HESI Exit Exam
Labs:
Normal iValues:
HgB: - Males:
• 14-18
- Female:
• 12-16
Hct: - Males:
• 42-52
- Female:
• 37-47
RBC’s: - Males:
• 4.7-6.1 imillion
- Female:
• 4.2-5.4 imillion
WBC’s: - 4.5-11k
Platelets: - 150-400k
PT: - 11-12.5 iseconds
INR: - 1.5-2.5 itimes inormal
APTT: - 60-70 iseconds
BUN: - 10-20
Creatinine: - 0.5-1.2
Glucose: - 70-110
Cholesterol: - <200
Bilirubin iNewborn: - 1-12
Phenylalanine: - Newborn: i<2
- Adult: i<6
Na: - 135-145
K: - 3.5-5.0
- Hypokalemia:
• Prominent iU iwaves
• Depressed iST isegment
• Flat iT iwaves
- Hyperkalemia:
• Tall iT-Waves
• Prolonged iPR iinterval
• Wide iQRS
, HESI Exit Exam
Ca: - 9-10.5
- Hypocalcemia:
• Muscle ispasms
• Convulsions
• Cramps/tetany
• Trousseau’s
+ iChvostek’s
• Prolonged iST iinterval
• Prolonged iQT isegment
Mg: - 1.5-2.5
Cl: - 96-106
Phosphate: - 3-4.5
Albumin: - 3.5-5
Specific iGravity: - 1.003-1.030
A1c: - 4-6% iis iideal
- <7.5= iOK
- This itells iyou iaverage iblood iglucose iover i120 idays
Dilantin: - 10-20
Lithium: - 0.5-1.5
ABGs: - Used iin iacidosis iv ialkalosis
- PH:
• 7.35-7.45
- CO2:
• 35-45 i iRespiratory iDriver
- HCO3:
• 21-28 i iMetabolic iDriver
- O2:
• 80-100
- O2 iSTAT:
• 95-100%
, HESI Exit Exam
Antidotes
Antidotes:
1. Digoxin i iDigibond
2. Coumadin i iVitamin iK i( iKeep iPT iand iINR i@ i1-1.5 iX
iNormal)
3. Benzodiazepines i iFlumazenil i(Romazicon)
4. Magnesium iSulfate i iCalcium iGluconate
5. Heparin i iProtamine iSulfate i(Keep iAPTT iand iPTT i@
i1.5-2.5 iX iNormal)
6. Tylenol i iMucomyst i(17 idoses i+ iLoading iDose)
7. Opiates i(Narcotic ianalgesics, iheroin, imorphine) i
Narcan i(Naloxone)
8. Cholinergic iMeds i(Myasthenic iBradycardia) i
atropine
9. Methotrexate i iLeucovorin
Delegation:
Delegation:
RN iOnly: - Blood iProducts i i2 iRN’s iMust iCheck
- Clotting iFactors
- Sterile iDressing ichanges iand iprocedures
- Assessment ithat irequire iclinical ijudgment
- Ultimately iresponsible ifor iall idelegated iduties
UAP: - Non-sterile iprocedures
Labs:
Normal iValues:
HgB: - Males:
• 14-18
- Female:
• 12-16
Hct: - Males:
• 42-52
- Female:
• 37-47
RBC’s: - Males:
• 4.7-6.1 imillion
- Female:
• 4.2-5.4 imillion
WBC’s: - 4.5-11k
Platelets: - 150-400k
PT: - 11-12.5 iseconds
INR: - 1.5-2.5 itimes inormal
APTT: - 60-70 iseconds
BUN: - 10-20
Creatinine: - 0.5-1.2
Glucose: - 70-110
Cholesterol: - <200
Bilirubin iNewborn: - 1-12
Phenylalanine: - Newborn: i<2
- Adult: i<6
Na: - 135-145
K: - 3.5-5.0
- Hypokalemia:
• Prominent iU iwaves
• Depressed iST isegment
• Flat iT iwaves
- Hyperkalemia:
• Tall iT-Waves
• Prolonged iPR iinterval
• Wide iQRS
, HESI Exit Exam
Ca: - 9-10.5
- Hypocalcemia:
• Muscle ispasms
• Convulsions
• Cramps/tetany
• Trousseau’s
+ iChvostek’s
• Prolonged iST iinterval
• Prolonged iQT isegment
Mg: - 1.5-2.5
Cl: - 96-106
Phosphate: - 3-4.5
Albumin: - 3.5-5
Specific iGravity: - 1.003-1.030
A1c: - 4-6% iis iideal
- <7.5= iOK
- This itells iyou iaverage iblood iglucose iover i120 idays
Dilantin: - 10-20
Lithium: - 0.5-1.5
ABGs: - Used iin iacidosis iv ialkalosis
- PH:
• 7.35-7.45
- CO2:
• 35-45 i iRespiratory iDriver
- HCO3:
• 21-28 i iMetabolic iDriver
- O2:
• 80-100
- O2 iSTAT:
• 95-100%
, HESI Exit Exam
Antidotes
Antidotes:
1. Digoxin i iDigibond
2. Coumadin i iVitamin iK i( iKeep iPT iand iINR i@ i1-1.5 iX
iNormal)
3. Benzodiazepines i iFlumazenil i(Romazicon)
4. Magnesium iSulfate i iCalcium iGluconate
5. Heparin i iProtamine iSulfate i(Keep iAPTT iand iPTT i@
i1.5-2.5 iX iNormal)
6. Tylenol i iMucomyst i(17 idoses i+ iLoading iDose)
7. Opiates i(Narcotic ianalgesics, iheroin, imorphine) i
Narcan i(Naloxone)
8. Cholinergic iMeds i(Myasthenic iBradycardia) i
atropine
9. Methotrexate i iLeucovorin
Delegation:
Delegation:
RN iOnly: - Blood iProducts i i2 iRN’s iMust iCheck
- Clotting iFactors
- Sterile iDressing ichanges iand iprocedures
- Assessment ithat irequire iclinical ijudgment
- Ultimately iresponsible ifor iall idelegated iduties
UAP: - Non-sterile iprocedures
