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Chin up 1 month
Chest up 2 month
PSYCHOLOGICAL DEVELOPMENT
50 - ? Integrity vs.despair
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LABORATORY VALUES
ELECTROLYTES
COAGULATION STUDIES
GLUCOSE STUDIES
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RENAL FUNCTION TEST
ERYTROCYTES STUDIES
CRANIAL NERVES
MAJOR FUNCTIONS
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On Old Olympus’ Towering Tops, A Finn And German Viewed Some Hops
Some Says Marry Money, But My Brother Says Bad Business Marry Money
SYMPATHETIC/ PARASYMPATHETIC/
ADRENERGIC CHOLINERGIC
Increased heart rate
Heart Increased conduction Decreased heart rate
Increased force
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FLOW OF BLOOD THROUGH THE HEART
Inferior vena cava and superior vena cava – right atrium – tricuspid valve – right ventricle –
pulmonic valve – pulmonary artery – lungs – pulmonary veins – left atrium – bicuspid valve (mitral)
– left ventricle – aortic valve aorta – systemic circulation
CARDIAC IMPULSES
Sinoatrial (SA) node – right and left atria (atria contract) – atrioventricular (AV) node – bundle his –
bundle brabches – purjinje’s fibers – ventricles contract.
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Pulmonary capillary wedge pressure: 5 to 13 mmHg
Pulmonary artery pressure: systolic: 16 to 30 mmHg
Diastolic: 0 to 7 mmHg
Spinal pressure: 70 to 200mmH2O
Morphine sulphate pediatric dose: 0.1mg/kg every 3 – 4 hour
INSULIN
For treatment of IDDM
PEAK DURATION
SULFONYLUREAS
For treatment of NIDDM
Sulfonylureas should not be given to patients with liver or kidney failure.
Accummulation of drug will increase risk of hypoglycaemia.
DURATION
tolbutamide 8h
chlorpropamide 48 h
CONVERSION
Metric System
Meter – m 1 mg = 1000ug or 0.oo1g
Liter – L 1gm = 1000mg
Gram – g, gm, Gm 1mL = 0.001L or 1 cc
Milligram – mg, mgm 1kg = 1000 g
Microgram – ug, mcg 1ug = 0.000001 g
Kilogram – kg, Kg 1kg = 2.2 lb
Millilitre – mL 1L = 1000mL
Cubic centimetre – cc
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Apothecary and Household System
Grain –gr 1 gr = 60 mg
Dram – dr 5 gr = 300 mg
Ounce –oz 15 gr = 1000mg or 1g
Minim – min, M, m 1/150 gr =0.4 mg
Quart – qt 1 oz = 30 mL
Pint – pt 1 dr = 4 mL
Drop – gtt 1 T = 15 mL or 3 tsp
Tablespoon – T or tbs 1 min = 1 gtt
Teaspoon – t or tsp 15 min = 1mL
Pound – lb 60 min = 1 dr
8 dr = 1 oz
1 qt = 1000mL or 1L
1 qt = 2 pt or 32 oz
1 pt = 16 oz
16 oz = 1 lb
2.2lb = 1 kg
D X Q = X
A
Flow Rates:
Total volume x gtt factor = gtt per min
Time in minutes
Infusion Time:
Total volume to infuse = Infusion time
mL per hour being infused
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SPINAL CORD INJURY
Cervical Injury:
C2 to C3 injury usually fatal
C4 is the major innervation to the diaphragm by th phrenic nerve
Involvement above th C4 causes respiratory difficulty and paralysis of all the four
extremities
C5 or below client may have movement in the shoulder
RULE OF NINE
THYROID STUDIES
Thyroid –stimulating hormone (thyrotropin; THS): 0.2 to 5.4 ug/dL
Thyroxine (T4): 5.0 to 12.0 ug/dL
Thyroxine free (FT3) : 0.8 to 2.4 ng/dL
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Triiodothyronine (T3): 80 to 230 ng/dL
HERBAL MEDICINE
FOUR STRATEGIES:
1. If the question asks what you should do in the situation. Use the nursing process to determine
which step in the nursing process would be next?
2. If the question asks what the client needs. Use maslow’s hierarchy to determine which need
to address.
3. If the question indicates that the client doesn’t have urgent physiologic need, focus on the
patient safety.
4. If the question involves communicating with a patient. Use principles of therapeutic
communication.
REMEMBER:
AIRWAY, BREATHING,CIRCULATION AND SAFETY (ABCS)
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