1.

Nasogastric Tube -common procedure: Mastectomy

Measure: Nose-Earlobe-Xiphoid Process -with grenade-like with negative pressure
Placement: Roentgenogram/ Chest Xray
During Feeding: 9. FIRE
a. Position: High/Semi Fowler’s
If unconscious: On right side with HOB R escue patient
elevated A larm
b. Flush before and after feeding C ontain the fire
c. Normal Residual: <100ml E xtinguish the fire
*return residual back to stomach
d. Normal pH: <5 acidic P ull the pin
A im the base of the fire
2. Potassium S queeze the handle
LOW S wift side to side
- U wave
Tx: Kalium Durule, Potassium Chloride IV
10. Cane Measurements
HIGH a. Elbow Flexion: 30 degrees
-T wave b. Should be at level of great trochanter
Tx: Calcium Gluconate, D5050 + Insulin, (in between hips and waist)
Kayexelate c. 6-10 antero lateral movement

3. Iron Anemia C ane

4. Suctioning
a. Hyperoxygenate 100% pre and post
b. Sterile Technique
c. Apply suctioning during withdrawal in
circular motion
d. Suction for less than 10 seconds
e. More than 10 seconds leads to Vagal
Stimulation
f. Medium Pressure (Adults 100-
120mmhg; Pedia 50-75mmhg)
g. Wait for atleast 1min between suction
passes
h. Catheter should advance until
resistance is felt, and to prevent
mucosal damage, retract 1cm before
applying suction.
5. Wound Dressing
6. 24-hour Urine Collection
a. Sterile
b. If mistakenly discarded/ adding
specimen
*Discard urine in the container and
restart 24-hour urine
7. Hemophilia
8. Jackson Pratt Drainage
-use on post-op
-less drainage
O pposite
A ffected
L eg
11. Sumatriptan- for migraine
Topiramate- for migraine; Bulimia Nervosa
12. Cardiac Catheterization
13. Pre-Procedure Electroencephalogram
(EEG)
a. Wash hair with shampoo (no oil)
b. Avoid caffeinated drinks
c. Hold medications for 24-48 hours
14. Lumbar Puncture
Pre-Op
a. If without contrast- NO PREP!
b. Clear liquids night before
c. NPO 4 hours before
d. Avoid Shellfish, Oysters, Shrimp
e. Hold Metformin
f. Empty bladder
During
a. Position on Left lateral Position or
Upright or Fetal Position
b. Sterile needle will be inserted between
L3/4 or L 4/5
 c. Pain will be felt radiating through the leg Manifestations:
but it’s temporary. a. Headache
b. Sleepiness at daytime
Post Lumbar Puncture with Myelogram c. Episodes of apnea during sleep
a. Flat on bed for 2-3 hours d. Irritability
b. Increase oral fluid intake e. Loud Snore
c. Assess BUN and Creatinine
Management
15. Guillain Barre Syndrome/Infectious - Continuous Positive Airway Pressure
Polyneuritis (CPAP)
Cause:
-recent respiratory Infection
-autoimmune; GI Infection 22. Epoetin Alfa
-for decreased Hemoglobin
Manifestation
-ascending paralysis 23. Pain Management
-early sign: Leg Weakness 24. Pertussis Precaution
-late sign: Facial paralysis -“whooping cough”
-Droplet Precaution
Management
M ech Ventilator 25. Bull’s Eye Rash
O xygen DOC: Acyclovir
M uscle Relaxant
A ssistive Devices 26. Amyotrophic Lateral Sclerosis
-Lou Gehrig’s Disease
16. Glyburide -Priority to Check:
-Sulfonylureas
- No combination with Sulfa Drugs: leads to 27. What to check if Mech Vent is
Anaphylactic Shock functioning

17. Bumatenide (Bumex) 28. Bipolar Disorder

Potassium wasting Diuretics -DOC: Lithium Carbonate

18. Aminoglycosides 29. S1 Best Heard

e.g. Vancomycin, Gentamycin 30. Droplet Precaution
-Scarlet Fever
19. Pancrealipase
-for Cystic Fibrosis 31. Hypothyroidism Manifestations
-taken with meals a. Decreased Vital Signs
b. Slow mental process
20. Advance Directives c. Constipation
-Living Will: done by the patient d. Weight Gain
-Last Will & Testament: for inheritance e. Lethargy
-Special Power of Attorney: proxy; appoints f. Oliguria
person chosen by client to make healthcare g. Dry skin
decision on client’s behalf when client can h. Cold Intolerance
no longer make decision
32. Cohorting
21. Obstructive Sleep Apnea a. Do not mix healthy and contagious client
Risk Factors: b. Do not mix client from post-op(1-2 days)
-Obesity, Stress, Anatomical Problem c. Do not mix acute and unstable
d. Droplet, mix only with same origin
 e. Do not mix immunocompromised with
contagious client
f. Pediatrics, best to cohort with same age

33. Parkland Formula

4ml x TBSA X weight in kgs

2

*Result is fluids given to patient on the first 8

hours and 16 hours.

34. Dumping Syndrome

Position post meal: Supine
Surgery: Billroth 2 (Gastrojejunostomy)
a. Avoid fluids with meals
b. Fluids should be taken 30 minutes
before/after meals.

35. Addisonian Crisis

Check first: Blood Pressure?

36. 3 y/o what to give during hospitalization

-Favorite Lego toy

37. Alprazolam Side Effect

38. Fentanyl Patch Health Teaching

a. Via transdermal patch
b. Effective to control pain round-the-clock
c. Effective for 24 hours
d. Patch should be kept for 72 hours

39. Secretion Removal

a. Chest Physiotherapy
b. Huff Cough Technique
c. Increase oral fluid intake
d. Position HOB to 45-60 degrees

40. Late Deceleration what to assess

41. Neurovascular Assessment
42. Alcohol Withdrawal Manifestations
43. Wernicke’s Korsakoff Syndrome
Indication