DO NOT delegate what you can...EAT (Acronym)
Evaluate, Assess, Teach
UAP's can not be delegated:
EAT, meds, and unstable patients
LPNs
... [Show More] cannot be delegated:
Anything related with blood.
1 oz = ? mL
30 mL
MAP formula
SBP+2(DBP)/3
Normal level for CVP
2 - 8 mmhg
Increased CVP can indicate
Right ventricular failure or fluid volume excess
Order of assessment
1) Inspection
2) Palpation
3) Percussion
4) Auscultation (except with the abdomen, this is #2)
Blood type O
- Can receive from O
- Can donate to O, A, B, AB,
Blood Type A
Antigen-A; Antibody-Anti B; Can receive from A or O; Can donate to A or AB
Blood type B
- Receive from B and O
- Can donate to B and AB
Blood Type AB
- Can donate to O, A, B, AB
- Can receive from AB
buck's traction
knee immobility
russell's traction
a sling is positioned under the knee which suspends the distal thigh above the bed (femur or lower leg)
dunlap traction
skeletal or skin
bryant's traction
children <3 y <35 lbs with femur fx
Infant's development: 2-3 months
Turns head side to side
Infant's development: 4-5 months
Grasps, switch & roll
Infant's development: 6-7 months
Sit at 6, waves bye-bue
Infant's development: 8-9 months
Stands straight at 8
Infant's development: 10-11 months
Belly to butt (phrase has 11 letters)
Infant's development: 12-13 months
Twelve and up, drink from a cup
Erikson's Stage: Infancy (0-18m)
Trust vs. Mistrust
Development of trust based on caregivers
Erikson's Stage: Early childhood (18m-3yrs)
Autonomy vs. Shame & doubt
Development of sense of
personal control
Preschool (3-5yrs)
Initiative vs. Guilt
Development of sense of
purpose and directive
School age (6- 11yrs)
Industry vs. Inferiority
Development of pride in accomplishments
Erikson's Stage: Adolescence (12-18yrs)
Identity vs. Role confusion
Exploration of independence and development of self
Erikson's Stage: Early adulthood (18- 40yrs)
Intimacy vs. Isolation
Development of personal relationships and love
Erikson's Stage: Adulthood (40- 65yrs)
Generativity vs. Stagnation
Fulfilling goals and building career and family
Erikson's Stage: Older adult (>65yrs)
Integrity vs. Despair
Looking back on life with acceptance
Parkland formula:
4ml/kg/%body burned
How should you administer the fluids when utilizing the Parkland formula?
- 1st 8h: 1⁄2 total volume - 2nd/ 8h: 1⁄4 total volume - 3rd 8h: 1⁄4 total volume
What does it control? Cranial Nerve I Olfactory
Smell test
What does it control? II Optic
Visual acuity and visual fields
What does it control? III Oculomotor
Pupil constriction and extraocular movements
What does it control? IV Trochlear
Extraocular movements: inferior adduction
What does it control? V Trigeminal
Clench teeth and light touch
What does it control? VI Abducens
Extraocular movements: lateral abduction
What does it control? VII Facial
Facial movement: close eyes, smile
What does it control? VIII Auditory
Hearing and Romberg test
What does it control? IX Glossopharyngeal
Gag reflex
What does it control? X Vagus
Say "ah" - uvular and palate movement
What does it control? XI Accessory
Turn head and lift shoulders to resistance
What does it control? XII Hypoglossal
Stick out tongue
Don PPE Order
1. Hand hygiene 2. Gown
3. Mask
4. Goggles 5. Gloves
Remove PPE Order
1. Gloves 2. Goggles 3. Gown 4. Mask 5. Hand hygiene
Hepatitis transmission:
Consonants (B, C, D):
- Blood and body fluids. Vowals (A, E):
- Fecal and oral.
Airborne: MTV
Measles
TB
Varicella (Chicken Pox/Herpes Zoster-Shingles)
Droplet: SPIDERMAN
Sepsis
Scarlet fever
Streptococcal pharyngitis
Parvovirus B19
Pneumonia
Pertussis
Influenza
Diphtheria (pharyngeal)
Epiglottitis
Rubella
Mumps
Meningitis
Mycoplasma or meningeal pneumonia A(n)denovirus
Contact: MRS.WEE
Multidrug resistant organisms Respiratory infection
Skin infections (*VCHIPS) Wound infection
Enteric infection (C. difficile) Eye infection (conjunctivitis)
Skin Infections Precautions
Varicella zoster
Cutaneous diphtheria
Herpes simplex
Impetigo
Pediculosis
Scabies
BUN Lab Values
5-20 mg/dL
Creatinine Lab Values
0.6-1.3 mg/dL
Total cholesterol Lab Values
140-199 mg/dL
HDL Lab Values
30-70 mg/dL
LDL Lab Values
<130 mg/dL
Albumin Lab Values
3.4-5 g/dL
Alanine aminotransferase (ALT): Lab Values
10-40 units/L
Aspartate aminotransferase (AST) Lab Values
10-30 units/L
Total Bilirubin Lab Values
<1.5 mg/dL
Hemoglobin A1c: Lab Values
4%-5.9%: nondiabetic
<7%: good diabetic control 7% to 8%: fair diabetic control
>8%: poor diabetic control
Hemoglobin Lab Values
Female: 12-15 g/dL
Male: 14-16.5 g/dL
Hematocrit Lab Values
Female: 35%-47%
Male: 42%-52%
Platelets Lab Values
150,000-400,000 cells/mm3
aPTT Lab Values
20-36 sec, depending on testing method
Therapeutic (Heparin): 46-70 seconds
Prothrombin time (PT) Lab Values
9.5-11.8 sec
- International Normalized Ratio (INR): Lab Values
2-3: standard warfarin therapy
3-4.5: high-dose warfarin therapy
Erythrocytes (RBC) Lab Values
4.5-5.0 million/L
Leucocytes (WBC) Lab Values
4,500-11,000 cells/mm3 (Neutropenia <1000/mm3 / Severe neutropenia: <500/mm3)
Potassium: Lab Values
3.5-5.0 mEq/L
Sodium Lab Values
135-145 mEq/L
Chloride Lab Values
98-107 mEq/L
Phosphate Lab Values
2.5-4.5 mg/dL
Magnesium Lab Values
1.6-2.6 mg/dL
Phosphorus: Lab Values
2.7-4.5 mg/dL
Calcium Lab Values
8.6-10 mg/dL
Digoxin Lab Values
0.8—2.0 ng/ml [Show Less]