NORMAL VITAL SIGNS Temperature Oral 36.4 - 37.4 degree celcius (97.6 99.3 degree farenheit) Rectal 36.

2 - 37.8 degree celcius (97 - 100 degree farenheit) Axillary 35.9 - 36.9 degree celcius (96.6 98.4 degree farenheit) PULSE AND RESPIRATORY RATES/MINUTE AGE PULSE RESPIRATION new born 70-110 3050 11 mos. 80-160 26-40 2 yrs. 80-130 20-30 4 yrs. 80-120 20-30 6 yrs. 75-115 20-26 8 yrs. 70-110 18-24 10 yrs. 70-110 18-24 Adolescence 60-110 12-20 COLOR CODING SHIFTING 7-3 (blue) 3-11 (black) 11-7 (red) VITAL SIGNS Temperature (black) Pulse (red) Respiration (blue/black) COMPUTATION FOR INTRAVENOUS FLUIDS computing for # of drops/min = number of liters x 15gtts/min hours to consume x 60mins/hr computing for # of hours liters x 15gtts/min x 60mins/hr computing ofr # of cc/hr liters in cc hours to consume COMPUTING FOR FLOW RATE Total volume to infuse = ml/hr time = number of number of = number of drops/mins

COMPUTING FOR DRUG ADMINISTRATION D x V = ml where: D - drugs to be given H H - drugs on hand V - vehicle or amount of SH20 to dilute MEDICATION CARD (color coding) Medication Time White - OD (once a day) TID - 8am-1pm-6pm Pink - TID (trice a day) OD - 8am Green - QID (4x a day BID - 8am-6pm Yellow - BID (2x a day) QID - 8am-12nn-4pm-8pm Red - PRN (as necessary) PRN - when necessary Blue - q6 (every 6 hours) q6 - 6am-12nn-6pm-12mn Orange - HS (at bed time Note: Medication card and time are according to Hospital policy 10 RGHTS OF MEDICATION 1. Right dose 2. Right patient 3. Right docmentation 4. Right approach 5. Right route 6. Right time 7. Right administration 8. Right frequency 9. Right drugs 10. Right preparation

CALCULATION OF BODY MASS INDEX BMI = weight in lbs. x 703 (height in inches)2 COMPUTING for AGE OF GESTATION Naegel's Rule EDC - expected date of cinfinement LMP - First day of the last menstruation period L M P -3 +7 +1 - standard computation

McDonald's Rule AOG - Age of gestation Fundic height x 8 = weeks 7 Fundic height x 2 = months 7 HEMATOLOGY (normal) RBC Men: 4.2 - 5.5 miilion/mm3 Women: 3.6-5.0 million/mm3 Hemoglobin Men: 14-16.5 g/Dl Women: 12-15 g/DL Hematocrit Men: 42%-50% Women: 37%-45% WBC: 4,500-11,000/mm3 Lymphocytes: 20%-30% Monocytes: 3%-6% Platelets: 150,000-350,000/mm3

MECHANISM OF LABOR D - Descend E - Engagement F - Flexion I - Internal Rotation E - Extension E - External Rotation E - Expulsion STAGES OF LABOR Stage 1: onset of contraction to the dilation/effacement of the cervix Stage 2: from full dilation to birth of baby Stage 3: from birth of baby to expulsion of the placenta Stage 4: delivery fo the baby and the placenta ORTHO SURGERY ABBREVIATIONS (Ward 2 & 3) 1. ASDF - Anterior Decompression Spinal Fussion 2. AEA - Above Elbow Amputation 3. BEA - Below Elbow Amputation 4. BG - Bone Grafting 5. CHSF - Compression Hip Screw Fixation 6. CSTR - Complete Soft Tissue Release 7. HRI - Harring Rod Instrument 8. IMN - Intra Medullary Nailing 9. ORSF - Open Reduction Screw Fixation 10. ORIF - Open Reduction Internal Fixation 11. ORTBW - Open Reduction Tension Band Wiring 12. BKA - Below Knee Amputation 13. AKA - Above Knee Amputation 14. PLGB - Postero Lateral Bone Grafting 15. PSF - Posterior Spinal Fusion 16. ROI - Removal of Implant 17. RFS - Rush Frozen Section 18. RCHSF - Richard Compression Hip Screw Fixation 19. STSG - Splint Thickness Skin Grafting 20. TAR - Tendon Achilles Repair 21. TRHP - Total Replacement Hip Prosthesis 22. VDO - Varus Derotation Osteomy 23. PSR - Progressive Surgical Release 24. RAEF - Roger Anderson External Fixator 25. ORP - Open Reduction Platting 26. X Pinning - Cross Pinning

GORDON's 11 FUNCTIONAL PATTERN 1. Health Perception Pattern 2. Nutritional & Metabolic Pattern 3. Elimination Pattern 4. Activity & Exercise Pattern 5. Sleep & Rest Pattern 6. Cognitive & Percaptual Pattern 7. Slef-Perceprion & Self-Concept Pattern 8. Role Relationship Pattern 9. Sexuality & Strees Tolerance Pattern 10. Coping & Stress Tolerance Pattern 11. Values & Belief Pattern LAYERS OF SKIN - SKIN (silk - black) - SUBCUTANEOUS (plain - yellow) - FASCIA (vicril/safil - violet) - MUSCLE - PERITONEUM (silk - black) LAYERS OF UTERUS - PERIMETRIUM - ENDOMETRIUM - MYOMETRIUM