lOMoARcPSD|24583610 Nursing bundle - ,,, Capstone (Brookline College) Scan to open on Studocu Studocu is not sponsored or endorsed by any college or university Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 FREE NURSING BUNDLE nursebossstore.com nursebossstore ww.pinterest.com/nursebossstore nursebossessentials Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 nursebossstore.com The Nursing Mega Bundle Over 650 pages of nursing study guides click here nursebossstore.com nursebossstore ww.pinterest.com/nursebossstore nursebossessentials DISCLAIMER Do not attempt to sell, copy or redistribute this material as Fiskvik Boahemaa Antwi is the sole owner of this material. Kindly note that you cannot share or reproduce this item. All study guides are protected by the copyright law. Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 This is just a FREE STUDY GUIDE. Imagine the VALUE that you will receive when you invest in our 600-paged NURSING MEGA BUNDLE! CLICK HERE PDF-DIGITAL ONLY Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 TABLE OF CONTENT The Table of Content is CLICKABLE! Anatomy and Physiology Medical Surgical Nursing Hallmark Signs and Symptoms Nutrition EKGs Pharmacology Nursing Assessment Maternity Lab Values Nursing Fun Facts Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 ANATOMY AND PHYSIOLOGY MADE EASY DOWNLOAD THE FULL ANATOMY GUIDE IN THE BUNDLE Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) aNATOMY Body System & pHYSIOLOGY & function lOMoARcPSD|24583610 nursebossstore.com Musculoskeletal: Mechanical support, posture and locomotion TISSUE TYPE CONNECTIVE NERVOUS EPITHELIAL MUSCLE Or ga niz at ion of t he bo dy TISSUE TYPE Smooth muscle cells Cardiovascular: Transportation of oxygen, nutrients and hormones throughout the body and elimination of cellular metabolic waste Respiratory: Exchange of oxygen and carbon-dioxide between the body and air, acid-base balance regulation. Nervous: Initiation and regulation of vital body functions, sensation. Digestive: Breaks down food to be absorbed as nutrients Cardiac muscle cells Urinary: Filters and removes waste from the blood, maintains fluid and electrolyte balance Endocrine: secretion of hormones Skeletal muscle cells CardiaC definitions 1. Cardiac Output: amount of blood pumped per minute. (Formula: SV*heart rate= CO) 2. Cardiac cycle: a heartbeat, complete series of systolic and diastolic events. 3. Blood pressure: the force that blood exerts against the inner walls of blood vessels. 4. Systolic bp: maximum pressure during ventricular contraction 5. Diastolic bp: minimum arterial pressure during ventricular relaxation. Lymphatic: Draining of excess tissue fluid, immune defense of the body. Reproductive: Production of reproductive cells, reproduction process. Integumentary: Physical protection of the body surface, sensory reception. Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 nursebossstore.com Introduction Introduction Anatomy: the structure (example: the lungs, bronchi and alveoli) Physiology: the function (gaseous exchange) Organization of the body The human body is organized starting with the cell to human organism. Atoms Molecules Organelles Organs Tissues Cells Organ System Human Organism Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 CARDIOVASCULAR nursebossstore.com Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 MEDSURG DISORDERS MADE EASY DOWNLOAD THE FULL MEDSURG GUIDE IN THE BUNDLE Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) Treatment Signs & Symptoms Causes Nursing Assessment Pathophysiology Expected Findings Nursing Interventions Diagnostic Test nursebossstore.com lOMoARcPSD|24583610 Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) Treatment Signs & Symptoms Causes Nursing Assessment Pathophysiology Expected Findings Nursing Interventions Diagnostic Test nursebossstore.com lOMoARcPSD|24583610 Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) Treatment Signs & Symptoms Causes Nursing Assessment Pathophysiology Expected Findings Nursing Interventions Diagnostic Test nursebossstore.com lOMoARcPSD|24583610 Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) Treatment Signs & Symptoms Causes Nursing Assessment Pathophysiology Expected Findings Nursing Interventions Diagnostic Test nursebossstore.com lOMoARcPSD|24583610 Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) Treatment Signs & Symptoms Causes Nursing Assessment Pathophysiology Expected Findings Nursing Interventions Diagnostic Test nursebossstore.com lOMoARcPSD|24583610 Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) Treatment Signs & Symptoms Causes Nursing Assessment Pathophysiology Expected Findings Nursing Interventions Diagnostic Test nursebossstore.com lOMoARcPSD|24583610 Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 nursebossstore.com CARDIOVASCULAR DISORDERS Coronary Artery Narrowing or occlusion of the coronary arteries due to atherosclerosis. Disease Angina Chest pain due to decreased myocardial oxygenation. Myocardial Infarction Myocardial tissue damage as a result of oxygen deprivation Heart failure The inability of the heart muscle to pump enough blood to meet the metabolic demands of the body. Cardiogenic Shock Decreased cardiac output and decreased tissue perfusion. Pericarditis Pericarditis is an infection of the pericardium. Endocarditis Inflammation and infection of the endocardium Myocarditis Myocarditis is the inflammation of the heart muscles (myocardium). Cardiac Tamponade Cardiac tamponade decreases ventricular filling and cardiac output. Due to pericardial effusion. Aortic Aneurysm Aortic aneurysm is an enlargement/dilation of the aorta. Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 nursebossstore.com RESPIRATORY DISORDERS asthma Smooth muscle constriction of the bronchi. COPD- Chronic Bronchitis Overproduction of mucus due to inflammatory response. COPDEMPHYSEMA Progressive respiratory disease characterized by the enlargement of the alveolar. PLEURAL EFFUSION Accumulation of fluid in the pleural space. HEMOTHORAX Accumulation of blood in the pleural cavity. PNEUMOTHORAX Air leaks into pleural space. Causes impaired lung expansion. PNEUMONIA Inflammation of the pulmonary tissue caused by bacteria, fungi and viruses pancreatic disorders Pancreatitis Inflammation of the pancreas. Digestive enzymes starts digesting the pancreas. Cholecystitis Inflammation of the gallbladder. Cholelithiasis Most of cholelithiasis is caused by cholesterol gallstones. Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 nursebossstore.com GASTROINTESTINAL DISORDERS Hiatal Hernia Hiatal hernia occurs when a portion of the stomach herniates through the diaphragm and into the thorax. GERD A digestive disorder that occurs due to the backflow of gastric content. Gastritis Gastritis is the inflammation of the gastric mucosa. Appendicitis Inflammation of the vermiform appendix. Peptic Ulcer Disease Ulceration that erodes the gastric or duodenal mucosa. Ulcerative Colitis Characterized by the ulceration and inflammation of the colon and rectum. Causes poor nutrient absorption. Crohns Disease Inflammation in the gastrointestinal tract hepatic disorders Cirrhosis Cirrhosis is a chronic progressive disease of the liver characterized by fibrosis Portal Hypertension Increased pressure in the portal veins due to obstruction of the portal blood flow. Esophageal Varices Increased pressure from the portal vein causes blood to flow into smaller veins in the esophagus. Smaller veins may rupture. Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 nursebossstore.com Genitourinary DISORDERS Acute Kidney Injury Renal cell damage characterized by a sudden deterioration in kidney function. chronic kidney disease Slow, progressive and irreversible loss of kidney function.(GFR <60mL/min). Glomeruloneph ritis A group of renal diseases caused by immunologic response that triggers the inflammation of the glomerular tissue. Nephrotic Syndrome Nephrotic syndrome is characterized by proteinuria, leading to low protein levels in the blood (hypoproteinemia). Renal Calculi Renal calculi is also known as kidney stones. Urinary Tract Infection UTI is the infection/inflammation of any part of the urinary system. Pyelonephritis Inflammation of the renal pelvis caused by bacterial infection. neurological DISORDERS Head Injury Trauma to the skull that causes brain damage. Stroke Stroke is the loss of neurological functions due to the lack of blood flow to the brain. Seizures Seizures is characterized by a sudden, uncontrolled electrical disturbance in the brain. Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 coronary artery disease nursebossstore.com pathophysiology CAD is caused by atherosclerosis (plaque formation) that results in the narrowing or occlusion of one or more coronary arteries. Risk factor 1. Age, Gender 2. Family hx, HTN 3. High blood cholesterol level, 4. Diabetes, 5. Smoking, 6. Obesity nursing interventions 1. Pain assessment, vital signs/ECG 2. Administer oxygen 3. Administer medications 4. Promote bed rest 5. Place client in a Semi-Fowler's position. Patient Education 1. Lifestyle modifications 2. Low-sodium and low-cholesterol diet. 3. Stress management signs & symptoms 1. Chest pain 2. Dyspnea/SOB 3. Fatigue 4. Dizziness 5. Syncope 6. Cough 7. Normal findings during asymptomatic period diagnostic tests Electrocardiography -ST segment elevation, t-wave inversion and abnormal Q wave(MI) 2. Cardiac catheterization -may show atherosclerotic lesions. 3. Blood lipids level would be elevated. Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 Anatomy Physiology PATHOPHYSIOLOGY 1.Cardiac contractility: force and velocity of contraction 2.Cardiac Output: the amount of blood pumped by the ventricles per minute. 3.Stroke volume: the volume of blood discharged from the ventricle with every contraction 4.Preload: ventricular stretch at the end of diastole. 5.Afterload: the 'load' to which the heart must pump against. 1.Heart failure (HF) occurs when the heart is unable to pump enough blood to meet the body's demands. 2.Heart failure can affect the left or right side of the heart (left and right HF) 3.Left sided heart failure is evident in the pulmonary system. Remember: Left = Lungs 4.Right sided heart failure is evident in the systemic system Note: in order to understand the signs and symptoms based on left sided and right sided heart failure, you need to understand the flow of blood through the heart and body. RISK FACTORS 1.CAD 2.MI 3.Myocarditis/Endocarditis 4.Diabetes 5.Hypertension 6.Abnormal heart valves 7.Cardiomyopathy 8.Congenital heart disease SIGNS/SYMPTOMS Right-sided HF Edema of the extremities, abdominal distention, JVD, splenomegaly, hepatomegaly, weight gain Left-sided HF Dyspnea, crackles, tachypnea, pulmonary congestion, dry cough nursebossstore.com Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 nursebossstore.com pericarditis Anatomy Physiology The pericardium can be divided into: The parietal pericardium is the outer membrane. The visceral pericardium is the inner membrane. Major functions of the pericardium: 1. Protects the heart 2. Lubricates to reduce friction (The pericardial sac contains 5-20ml of pericardial fluid) PATHOPHYSIOLOGY 1. Pericarditis is the inflammation of the pericardium (mostly with fluid accumulation) 2. Acute pericarditis: inflammation of the pericardium+ a pericardial effusion. Symptoms develops quickly. 3. Subacute pericarditis: within weeks to months 4. Chronic pericarditis: pericarditis >6 months 5. Pericardial effusion z: fluid accumulation in the pericardium. 6. Complication: cardiac tamponade RISK FACTORS 1. MI 2. Autoimmune diseases 3. Injury 4. Heart surgery 5. Bacterial, viral and fungal infections SIGNS/SYMPTOMS Pain Pain that radiates to the left side of neck, shoulders and back Pain experienced during inspiration Pain experienced when in a supine position Fever Fatigue Pericardial friction rub (during auscultation) Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 nursebossstore.com angina Anatomy Physiology LAYERS OF THE HEART Epicardium: outermost layer of the heart Myocardium: middle layer of the heart Endocardium: innermost layer of the heart The myocardium is also known as the heart muscle. It is responsible for the involuntary contractions and relaxation of the heart. PATHOPHYSIOLOGY 1. Angina is characterized by chest pain due to the imbalance of myocardial oxygen demand and oxygen supply by the coronary arteries. 2. Types of Angina: a. Stable angina-occurs due to physical exertion. It has a regular pattern. Pain relieved by rest. b. Unstable angina- unexpected chest pain that increases in severity, duration and occurrence (may occur at rest). c. Variant angina- occurs due to coronary artery spasm. Occurs at rest. d. Intractable angina- chronic (recurrent angina) e. Preinfarction angina- occurs before an MI RISK FACTORS 1. Family history of heart disease 2. Hypertension 3. High blood cholesterol 4. Diabetes 5. Smoking 6. Obesity SIGNS/SYMPTOMS 1. Pain 2. Dyspnea/SOB 3. Tachycardia 4. Palpitations 5. Dizziness 6. Syncope 7. Diaphoresis (Sweating) 8. Pallor 9. Elevated BP Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 nursebossstore.com Myocardial Infarction Anatomy Physiology LAYERS OF THE HEART Epicardium: outermost layer of the heart Myocardium: middle layer of the heart Endocardium: innermost layer of the heart The myocardium is also known as the heart muscle. It is responsible for the involuntary contractions and relaxation of the heart. PATHOPHYSIOLOGY 1. A prolonged and severe imbalance between myocardial oxygen supply and demand causes myocardial infarction. 2. Myocardial infarction is mostly caused by coronary atherosclerosis. 3. Acute MI + unstable angina = acute coronary syndrome. 4. Acute MI can be non ST segment elevation myocardial infarction (NSTEMI) or ST segment elevation myocardial infarction (STEMI). RISK FACTORS 1. CAD 2. Atherosclerosis 3. High cholesterol level 4. Diabetes 5. Hypertension 6. Smoking 7. Stress SIGNS/SYMPTOMS 1. Pain- crushing substernal pain that radiates to the left arm, jaw or back. 2. Dyspnea 3. Dysrhythmias 4. Pallor 5. Cyanosis 6. Diaphoresis 7. Anxiety Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 asthma nursebossstore.com pathophysiology Chronic inflammatory disease of the airway. Inflammation and hypersensitivity to a trigger (stimuli). Smooth muscle constriction of the bronchi. Intermittent airflow obstruction. Risk factor Allergies Stress Hormonal changes signs & symptoms Chest tightness Wheezing Shortness of breath Cough Restlessness nursing interventions Assess patient's respiratory rate, depth and pattern Monitor pulse ox Monitor vital signs Maintain patent airway Administer O2 therapy as prescribed Administer medications as ordered. Patient Education Medication regimen. Identify and avoid triggers. Long term management. diagnostic tests ABGs Pulmonary function tests Peak expiratory flow Spirometry Allergy test Pulse oximetry CBC Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 gerd nursebossstore.com pathophysiology A digestive disorder that occurs due to the backflow of gastric content. Impaired or dysfunctional lower esophageal sphincter (LES) causes regurgitation of stomach content into the esophagus. Risk factor Hiatal Hernia Pregnancy Pyloric surgery Smoking Obesity Alcohol Fatty foods nursing interventions Assess pain Elevate head of bed (HOB) Avoid eating 2 to 3 hours before bedtime Avoid lying down after eating Administer medications as ordered Patient Education Avoid alcohol, fatty foods, caffeine, tobacco, and other irritants Avoid eating 2 to 3 hours before bedtime Avoid lying down after eating Avoid NSAIDS and anticholinergics Maintain healthy body weight (exercise) signs & symptoms Heart burn Dysphagia Regurgitation Epigastric pain Dyspepsia (indigestion) diagnostic tests Upper endoscopy Esophageal pH studies Barium swallow (esophagram) Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 STROKE nursebossstore.com pathophysiology Stroke is the loss of neurological functions due to the lack of blood flow to the brain. Types Ischemic Stroke, Hemorrhagic Stroke, Transient Ischemic Attack Risk factor TIA Hypertension Smoking Atherosclerosis Diabetes High cholesterol nursing interventions Maintain patent airway Administer 02 Administer tPA Monitor VS-maintain BP @ 150/100 Monitor LOC Monitor for signs of increase ICP Elevate HOB Administer IV fluids Insert Foley's catheter Prevention of DVT Assist with self care and ADLs signs & symptoms Drooping of face One sided weakness Slurred speech Blurred vision Agnosia High BP Unilateral neglect Apraxia diagnostic tests CT scan MRI Electroencephalography Carotid ultrasound Cerebral arteriography Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 hallmark signs and symptoms Website: nursebossstore.com Instagram: nursebossessentials nursebossstore.com nursebossstore ww.pinterest.com/nursebossstore nursebossessentials Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 signs and symptoms disorderS myocardial infarction: signs and symptoms pain- crushing substernal pain that radiates to the left arm, jaw or back. Angina: crushing pain (relieved by NTG) Cardiac Tamponade: Deep Vein Thrombosis: beck's triad homan's sign (dorsiflexon sign test) nursebossstore.com Cardiovascular system example: signs and symptoms disorderS Emphysema: barrel chest Pneumothorax: Pneumonia: Pulmonary Tuberculosis: signs and symptoms absent breath sounds on affected side rust-colored sputum low grade afternoon fever. nursebossstore.com respiratory system Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 signs and symptoms disorderS signs and symptoms rovsign sign and localized pain in RLQ-McBurney's point Appendicitis: Gastroesophageal Reflux Disease: heart burn. Pancreatitis: cullen’s sign nursebossstore.com GASTROINTESTINAL system signs and symptoms disorder goiter + bulging eyes Graves Disease: Cushings Syndrome: moon face + buffalo hump Acromegaly: large hands and feet + husky-sounding voice Diabetes mellitus: DKA: signs and symptoms polyuria, polydipsia, polyphagia kussmaul's respiration ENDOCRINE system Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) nursebossstore.com lOMoARcPSD|24583610 signs and symptoms disorder signs and symptoms Addison’s disease: bronzelike skin pigmentation. Myasthenia Gravis: ptosis Guillain-Barre Syndrome: ascending muscles weakness. DKA: nursebossstore.com ENDOCRINE system example: signs and symptoms signs and symptoms disorder Meningitis: positive kernig's and brudzinski's sign Parkinsons: tremor described as pin-rolling increased icp: cushing's triad sle: butterfly rash Kawasaki Syndrome: strawberry tongue. nursebossstore.com neurological system and others Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 example: signs and symptoms nursebossstore.com disorderS signs and symptoms Gestational Hypertension: high Bp after 20 weeks gestation with no proteinuria Preeclampsia: hypertension + proteinuria after 20 weeks gestation Placenta Previa: painless bright red bleeding Abruptio Placenta: bleeding: dark red MATERNITY DISORDERS example: signs and symptoms ecg description atrial flutter P wave: sawtooth atrial fibrillation: Ventricular TACHYCARDIA fibrillatory waves before QRS complex. mountain peaks sinus bradycardia rate: less than 60 beats/min sinus TACHYCARDIA rate: >100 beats/min ecg/ekg nursebossstore.com Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 example: signs and symptoms disorderS signs and symptoms Cystic Fibrosis: high Na + Cl in sweat (skin) Hypertrophic pyloric stenosis: projectile vomiting + Olive-shaped mass Intussusception: mass (sausage-shaped). Epiglottitis: drooling, tripod position pediatric DISORDERS nursebossstore.com example: signs and symptoms disorderS signs and symptoms Hirschsprungs Disease: ribbon-like stool Tetralogy of Fallot: cyanosis especially during feeding Scarlet fever: strawberry tongue, fine red rash feels like sandpaper Croup: barking like cough pediatric DISORDERS Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) nursebossstore.com lOMoARcPSD|24583610 NUTRITION MADE EASY DOWNLOAD THE FULL MEDSURG GUIDE Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 4 THERAPEUTIC DIETS nursebossstore.com Clear- Liquid Diet FULL LIQUID DIET A clear liquid diet is a diet consisting Clear fluids that are thicker (opaque). of exclusively light clear liquid at Use: short-term diet used as a room temperature. transition step between clear liquids and soft diet. Use: post-surgically WATER TEA FRUIT JUICE ICE CREAM PUDDING THIN CEREALS COFFEE CLEAR SODAS MILK SOUP JELLO BROTH pureed diet MECHANICAL SOFT DIET A puréed food diet is a textureFoods that are easy to chew and modified diet (requires no chewing) swallow Use: patients who have trouble chewing or swallowing MASHED POTATO YOGURT PUREED PASTA PUREED RICE PUMPKIN PUREE Use: patients who have trouble chewing or swallowing TENDER FRUITS GROUND MEAT COOKED VEGES Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) TOFU CHOPPED FOODS lOMoARcPSD|24583610 EKGs MADE EASY DOWNLOAD THE FULL EKG GUIDE IN THE BUNDLE Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 Steps in EKG Interpretation STEP 1: DETERMINE THE HEART RATE Calculate the rate: Normal, Bradycardia, Tachycardia Rate: 60-100 Count a 6 second strip and multiply by 10 step 2: determine the rhythm Determine R-R interval: Regular or Irregular regular r-r step 3: Evaluate the P wave Evaluate the P wave Present, Regular, P wave for each QRS complex. step 4: PR INTERVAL Calculate PR interval: 0.10-0.20 (<5 small squares) <5 small squares step 5: Analyze the QRS complex QRS complex for every P wave, <0.12 seconds 0.06-0.12 seconds Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) r-r lOMoARcPSD|24583610 ECG MADE EASY NURSEBOSSSTORE.COM NORMAL SINUS RHYTHM Normal heart beat sinus bradycardia Ventricular TACHYCARDIA Rate: less than 60 beats/min QRS complex: QRS complex is wide, bizarre VT can lead to Ventricular Fibrillation and then death. sinus TACHYCARDIA Rate: >100 beats/min atrial fibrillation No P wave. Fibrillatory waves before QRS complex. atrial flutter P wave: sawtooth FIRST-degree block PR interval: prolonged SECOND-DEGREE av bLOCK (TYPE 2) PR: Normal and consistent Ventricular FIBRILLATION VT is fatal Rhythm: chaotic rapid rhythm PAC P wave: premature, appears different than normal. P wave may be buried in the preceding T wave. pvc P wave: absent (no P wave with PVCs). QRS complex: QRS complex in PVC is premature, wide and abnormal SECOND-DEGREE av bLOCK (TYPE 1) PR: lengthens progressively until QRS drops THIRD-DEGREE av bLOCK P wave: no relationship with QRS complex nursebossstore.comDownloadednursebossessentials by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) nursebossstore lOMoARcPSD|24583610 PHARMACOLOGY MADE EASY DOWNLOAD THE FULL PHARMACOLOGY GUIDE IN THE BUNDLE Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) Contraindications Indications Nursing Considerations MOA Patient Education SIde/Adverse Effects nursebossstore.com lOMoARcPSD|24583610 Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) Contraindications Indications Nursing Considerations MOA Patient Education SIde/Adverse Effects nursebossstore.com lOMoARcPSD|24583610 Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) Contraindications Indications Nursing Considerations MOA Patient Education SIde/Adverse Effects nursebossstore.com lOMoARcPSD|24583610 Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) Contraindications Indications Nursing Considerations MOA Patient Education SIde/Adverse Effects nursebossstore.com lOMoARcPSD|24583610 Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) Contraindications Indications Nursing Considerations MOA Patient Education SIde/Adverse Effects nursebossstore.com lOMoARcPSD|24583610 Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) Contraindications Indications Nursing Considerations MOA Patient Education SIde/Adverse Effects nursebossstore.com lOMoARcPSD|24583610 Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) Contraindications Indications Nursing Considerations MOA Patient Education SIde/Adverse Effects nursebossstore.com lOMoARcPSD|24583610 Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 AGONIST VS ANTAGONIST Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 nursebossstore.com CARDIOVASCULAR DRUGS DRUG CLASS Thrombolytics MEDICATIONS Tenecteplase MECHANISM OF ACTION Thrombolytic drugs dissolve clots by activating plasminogen that forms plasmin. ASPIRIN Antiplatelet drugs prevent the aggregation or adhesion of platelets. HEPARIN Anticoagulants interfere and prevent the formation of clots by inhibiting factors in the clotting cascade. Cardiac Glycosides digoxin Cardiac glycosides- increase cardiac contractility/positive inotropic effect, negative chronotropic effect Thiazide Diuretics Chlorothiazide Thiazide diuretics increase the excretion of Na and water in the distal convoluted tubule. Loop Diuretics Furosemide Loop diuretics decrease the reabsorption of sodium and chloride in the ascending Loop of Henle. PotassiumSparing Diuretics Spironolactone ACE Inhibitors Enalapril Antiplatelets Anticoagulants Potassium-sparing diuretics cause sodium and water excretion in the distal tubule, whilst promoting potassium retention (blocks aldosterone receptors) Angiotensin-Converting Enzyme Inhibitor (ACE Inhibitors) prevents the conversion of angiotensin I to angiotensin II which prevents vasoconstriction. Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 nursebossstore.com DRUG CLASS MEDICATIONS MECHANISM OF ACTION ARBs prevent aldosterone release and peripheral vasoconstriction by selectively blocking angiotensin II receptors. ARBS Losartan Calcium Channel Blockers Nifedipine Beta Adrenergic Blockers Atenolol, Beta adrenergic blockers block the effect of epinephrine at the receptor sites. Adrenergic Agonist Epinephrine Adrenergic agonist stimulates the adrenergic receptors (both alpha or beta receptors) of target organs. Antianginal Agents Nitroglycerin Calcium channel blockers prevent calcium ions movement across myocardial cell membrane. This causes relaxation of smooth muscle. Nitrates are antianginal agents that relax smooth muscles, resulting in vasodilation, reduced preload (dilating veins) and afterload (dilating arteries) and decreased myocardial oxygen demand. respiratory DRUGS DRUG CLASS MEDICATIONS Inhaled Anticholinergics Atrovent Antihistamines Expectorants MECHANISM OF ACTION Inhaled anticholinergics prevent the binding of acetylcholine (neurotransmitter) by blocking muscarinic receptors. This results in bronchodilation (relaxation of smooth muscle in the bronchi). Brompheniriamine Decreases bronchial secretions Guaifenesin Expectorants reduce the surface tension of bronchial secretion and induce productive cough to promote patent airway. Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 nursebossstore.com DRUG CLASS MEDICATIONS Mucolytics Acetylcysteine MECHANISM OF ACTION Mucolytics liquefy or thins respiratory secretions (mucus) for airway clearance (productive cough). Decongestants cause vasoconstriction in the Oxymetazoline upper respiratory system. This leads to shrinking swollen mucous membrane and reduced fluid secretion. Decongestant Antitussives Benzonatate Antitussives suppress the cough reflex by directly acting on the cough control center in the medulla. Glucocorticoids are anti-inflammatory agents Beclomethasone that decrease inflammatory response in the airway. Glucocorticoids (Corticosteroids) Sympathomimetic Bronchodilators Salmeterol Sympathomimetic affects the beta-receptors found in the bronchi which leads to the relaxation of smooth muscle in the bronchi. gastrointestinal DRUGS DRUG CLASS MEDICATIONS Proton Pump Inhibitor Omeprazole Proton pump inhibitors suppress the secretion of HCL in the stomach Ranitidine Histamine (H2) receptor antagonist blocks the action of histamine, which produces HCL secretion. Histamine (H2) Receptor Antagonist Antacid Calcium carbonate MECHANISM OF ACTION Antacid are alkaline compounds that neutralizes acids and prevents the conversion of pepsinogen to pepsin in the stomach. Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 nursebossstore.com DRUG CLASS MEDICATIONS Antiemetics Ondansetron Laxatives Psyllium MECHANISM OF ACTION Antiemetics suppress nausea and vomiting by acting on the brain's control center to stop the nerve impulse. Laxatives promote bowel elimination. ANTIBIOTICS DRUG CLASS MEDICATIONS MECHANISM OF ACTION Penicillins inhibit bacterial cell wall synthesis. Therefore, the bacteria's cell wall swells, ruptures and dies. Penicillin Penicillins Cephalosporin Cefazolin Cephalosporins inhibit bacterial cell wall synthesis. gentamicin Aminoglycosides inhibit bacteria protein synthesis. They inhibit the translation of mRNA to protein by irreversibly binding to bacteria ribosome. Tetracycline doxycycline Tetracycline are broad-spectrum and inhibits protein synthesis which causes the inability for bacterial growth Sulfonamides sulfadiazine Fluoroquinolones levofloxacin Aminoglycosides Sulfonamides inhibit the metabolic process essential for the function and growth of the bacterial cell. Flouroquinolones interfere with DNA gryase (an enzyme) needed by the bacteria for the synthesis of DNA Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 nursebossstore.com NEUROLOGICAL DRUGS DRUG CLASS NSAIDs Salicylates Acetaminophen Opioid Analgesics Anticholinesterases MEDICATIONS diclofenac NSAIDs have anti-inflammatory, analgesic and antipyretic properties. NSAIDs inhibits prostaglandin synthesis ASPIRIN Salicylates inhibit synthesis of prostaglandin. Salicylates have anti-inflammatory, antipyretic and analgesic properties. Acetaminophen Acetaminophen inhibits prostaglandin synthesis (limited to CNS and not periphery) Morphine Edrophonium Dopaminergics Apomorphine Benzodiazepines DiazepaM Hydantoins MECHANISM OF ACTION Phenytoin Suppresses pain impulses. Used to treat muscle weakness in myasthenia gravis. Anticholinesterases blocks acetylcholine breakdown. Dopaminergic drugs stimulate dopamine receptors and increase dopamine concentration. Benzodiazepines are used to treat absence seizures. They enhance the effect of GABA Blocks sodium channels and inhibits neurons from firing to stabilize central nervous system membrane Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) -PINE nursebossstore.comDownloaded nursebossessentials nursebossstore by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) CEPHALOSPORIN CEF-, CEPH- -OPRAZOLE PPIS: -CILLIN PENICILLIN -FLOXACIN QUINOLONES: -TIDINE MACROLIDES -MYCIN H2 RECEPTOR ANTAGONISTS GI -PROFEN NSAIDS SULFONAMIDES SULF- -VIR ANTIVIRAL ANTIVIRAL OPIOIDS -DONE PAIN -THIAZIDE suffixes + prefixes THIAZIDE DIURETICS @nursebossessentials ACE INHIBITORS LOOP DIURETICS -SEMIDE -PRIL ANTIBIOTICS XANTINE -PHYLLINE @nursebossessentials STATINS -STATIN ARBS -SARTAN RESP CC BLOCKERS CARDIO BETA BLOCKERS -LOL CARDIOVASCULAR lOMoARcPSD|24583610 nursebossstore.com antidote NAME: FLUMAZENIL NAME: BENZODIAZEPINES NAME: PROTAMINE antidote antidote NAME: ATROPINE antidote nursebossstore.comDownloaded nursebossessentials nursebossstore by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) NAME: DIGOXIN medication NAME: INSULIN medication NAME: DIGIBIND antidote NAME: GLUCAGON antidote NAME: NAME: ACETAMINOPHEN ACETYLCYSTEINE medication antidote NAME: VIT K NAME: CHOLINERGICS medication NAME: NALAXONE antidote medication NAME: HEPARIN medication NAME: WAFARIN medication NAME: OPIOIDS medication lOMoARcPSD|24583610 drug and antidote nursebossstore.com lOMoARcPSD|24583610 NURSING HEALTH ASSESSMENT DOWNLOAD THE FULL NURSING ASSESSMENT GUIDE IN THE BUNDLE Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 NURSING ASSESSMENTnursebossstore.com REVIEW GENERAL SURVEY 1. Assess physical appearance, mood, affect and grooming. 2. Assess orientation: Oriented to Person, Place, Time and Situation. 3. Assess level of consciousness. 4. Assess speech. Vital Signs Pulse: 60-100 bpm Blood Pressure Systolic: 120 Diastolic: 80 Respiratory Rate: 12-18 bpm O2 Saturation: 95-100% Temperature: 36.5-37.5 degrees C HEAD AND FACE 1. Assess head size, shape, symmetry. 2. Inspect and palpate head, scalp 3. Palpate sinuses and TMJ Face 1. Assess facial symmetry 2. Assess cranial nerve 7 Eyes/ Ears/ Nose Inspect external eye structures, conjunctiva and sclera. Test cranial nerve III, IV, VI PERRLA- Pupils are Equal, Round, Reactive to Light and Accommodation. Pupil size: 3-5mm Ears: Assess for redness, drainage. Test cranial nerveVestibulocochlear Nose: Assess shape, symmetry, size, patency. Test cranial nerve I Mouth 1. Inspect lip color, sores, gums, tongue, teeth, soft and hard palate, uvula 2. Test cranial nerve 9, 12 and 10 Neck 1. Palpate lymph node, carotid artery, presence of goiter. 2. Auscultate for bruits. 3. Test cranial nerve 11 Lungs 1. Inspect symmetrical chest movement 2. Palpate for pain and lumps 3. Percuss using the Z-block method 4. Auscultate lung sounds HEART 1. Auscultate heart sounds (Aortic, Pumonic, Erb's Point, Tricuspid and Mitral) ABDOMEN 1. Inspect, Auscultate, Percuss, Palpate 2. Inspect skin color, contour and aortic pulsations. 3. Auscultate bowel sounds from RLQ clockwise. SKIN + EXTREMITIES 1. Assess and inspect skin, nails, muscle strength, ROM, curvature of spine. 2. Palpate pulses Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 MATERNAL AND CHILD HEALTH DOWNLOAD THE FULL MATERNITY GUIDE IN THE BUNDLE Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 gtpal nursebossstore.com GTPAL: DESCRIBES PREGNANCY OUTCOMES GRAVIDITY TERM BIRTHS PRETERM BIRTHS ABORTIONS 1. Number of pregnancies (twins and triplets are counted as one) 2. Present pregnancy included. 1. The number born at term (longer than 37 weeks of gestation) 2. Twins and triplets are counted as one. 20-37 weeks of gestation. (Count twins and triplets as one) Includes alive and still birth Less that 20 weeks of gestation. Count twins and triplets as one also includes miscarriages LIVING CHILDREN current living children. Count children individually Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 LAB VALUES & IV GAUGES CHEAT SHEET DOWNLOAD THE FULL LAB VALUES GUIDE IN THE BUNDLE Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) nursebossstore.comDownloaded nursebossessentials nursebossstore by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) T P 20 -4 0U /L AL 7-5 6U /L AL 1040 U/ L AS T To 0.1 -1.2 ta mg l /dL Bil ir ub in g/d L 23s ec on ds IN R -10 0% Sa O2 95 % O3 22 -2 6m mH g HC 100 mm Hg Pa O2 80 - aP TT 30 -4 0s ec HE s PA RIN 45 mm Hg Pa CO 35 2 - 7.4 5 pH 7.3 5- abgs 25 -3 5s ec s PT T PT 1013 sec on ds bu 3.4 mi -5 n .4 Al coagulation Liver ne l 95 lor -10 5 m ide Eq /L ch ci 911 m um g/d L ca si 1.5 um -2 .5 m Eq /L ma g si 3.5 um -5 .0 m Eq /L t Hg Sp ec ifi c gr av 1.0 10it y 1.0 30 t 150 ,00 el ce 0-4 ets lls/ 00 mc ,00 L 0 Pl a B( 14M) 18 g/d L B( 12F 16 g/d ) L Hg 4.5 -5 .5 RB C W 4,5 B 00 -11 C ,00 0 cbc GF R 90 -1 20 in O.6 in -1.2 e mg /dL ea Cr po ta s BU 7-2 N 0m g/d L renal 135 odi u -14 5m m Eq /L s electrolytes lOMoARcPSD|24583610 lab values nursebossstore.com nursebossstore.comDownloaded nursebossessentials nursebossstore by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) Bil ch Sa O2 AL P T ca HC O3 IN R AL de lo ri iu m si um lc ne AS T ma g Pa O2 iu m ss po ta so di um electrolytes aP TT pH abgs PT T PT coagulation Pa CO 2 To ta l bu mi n ir ub in Al Liver N gr av it y GF R ti ni ne Sp ec ifi c ea Cr BU renal te le ts M) F) B( B( Hg Hg Pl a BC RB C W cbc lab values TEMPLATE lOMoARcPSD|24583610 nursebossstore.com nursebossstore.comDownloaded nursebossessentials nursebossstore by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) Bil ch Sa O2 AL P T ca HC O3 IN R AL de lo ri iu m si um lc ne AS T ma g Pa O2 iu m ss po ta so di um electrolytes aP TT pH abgs PT T PT coagulation Pa CO 2 To ta l bu mi n ir ub in Al Liver N gr av it y GF R ti ni ne Sp ec ifi c ea Cr BU renal te le ts M) F) B( B( Hg Hg Pl a BC RB C W cbc lab values TEMPLATE lOMoARcPSD|24583610 nursebossstore.com lab values CP KMB 3% -5 pharmacy Digoxin: 0.5-2 ng/mL pharmacy Theophylline 10-20 mcg/mL PhenobarbitaL 15-40 mcg/mL Carbamazepine: 4-12 mg/L ma 70 -10 p 0m mH g .50 ab ov e ti c: 6.5 %& di ab e pharmacy pharmacy Di me <0 r Tr ig ly ce ri <15 de 0m s g/d L g/d L D- % /m L CK -M 03n B g HD >60 L m bm i 515 mm Hg ic p pr edi ab et 5.7 ic -6 .4% 18. 524 .9 <10 0m g/d L LD L 45 ia U/ dL di non ab 4- etic 5.6 % Am mo 15n meds meds hba1c other Lipid Ch ol toest <20 ta er 0m l ol g/d L My og l Tr op on 0 ob 085 in ng /m L -0 in .4 n g/m I L Cardiac nursebossstore.com lOMoARcPSD|24583610 pharmacy pharmacy Phenytoin 10-20mg/L Lidocaine 1.5-5mg/L pharmacy Lithium 0.8-1.5 mmol/L nursebossstore.comDownloaded nursebossessentials nursebossstore by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) CP KMB yc er id es pharmacy pharmacy Digoxin: pharmacy Theophylline PhenobarbitaL pharmacy Carbamazepine: ma p di ab et ic : D- bm i ic p pr edi ab et ic di non ab et ic Am mo n ia Di me r Tr ig l LD L HD L My og l CK -M B ob in in Tr op on Ch ol toest ta er l ol Lipid meds meds hba1c other lab values I Cardiac nursebossstore.com lOMoARcPSD|24583610 pharmacy pharmacy Phenytoin Lidocaine pharmacy Lithium nursebossstore.comDownloaded nursebossessentials nursebossstore by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) CP KMB yc er id es pharmacy pharmacy Digoxin: pharmacy Theophylline PhenobarbitaL pharmacy Carbamazepine: ma p di ab et ic : D- bm i ic p pr edi ab et ic di non ab et ic Am mo n ia Di me r Tr ig l LD L HD L My og l CK -M B ob in in Tr op on Ch ol toest ta er l ol Lipid meds meds hba1c other lab values I Cardiac nursebossstore.com lOMoARcPSD|24583610 pharmacy pharmacy Phenytoin Lidocaine pharmacy Lithium nursebossstore.comDownloaded nursebossessentials nursebossstore by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) TEMPLATE lOMoARcPSD|24583610 Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 NURSING FUN FACTS BLOOD TYPE MEDICAL TERMINOLOGIES COMPATIBILITY FRACTURES IV CATHETER GAUGE EKGS PREFIXES AND SUFFIXES SHOCK INSULIN CARDIOVASCULAR PHARMACOLOGY CONVERSIONS LAB VALUES OXYGEN THERAPY BREATHING PATTERN ANTIBIOTICS RESPIRATORY DISORDERS PULMONARY EMBOLISM ROME-ABGS ANTIDOTES DISORDERS SPINAL CORD INJURY STROKE PAD VS PVD GI DISORDERS CANCER Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) nursing fun facts lOMoARcPSD|24583610 nursebossstore.com iv catheter gauge blood type COMPATIBILITY recipient color size 14G TRAUMA, RAPID INFUSION 16G TRAUMA, SURGERY 18G BLOOD TRANSFUSIONS 20G IV FLUIDS AND MEDICATIONS 22G 24G 26G Prefixes and Suffixes CC BLOCKERS -PINE CARDIO STATINS -STATIN RESP XANTINE -PHYLLINE @nursebossessentials CEPHALOSPORIN CEF-, CEPH- ARBS -SARTAN ACE INHIBITORS LOOP DIURETICS THIAZIDE DIURETICS -SEMIDE -PRIL -THIAZIDE PAIN GI PPIS: -OPRAZOLE H2 RECEPTOR ANTAGONISTS OPIOIDS -DONE -TIDINE ANTIBIOTICS PENICILLIN -CILLIN QUINOLONES: -FLOXACIN eak 1 HOUR NSAIDS -PROFEN nset 1-2 HRS eak 8 HR SULFONAMIDES SULF- ANTICOAGULANTS DISSOLVE CLOTS PREVENT THE FORMATION OF CLOTS ANTILIPIDEMIC LOWERS CHOLESTEROL LEVEL ANTIVIRAL -VIR eak 2-4 HR uration 5-8 HRS nset 1-2HOURS eak NO PEAK uration 12-18 HRS uration 24 HRS conversions DIURETICS PROMOTES DIURESIS CARDIAC GLYCOSIDES ANTIPLATELETS ACE INHIBITORS INCREASE CARDIAC CONTRACTILITY PREVENT THE AGGREGATION OF PLATELETS. LOWERS BLOOD PRESSURE ANTIHISTAMINES DECREASES BRONCHIAL SECRETIONS MUCOLYTICS BRONCHODILATOR PPI ANTACID THINS MUCUS ANTIEMETICS DILATE AIRWAY REDUCE GASTRIC ACID NEUTRALIZES ACIDS LAXATIVES SSRI LAXATIVES PROMOTE BOWEL ELIMINATION. OPIOID ANALGESICS SUPPRESSES PAIN IMPULSES ANTIDEPRESSANT PENICILLIN AMINOGLYCOSIDES SULFONAMIDES FLUOROQUINOLONES ANTIBIOTIC ANTIBIOTIC ANTIBIOTIC ANTIBIOTIC SUPPRESS NAUSEA AND VOMITING 30 MINS 2-4 HRS pharmacology THROMBOLYTICS NEONATES nset uration ANTIVIRAL MACROLIDES -MYCIN FRAGILE VEINS, PEDIATRICS SHORT A CTING nset RAPID ACTIN G @nursebossessentials 15 MINS BETA BLOCKERS -LOL IV FLUIDS, SMALL VEINS insulin INTERMEDIATE CARDIOVASCULAR uses LONG A CTING 0+ 0A+ AB+ BAB+ AB- 0+ 0- A+ A- B+ B- AB+AB- @nursebossessentials donor 1MG=1000MCG 1G=1000MG 1KG=1000G 1KG=2.2LBS 1GR=60MG 1L=1000ML 1ML=1CC 1 TSP=5ML 1 TBSP= 15ML 1OZ=30ML 1 TBSP=3 TSP 1OZ= 2 TBSP Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) nursing fun facts lOMoARcPSD|24583610 CBC lab values WBC: 4,500-11,000 RBC: 4.5-5.5 HgB (F): 12-16 g/dL HgB (M): 14-18 g/dL Platelets: 150,000400,000 cells/mcL RENAL BUN: 7-20mg/dL Creatinine: O.6-1.2 GFR: 90-120 Specific gravity: 1.010-1.030 ABGS ELECTROLYTES Na+: 135-145 mEq/L K+: 3.5-5.0 mEq/L Mg+: 1.5-2.5 mEq/L Ca+: 9-11 mg/dL PO4: 3.0-4.5 mg/dL Cl-: 95-105 mEq/L nursebossstore.com rome pH: 7.35-7.45 PaCO2: 35-45mmHg PaO2: 80-100mmHg HCO3: 22-26 mmHg SaO2: 95%-100% ESPIRATORY PH CO2 ALKALOSIS PPOSITE PH CO2 ACIDOSIS ETABOLIC PH HCO3 ALKALOSIS QUAL PH HCO3 ACIDOSIS oxygen therapy Simple face mask: Nasal Cannula FIO2: 40% TO 60% FLOW RATE: 6 TO 8 L/MIN FIO2: 24% TO 44% FLOW RATE: 1 TO 6 L/MIN Venturi Mask Partial Rebreather FIO2: 24% TO 50% FLOW RATE: 4 TO 15 L/MIN FIO2: 60% TO 80% FLOW RATE: 6 TO 10 L/MIN Non- Rebreather Face Tent FLOW RATE: 10 L/MIN FIO2: 60%-100% FLOW RATE: 10 TO 15 L/MIN breathing pattern EUPNEA: NORMAL BREATHING RATE + PATTERN BRADYPNEA: DECREASED RESPIRATORY RATE TACHYPNEA: INCREASED RESPIRATORY RATE OPIOIDS CHOLINERGICS ANTIDOTE: NALAXONE ANTIDOTE: ATROPINE WAFARIN ACETAMINOPHEN INCREASE AND DECREASE IN RESPIRATIONS WITH APNEA BIOT'S: RAPID GASPS WITH SHORT PAUSES BETWEEN SETS KUSSMAUL'S: TACHYPNEA AND HYPERPNEA APNEA: ABSENCE OF BREATHING Instagram: @nursebossessentials APNEUSTIC: HYPERPNEA: DEEP RESPIRATIONS/BREATHING antidotes CHEYNE-STOKES: PROLONGED INSPIRATION AND SHORTENED EXPIRATION antibiotics PENICILLIN TETRACYCLINE Penicillins inhibit bacterial cell wall synthesis. Inhibits protein synthesis which causes the inability for bacterial growth ANTIDOTE: ACETYLCYSTEINE CEPHALOSPORIN SULFONAMIDES HEPARIN INSULIN Cephalosporins inhibit bacterial cell wall synthesis. Inhibit the metabolic process essential for the function and growth of the bacterial cell. ANTIDOTE: PROTAMINE BENZODIAZEPINES ANTIDOTE: FLUMAZENIL @nursebossessentials ANTIDOTE: VIT K ANTIDOTE: GLUCAGON DIGOXIN ANTIDOTE: DIGOXIN IMMUNE FAB AMINOGLYCOSIDES FLUOROQUINOLONES Inhibit bacteria protein synthesis. They inhibit the translation of mRNA to protein Interfere with DNA gryase needed by the bacteria for the synthesis of DNA Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) nursing fun facts lOMoARcPSD|24583610 fractures medical terminologies gastritis carditis hepatitis A NORMAL BONE TRANSVERSE STRAIGHT ACROSS THE BONE. OBLIQUE: FRACTURE THAT RUN AT AN ANGLE ACROSS glossitis SPIRAL: FRACTURE THAT CIRCLES OR SPIRALS AROUND THE SHAFT. COMMINUTED BREAK INTO MORE THAN TWO FRAGMENTS. CLOSED FRACTURE: BONE BREAK WITHOUT OPEN WOUND IN SKIN. cystitis IMPACTED: A PART OF THE BONE THAT IMPACT ANOTHER BONE GREENSTICK: ONE SIDE OF THE BONE IS BROKEN, THE OTHER SIDE IS BENT COMPLETE FRACTURE: COMPLETE BREAK THROUGH THE BONES THAT SEPARATES INTO TWO. OPEN FRACTURE (COMPOUND): FRACTURE WITH AN OPEN WOUND. FISSURE FRACTURE ARE CRACKS IN THE BONE. COMPRESSION: ONE BONE COMPRESSES ANOTHER BONE INFLAMMATION OF THE HEART INFLAMMATION OF THE LIVER nephritis pharyngitis INFLAMMATION OF THE KIDNEYS INFLAMMATION OF THE PHARYNX INFLAMMATION OF THE SPINAL CORD colitis INFLAMMATION OF THE INNER LINING OF THE COLON enteritis INFLAMMATION OF THE SMALL INTESTINE laryngitis INFLAMMATION OF THE LARYNX INFLAMMATION OF THE TONGUE Instagram: @nursebossessentials myelitis Instagram: @nursebossessentials INFLAMMATION OF LINING OF THE STOMACH INFLAMMATION OF THE URINARY BLADDER metritis INFLAMMATION OF THE UTERUS ekgs normal sinus rhythm shock atrial flutter ATRIAL RHYTHM IS REGULAR RATE: 250-400 BEATS/MIN P WAVE: SAWTOOTH PR INTERVAL: NOT MEASURABLE QRS COMPLEX: LESS THAN OR EQUAL TO 0.12S SINUS BRADYCARDIA Ventricular TACHYCARDIA sinus TACHYCARDIA Instagram: @nursebossessentials ATRIAL AND VENTRICULAR RHYTHMS ARE REGULAR. RATE: 60-100 BEATS/MIN PR INTERVAL AND QRS WIDTH ARE WITHIN NORMAL LIMIT ATRIAL AND VENTRICULAR RHYTHMS ARE REGULAR RATE: LESS THAN 60 BEATS/MIN NORMAL P WAVE PRECEDES EACH QRS COMPLEX PR. INTERVAL & QRS WIDTH= NORMAL LIMITS ATRIAL AND VENTRICULAR RHYTHMS ARE REGULAR RATE: >100 BEATS/MIN NORMAL P WAVE PRECEDES EACH QRS COMPLEX PR INTERVAL AND QRS WIDTH ARE WITHIN NORMAL LIMITS atrial fibrillation ATRIAL RHYTHM IS IRREGULAR VENTRICULAR RHYTHM IS IRREGULAR RATE: 350-600BPM, NO P WAVE PR INTERVAL IS NOT MEASURABLE FIBRILLATORY WAVES BEFORE QRS COMPLEX RHYTHM: REGULAR RATE: 140-250 BEATS/MIN P WAVE: ABSENT PR: NOT MEASURABLE QRS COMPLEX: QRS COMPLEX IS WIDE, BIZARRE Ventricular FIBRILLATION RHYTHM: CHAOTIC RAPID RHYTHM RATE: NOT MEASURABLE P WAVE: ABSENT PR: NOT MEASURABLE QRS COMPLEX: NOT MEASURABLE pvc RHYTHM: IRREGULAR, RATE: IS THAT OF UNDERLYING RHYTHM. P WAVE: ABSENT (NO P WAVE WITH PVCS) PR: NOT MEASURABLE, QRS COMPLEX: QRS COMPLEX IN PVC IS PREMATURE, WIDE AND ABNORMAL ANAPHY NEUROCARDIO- HYPOSEPTIC LACTIC GENIC GENIC VOLEMIC CARDIAC: CHEST PAIN FAST/WEAK PULSE, SYSTOLIC BP CAD BUILDUP OF PLAQUE IN THE ARTERIES CHEST PAIN DUE TO DECREASED MYOCARDIAL OXYGENATION MI MYOCARDIAL TISSUE DAMAGE AS A RESULT OF OXYGEN DEPRIVATION HYPOTENSION, TACHYCARDIA (RAPID, WEAK AND THREADY PULSE) HYPOTENSION, TACHYCARDIA TACHYCARDIA, HYPOTENSION SHORTNESS OF AFFECTS BREATHING BREATH, (DEPENDING ON THE BRONCHOCONSTRIC TYPE OF INJURY) TION ORTHOPNEA, RAPID, SHALLOW RAPID, SHALLOW RESPIRATIONS, BREATHING CRACKLES INCREASED RESPIRATIONS SKIN: PALE, COOL/CLAMMY SKIN, CYANOSIS COOL/CLAMMY SKIN HIVES, FLUSHED, INITIAL STAGEFLUSHED & WARM ITCHING, LOCALIZED EDEMA DRY, WARM SKIN NO BLADDER CONTROL (DEPENDING ON THE TYPE OF INJURY) GU: OLIGURIA OLIGURIA OLIGURIA (LATE STAGE) OLIGURIA CNS: CONFUSION CONFUSION, RESTLESSNESS, ANXIETY ANXIETY, RESTLESSNESS, LETHARGY DECREASED LOC IMMUNE: FEVER nursebossstore.com respiratory ACCUMULATION OF FLUID IN THE PLEURAL SPACE. PLEURAL EFFUSION ACCUMULATION OF BLOOD IN THE PLEURAL SPACE. HEMOTHORAX FLUID HEART FAILURE PERICARDITIS BLOOD ENDOCARDITIS INABILITY OF THE HEART PERICARDITIS IS AN INFECTION INFLAMMATION AND INFECTION OF THE MUSCLE TO PUMP ENOUGH OF THE PERICARDIUM. ENDOCARDIUM BLOOD. HYPERTENSION HYPOTENSION, BRADYCARDIA RESP: cardiovascular ANGINA @nursebossessentials CARDIAC TAMPONADE AORTIC ANEURYSM AN INCREASE IN BLOOD ACCUMULATION OF FLUID IN BALLOON-LIKE BULGE IN THE AORTA PRESSURE (CHRONIC). THE PERICARDIAL CAVITY AIR IN THE PLEURAL SPACE CAUSING LUNG COLLAPSE COLLECTION OF PUS IN THE PLEURAL SPACE PNEUMOTHORAX EMPYEMA AIR Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) PUS nursing fun facts nursebossstore.com lOMoARcPSD|24583610 pulmonary embolism spinal cord injury stroke pad vs pvd gi disorders cancer Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 This is just a FREE STUDY GUIDE. Imagine the VALUE that you will receive when you invest in our 600-paged NURSING MEGA BUNDLE! DOWNLOAD THE FULL MEGA NURSING BUNDLE Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 reviews! nursebossstore.com Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com) lOMoARcPSD|24583610 DOWNLOAD THE FULL MEGA NURSING BUNDLE mega DIGITAL-PDF BUNDLE 600+ pages Downloaded by JASIS JULIA NOELYN V. (julianoelynjasis@gmail.com)