.vReadvthevstemvofvthevquestion,vreadvthevchoices.vREREADvthevs
temvofvthevquestionvtovmakevsurevtovunderstandvwhatvisvreallyvbeingvaskedv-
thenvmakevyourvselection.vStartvthevprocessvallvovervwithvavdeepvbreathvinvandvout.
Don’tvforgetvtovtakevadvantagevofvyourvfocusedvreviewvfollowingveachvassessment!vReviewingvt
hevtopicsvyouvmissvisvKEYvtovbuildingvupvyourvknowledgevbase.