Вы находитесь на странице: 1из 2

Na+: 135 145 mEq/L

K+: 3.5 5 mEq/L


Ca++: 8.5 10.6 (ionized Ca++: 4.5 5.2 mEq/L)
Cl-: 98 107 mEq/L
Mg+: 1.5 2.5 mEq/L
PO4: 2.5 4.5 mEq/L

Parietal lobe (1) - primary center for sensation


Temporal lobe (2) - auditory reception area
Frontal lobe (3) - involved with personality, behavior, emotions,& intellectual function
Occipital Lobe (4) - primary visual receptor center

Gastric pH: 4 (respiratory secretions: > 5.5)


Urine pH: 4.5 8
Urine specific gravity: 1.010 1.030 (1.008 indicates fluid overload)
SaO2: 95 98% (< 86% = emergency; < 70% is life-threatening)
Blood pH: 7.35 7.45 Low pH / high PaCO2 = respiratory acidosis
PaCO2: 35 45mm/Hg= Low pH / low HCO3 = metabolic acidosis
HCO3: 22 26mEq/L= High pH / low PaCO2 = respiratory alkalosis
PaO2: 80 100mm/Hg= High pH / high HCO3 = metabolic alkalosis
Central venous pressure (CVP): 3 12 cm/H2O
< 3 = hypovolemia
> 12 = hypervolemia or poor cardiac contractility
Lead: < 9 mcg
Ammonia: 15 -45 mcg/dL
Creatinine: (Creatinine clearance: 1.67 2.6 mL/sec)
Adult: 0.7-1.4 mg/dL
Child: 0.4-1.2 mg/dL
BUN: 7 18 mg/dL (> 60 yoa: 18 20 mg/dL)
Glucose Tolerance Test (GTT):
Fasting: 60 110 mg/dL 1h: 190 2h: 140 3h: 125
Glycosylated Hgb (HgbA1c): 4 6%
Albumin: 3.5 5.5 g/dL (Prealbumin: 15 36 mg/dL)
Cholesterol: < 200 mg/dL
LDL: < 139 mg/dL
HDL; Men:, 35 70 mg/dL Women: 35-85 mg/dL
Amylase: 6 160 U/dL
Lipase: <200m/ ul
LDH (lactate): 100 225 u/L
Hct (%)
Men 42 52
Women 35 47
Children 35 45

Hgb (g/dL)
13 18
12 16
11 12.5

RBC (mm3)
4.6 6.2
4.2 5.4
3.5 5.2

WBC (mm3)
5,000 10,000
5,000 10,000
5,000 13,000

Platelets: 150,000 450,000 mm3


PT: 9.5 12 sec (for coumadin effectiveness)
PTT: 20 39 sec (for heparin effectiveness)
Sed rate: 0 15 mm/h (male) 0 25 mm/h (female)
AST (SGOT): 8 40 u/L
ALT (SGPT): 8 40 u/L
Bilirubin:
Total: 0.3 - 1 mg/dL
Indirect (unconjugated): 0.2 0.8 mg/dL
Direct (conjugated): 0.1 0.3 mg/dL
Newborn: 1 12 mg/dL (>15 is critical)

MASLOW HIERARCHY OF NEEDS:

1. Physical needs like: oxygen, water, food, sleep, food, sex


2. Safety needs like: physical, safety, security, order
3. Love and Belonging needs like: affection, companionship, identification
4. Esteem and Recognition needs like: status, success, prestige
5. Self-Actualization needs like: self-fulfillment, creativity
6. Aesthetic needs like: harmony, spirituality

Verterbral Injuries
Vertebrae
Effect
C3 and above
Unable to care for self, life-sustaining ventilator support is essential
at C6
May use a lightweight wheelchair, feed self with devices, write and care for self, transfer from chair to bed
at C7
Can dress legs; min. assistance needed; independence in wheelchair; can drive car with hand controls
at T1T4
Some independence from wheelchair, long-leg braces for standing exercises
at L3L4
May use crutches or canes for ambulation
Ericksons Stages of Development
Age
Stage
Infant (0-1.5)
Trust vs Mistrust
Toddler (1.5-3)
Autonomy vs Shame & Doubt
Preschooler (3-6) Initiative vs Guilt
School-Age (6-12) Industry vs Inferiority
Adolescent (12-20) Identity vs Role Confusion
Young Adult (20-35) Intimacy vs Isolation
Middle-Age (35-65) Generativity vs Stagnation
Older Adult (65+) Integrity vs Despair

Description
Needs max. comfort w/ min. uncertainty to trust himself, others, and the environment
Works to master physical environment while maintaining self-esteem
Begins to initiate, not imitate, activities; develops conscience and sexual identity
Tries to develop a sense of self-worth by refining skills
Tries integrating many roles into a self-image under role model and peer pressure
Learns to make personal commitment to another as spouse, parent or partner
Seeks satisfaction through productivity in career, family, and civic interests
Reviews life accomplishments, deals with loss and preparation for death

Medication Suffixes
Normal VS
caine local anesthetics
RR
HR
BP
done opioid analgesics
Newborn 3060 120160
65/41
mycin antibiotics
14y
2040 80140
90-99/60-65
micin antibiotics
5 12 y 1525 70115
100-110/55-60
oxacin antibiotics (broad spectrum)
Adult
1220 60100
< 120/80
vir
anti-virals
dine
anti-ulcer agents (H2 histamine blockers)
lam
anti-anxiety agents
pam anti-anxiety agents
nuim neuromuscular blockers
statin antihyperlipidemics
ide
oral hypoglycemics
sone steroids
zide
diuretics
mide diuretics
pril
ACE inhibitors (BP)
pine
Ca+ channel blockers (BP) (also amil)
olol
blockers (BP) affects sympathetic nervous system; side effects: bradycardia, hypotention, CHF,
bronchospasm or asthma attacks (can be life-threatening); dry cough is normal side effect
Wave/
Interval
P wave
PR
Interval
QRS
Complex
ST
segment
T wave
QT
Interval

Represents
Atrial depolarization
Normally precedes the QRS wave
Start of P wave to QRS complex
Time for atrial depolarization
Time for impulse to leave SA node
and go through AV node to ventricles
Start of Q wave to the end of S wave
Ventricular depolarization (and atrial
repolarization)
Time from completion of ventricular
depolarization and beginning of
ventricular repolarization
Ventricular repolarization
Combined ventricular depolarization
and repolarization

Time (sec)

Boxes

0.06
0.12

1.5 3

0.12 0.2

35

< 0.12

<3

0.12

0.16
0.34
0.43

4
8.25
10.75

For HR: divide 1500 by the number of boxes from one R wave to the next R wave

a) LOAleft occiput anterior, most common; FHR best heard


below umbilicus on mothers left side
b) LOPleft occiput posterior
c) ROAright occiput anterior
d) ROPright occiput posterior
e) LSAleft sacrum anterior
f) RSAright sacrum anterior