)= ‫ملف تولينا للمستشفى‬

:‫العالمات الحيوية‬
Blood pressure: 90/60 mm/Hg to 120/80 mm/Hg
Breathing: 16 to 24 breaths per minute
Pulse: 60 to 100 beats per minute
Temperature: 97.8°F to 99.1°F (36.5°C to 37.5°C)
 : ‫الوزن والطول‬
BMI= weight in kilograms / height in meters²
Underweight = <18.5
Normal weight = 18.5–24.9
Overweight = 25–29.9
Obesity = BMI of 30 or greater

: ‫المحاليل‬
Name of pH Ingredients in 240 – 340 Type of
Solution 1-Liter (1000ml) Normal Solution
Osmolarity
5% Dextrose 4.5 50 grams Dextrose 252.52 Isotonic-
(D5W) (170 calories/liter) mOsm/L hypotonic in
body
0.9% Sodium 5 154 mEq Sodium 308.0 Isotonic
Chloride 154 mEq Chloride mOsm/L
(NS)
Ringer’s 5.5 147 mEq Sodium 308-324 Isotonic
Solution 4 mEq Potassium mOsm/L
4 mEq Calcium
155 mEq Chloride
Lactated 6.6 130 mEq Sodium 274 mOsm/L Isotonic
Ringer’s 4 mEq Potassium
(LR) 3 mEq Calcium
109 mEq Chloride
28 mEq Sodium
Lactate
(Provides 9
calories/liter from
Lactate)
0.45% Sodium 5 77 mEq Sodium 154.0 Hypotonic
Chloride 77 mEq Chloride mOsm/L
(1/2 NS)
3% Sodium 5 462 mEq Sodium 924 mOsm/L Hypertonic
Chloride 462 mEq Chloride

5% Sodium 5 770 mEq Sodium 1540 mOsm/L Hypertonic

Chloride 770 mEq Chloride

10% Dextrose in 4.5 10 grams Dextrose 505.0 Hypertonic

Water (340 kcalories/liter) mOsm/L
(D10W)
5% Dextrose in 4 5 grams Dextrose 391.12 Hypertonic
0.45 Sodium 69.3 mEq Sodium mOsm/L
Chloride 69.3 mEq Chloride
 (D5½NS)
5% Dextrose in 4 5 grams Dextrose 560.0 Hypertonic
Normal Saline 154 mEq Sodium mOsm/L
(D5NS) 154 mEq Chloride
5% Dextrose in 4 5 grams Dextrose 564.5 Hypertonic
Lactated (170 calories/liter) mOsm/L
Ringer’s 147.5 mEq Sodium
Solution 4 mEq Potassium
(D5LR) 4.5 mEq Calcium
156 mEq Chloride
28 mEq Lactate
(Provides 9
calories/liter)
: ‫التحاليل‬
 : ‫األدوية‬
Calculation dose = (Dose order ÷ Dose available) X volume.
Or = (Dose order ÷ (hX60)) X drops factor.
Or = (Dose order (X 1000mg) ÷ Dose available).

: ‫تخطيط القلب‬
Rate: Regular HR= 1500 ÷ No. of small squares between 2 of R
Rate: Irregular HR= No. of cardiac cycles in 30
big squares (6
seconds) X 10
PR:= (3 - 5 boxes) QRS:= (1 - 3 boxes)

remember to have from head to toe in order all of : ‫التقييم الجسدي‬

body systems
* Inspection – then palpetion – then percussion – and auscaltation
(only in abdomen start with it first) .
‫ضروري فتح البروسيجرز مانيوال !!‬
‫للتطبيقات ‪:‬‬
 :‫للدكمتيشن نيرسنق نوتس‬
1) Received patient "states- position- connected to with amount
and locations- drainages or dressing- what doing"
2) v/s taken and recorded "only write the abnormal"
3) patients complains with sites and scores
4) sent to "ward" for "purpose name" with the "time"
5) medications given "no need for details"
6) lab results in "then relied to Dr"
7) don’t forget to close lines and signs.
 Disorder / Drugs / Categories /

aspirin, clopidogrel (Plavix) or ticlopidine

Stroke : Anti-platelet drugs
(Ticlid).
.mg/kg, with a maximum of 90 mg 0.9
10% of the calculated dose is
Thrombolytic
administered IV bolus over 1 minute and
Therapy
the remaining 90% is administered by an
IV pump over 1 hour.
Hydantoins / Phenytoin (Dilantin;
Seizure : anti-Epileptic drugs
Epanutin) , IV Fosphenytoin (Cerebyx)
Short-acting (pentothal [sodium
,)]thiopental
Barbiturates
long-acting (Phenobarbital [Luminal],
Mephobarbital [Mebaral]).
Structurally related
Carbamazepine (Tegretol) to tricyclic
antidepressants
Diazepam (Valium) IV, IM
Benzodiazepines
Lorazepam (Ativan) IV
Interferon beta-1a (Avonex) intramuscular
Interferon beta-1b
“ABC & R drugs,
Multiple Sclerosis : (Betaseron)subcutaneous
then Corticosteroids
Glatiramer acetate (Copaxone)
and muscle relaxants
subcutaneous
Rebif subcutaneous
Cephalothin sodium (keflin), 500-1000mg
Amputation : Anti-infective agents
IV q4-6h for 48-72h
Morphine 1.5-2 mg q10min with 20-30 Narcotic analgesic
min lockout per PCA pump agents
UROLITHIASIS AND Opioid analgesics
NEPHROLITHIASIS : , NSAIDs
Zidovudine (Retrovir) ,Lamivudine
HIV : Antiretroviral
(Epivir), Ritonavir (Norvir)
ketoconazole (Nizoral) or fluconazole For oral candidiasis
Trimethoprim-sulfamethoxazole For INFECTIONS
(NSAID)
Corticosteroids
Rheumatoid arthritis and
(DMARD)
SLE :
Methotrexate
Hydroxychloroquine Sulfasalazine
Asprin
Corticosteroids
Rheumatic Fever : Antistreptococcal
Benthathine penicillin
antifungal amphotericin B
Unfractionated Heparin
DVT : anticoagulation
Low-Molecular-Weight Heparin
 warfarin (Coumadin)
Hypertension : captopril (Capoten). ACEI
losartan (Cozaar, diovan) Angiotensin II
Thiazides e.g. hydrochlorothiazide
(Esidrix)
Loop diuretics e.g. furosemide (Lasix) Diurretics
.Potassium sparing diuretics e.g
spironolactone (Aldactone)
Calcium channel
nifedipine (adalat)
blockers
prazosine Alpha1 blockers
Atenolol Beta blockers
Digitalis
(ACEI)
Diuresis
Angiotensin II
Heart Failure :
Hydralazine and isosorbid dinitrate
(Isordil)
Beta-blockers
Diuretic Therapy
CAD : statins (Lipitor) Lipid-lowering
Nitroglycerin
Beta-adrenergic blocking
Calcium Channel Blocking
Aspirin Antiplatelet
Corticosteroids
Glomerulonephritis : , penicillin
, Diuretics
antibacterial agent
Lower UTI :
, analgesic &antipyretic
ciprofloxacin, gentamicin with or without
2up to 6 -week
UPPER UTI : ampicillin, or a third-generation
course of antibiotics
cephalosporin
insulin Lispro*, insulin Aspart*, insulin
DB : Ultra short acting
Glulisine*
Regular soluble insulin , Semilente Short acting
Intermediate acting
NPH isophane insulin, Lente, semilente
insulin
Protamine zinc, Ultralente, insulin
Long acting
Glargine *,insulin Detemir*
Hepatitis : Alpha interferon
Proton Pump
Peptic ulcer : Omeprazole
Inhibitor
H2 receptor
Zantac
antagonists
Sucralfate
enhancing mucosal
Bismuth
defenses
Magnesium or aluminum
PPI H.Pylori eradication
 Clarithromycin
Amoxicillin
Cholecystitis : Ursodeoxycholic acid (UDCA)
Isoniazide
Riphampicin
Pyrazinamide
TB : Ethambutol
-------------
Levofloxacin, moxifloxacin, Amikacin,
para-aminosalicylic acid
Corticosteroids (e.g., beclomethasone,
budesonide)
Bronchial Asthma : Anti-inflammatory
Mast cell stabilizers (e.g., cromolyn,
nedocromil)
Leukotriene modifiers (e.g. Singulair)
-adrenergic agonists
Bronchodilators
(e.g., albuterol, salbutamol[Ventolin])
Amoxicillin
Erythromycin
Clarithromycin
Pneumonia : Antibiotics
Levofloxacin
Clavulonic Acid
Benzyl penicillin
Short Beta 2 agonist e.g salbutamol.
anticholinergic like ipratropium
(Atrovent).
Long Beta 2 agonist e.g salmeterol
COPD :
Inhaled.
Corticosteroids.
Theophylline.
alpha 1 antitrypsin.