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Chin up
1 month
Chest up
2 month
6 month
7 month
Crawls on stomach
8 month
10 month
11 month
Stands alone
14 month
Walks alone
15 month
Stranger anxiety:
0 -1 year
Separation anxiety: 1 - 3 years
Solitary play:
0 1 year
Parallel play:
2 3 years
Group play:
3 4 years
PSYCHOLOGICAL DEVELOPMENT
AGE
Infant
0 1.5
Toddler
1.5 -3
Pre-school
3-6
School age
6 - 11
11 - 20
20 25
25 50
ERIKSON
Trust vs. mistrust
Autonomy vs. shame
Initiative vs. guilt
Industry vs.
inferiority
Identity vs. role
confusion
FREUD
Oral (trust &
dependence
Anal (holding vs.
letting out)
Phallic (Oedipus
complex)
PIAGET
sensorimotor
preoperational
preoperational
latency
Concrete operational
genital
Formal operational
50 - ?
Integrity vs.despair
LABORATORY VALUES
2
ELECTROLYTES
Sodium (Na+):
60 110 mg/dL
Olfactory (S)
smell
II.
Optic
vision
III.
IV.
Oculomotor (M)
Trochlear (M)
(S)
Eye movement
V.
Trigeminal
(S-M)
Facial sensation
Jaw movement
VI.
Abducent
(M)
Eye movement
VII. Facial
(S-M)
VIII. Acoustic
(S)
Taste
Facial expression
Hearing and balance
Taste
Throat sensation
Gag and swallow
Gag and swallow
Parasympathetic activity
Vagus
(S-M)
(M)
Tongue movement
On Old Olympus Towering Tops, A Finn And German Viewed Some Hops
Some Says Marry Money, But My Brother Says Bad Business Marry Money
ARTERIAL BLOOD GAS (ABG)
pH:
7.35 7.45
PCO2:
35 - 45 mmHg
PO2:
80 - 100 mmHg
HCO3:
22 - 27 mEq/L
O2 saturation:
96% - 100%
Acid-base RAMS(Respiratory Alternate, Metabolic Same)
GLASGOW COMA SCALE
Eye opening response
Motor response
Verbal response
AUTONOMIC NERVOUS SYSTEM
SYMPATHETIC/
ADRENERGIC
PARASYMPATHETIC/
CHOLINERGIC
Heart
Bronchi
dilation
constriction
GI tract
Reduced motility
Increased motility
Rectum
Allows filling
Empties rectum
Relaxes internal sphincter
Bladder
Allows filling
Empties bladder
Relaxes internal sphincter
Erection
Maintains erection
Ejaculation
Triggers ejaculation
Pupils of eye
Big (mydriasis)
Small (miosis)
Salivary glands
Secretion
4
Blood vessels
Depends on receptors
-a contrict
-b dilates
10 20 ug/mL
25 30 ug/mL
120 -150 ng/mL
5 -12 ug/mL
10 20 ug/mL
150 -300 ng/mL
15- 25 ng/mL
0.5 2.0 ng/mL
2 -5 ug/mL
40 100 ug/mL
5 10 ug/mL
150 300 ug/mL
1.5 5.0 ug/mL
0.5 -1.5 ug/mL
4 -7 mg/dL
50 150 ng/mL
10 30 ug/mL
10 -20 ug/mL
5 20 ug/mL
4 10 ug/mL
50 100 ng/mL
2 5ug/mL
5
Salisylate
100 -250 ug/mL
Theophylline (Aminiphylline, Theo-Dur) 10 -20 ug/mL
Tobramycin (Nebcin )
5 -10 ug/mL
Valproic acid (depakene)
50 -100 ug/mL
DURATION
Regular
Fast acting
30 min.
120 min.
NPH
Intermediate acting
8 -12 h
18 -24 h
PZI
Long acting
24 h
36 h
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
Glycburide, glipizide
20 h, most potent
chlorpropamide
48 h
CONVERSION
Metric System
6
Meter m
Liter L
Gram g, gm, Gm
Milligram mg, mgm
Microgram ug, mcg
Kilogram kg, Kg
Millilitre mL
Cubic centimetre cc
1 mg = 1000ug or 0.oo1g
1gm = 1000mg
1mL = 0.001L or 1 cc
1kg = 1000 g
1ug = 0.000001 g
1kg = 2.2 lb
1L = 1000mL
Fahrenheit to Celcius
Celcius to Fahrenheit
1 gr = 60 mg
5 gr = 300 mg
15 gr = 1000mg or 1g
1/150 gr =0.4 mg
1 oz = 30 mL
1 dr = 4 mL
1 T = 15 mL or 3 tsp
1 min = 1 gtt
15 min = 1mL
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
(F 32) divide 1.8 = C
1.8 C + 32 = F
Formula for Calculating a Medication Dosage
= Infusion time
7
IMMUNIZATION
Birth
1 months
2 months
4 months
6 months
12 months
15 months
18 months
12 18 months
4 -6 years
11 12 years
11 16
Hepatitis B
Hepatitis B
OPV, DPT, HIB
DPT, HIB, OPV
DPT, HIB, hepatitis B
HIB, OPV
MMR
DPT
Varicella vaccine
DPT, OPV, MMR
MMR ( if not administered at 4 -6 years)
TD booster
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
extremities
C5 or below client may have movement in the shoulder
RULE OF NINE
Head and neck
Anterior trunk
Posterior trunk
Arms (9%)
Legs (18%)
Perineum
9%
18%
18%
18%
36%
1%
56% or
3% or
2.7% or
0.3% or
34% or
4% or
18000 7800/uL
0 700/uL
0 450/uL
0 200/uL
1000 4800/uL
0 800/uL
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
Triiodothyronine (T3): 80 to 230 ng/dL
HERBAL MEDICINE
Aloe vera Gel abrasionsand dermatologic conditions
American Ginseng (Panax quinquefolius) boost energy, relieve stress, improve concentration and
enhance physical or cognitive performance.
9
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 maslows hierarchy to determine which need
to address.
3. If the question indicates that the client doesnt 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)
11