NCLEX

AST/ALT

8-20

BUN

6-20
increased in dehydration

WBC

5,000-10,000

ESR

<15-20

Specific Gravity of Urine

1.010-1.030

Platelets

150,000-400,000

Hematocrit
(men)

42-50%
increased in dehydration

Hematocrit
(women)

40-48%
increased in dehydration

Hgb
(men)

13-18

Hgb
(women)

12-15

Digoxin
(loading dose)

0.5-1.0mg in 24h

Digoxin
(maint. dose)

0.125-0.5 IV or PO

Digoxin
(therapeutic level)

0.5-2.0

PTT

24-45 sec
Hep Therapy: 1.5-2x normal

MAOIs

Nardil, Parnate, Marplan

What is given for hypertensive crisis with MAOIs?

Procardia

RBCs
(men)

4.3-5.9 million

RBCs
(female)

3.5-5.5

PT

11-15 sec
Coumadin Therapy: 1.5-2.5x normal

CVP

3-12 cm

Aspirin toxicity treated by?

Vit K, IV Sodium Bicarb

Hyperparathyroid state can cause ______ a symptom of which is _________?

renal stones, hematuria

AIDS pts have a CD4/ TC level below_________

200

Overdose of Tylenol can cause _______

Liver damage

Aminoglycosides can cause damage to -

8th cranial nerve (hearing)
Kidneys (nephrotoxic)

Normal Lead Level

<9

Causes of hypokalemia

- TPN
-corticosteroids (Cushing's)
-Diarrhea, Vomiting
-Diuretics

Beta blockers are contraindicated in pt's with

COPD, asthma
(cause bronchoconstriction)
Coreg, Corgard, Inderal

Candidiasis treated with?

Ketoconazole

PVCs treated with

Lidocaine, Pronestyl

KVO rate

20 ml/hr

Tricyclic side effects

sore throat, fever, fatigue, vomiting and diarrhea

Cerebellum

balance

Temporal

hearing

Parietal

sensation

Occipital

vision

Frontal Lobe

Personality, intellect

Cranial Nerve IX

glossopharyngeal (taste)

Pituitary gland secretes

ADH

Hypokalemia symptoms

Muscle weakness, lethargy, anorexia, NV, parathesias, dysrhythmias

Hyperkalemia symptoms

Peaked T wave, cardiac arrest, muscle weakness, paralysis, nausea, diarrhea

Causes of Hyperkalemia

renal failure, overuse of supplements, crushing injuries

Muscular weakness produced by repeated movements that disappear after rest. Dysphagia, respiratory distress, ptosis, diplopia

Myasthenia Gravis

Myasthenia Crisis

Sudden inability to swallow, speak, or maintain a patent airway

Myxedema

Hypothyroidism
Tx: Synthroid, Cytomel

Grave's disease

Hyperthyroidism
Tx: Tapazole, SSKI, irradiation

Electromyography

Technique for evaluating and recording the activation signal of muscles. May be IM or surface electrodes.
Dx: neuropathies and myopathies

Buerger's Disease or Raynaud's Disease

Arterial Peripheral Vascular Disease

Bell's Palsy considerations

Facial Paralysis, Cranial Nerve XII
Prevent corneal abrasions

Addisonian Crisis

NV, Abd pain, Fever, hypoglycemia and dehydration, BP falls leading to shock and coma

Give IV D5NS and steroids

Addison's Disease

Adrenal Disorder (hypo)

Hypoglycemia, hyponatremia
fatigue, weakness, "eternal tan", decreased resistance to stress, weight loss, pathological fractures

Adrenal hormones

Mineralocorticoids (Na reabsorption, K and H secretion)

Glucocorticoids (Prednisone, etc)

Androgens

Cushing's Syndrome

Adrenal disorder (Hyper)

Purple skin striations, hirsutism, blood sugar imbalance, compromised immune function, GI bleeding poss.

1 grain = ___mg

60

L/S ratio (mature lungs)

3 or greater
2-3 borderline

Lispro Insulin

Rapid
Peak: 1 hr

Regular Insulin

Short
Peak: 2-3 hr

NPH or Lente

Intermediate
Peak: 6-12 hr

Ultralente

Long Acting
Peak: 12-16 hr

Lantus Insulin

Very Long
Continuous Acting
Peak: NONE

Albumin

3.5-5.5
Best indicator of nutritional status

Pancreatitis drug of choice

Demerol
NO Morphine (causes spasms in Sphincter of Oddi)

Parkland Formula

Fluid replacement after burns
TBSA burned(%) x Wt (kg) x 4mL
1/2 in first 8 hours

Shift to the left

Indicates bacterial infection

Verapamil is used to treat what?

SVT, check heart rate before giving

Foods cross-reactive with latex

apricots, cherries, grapes, kiwis, passion fruit, bananas, avocados, chestnuts, tomatoes, and peaches

Effects of aminophylline

nervousness, nausea, dizziness, tachycardia, seizures

HbA1c

4.5-7.6% of total hemoglobin

Ototoxic drugs

loop diuretics (Lasix), NSAIDs (Indocin), cisplatin (Platinol-AQ)

Shock vital signs

Decreased BP, increased pulse

Most reliable signs of infection in elderly

tachycardia, tachypnea, and confusion

Maneuver used for symptoms of SVT

Vagal/ Valsalva

Elevated serum antistreptolysin O (ASO) titer indicates what?

glomerulonephritis

IV KCl should infuse no faster than ___ mEq/hr

20

Creatinine

0.5-1.5
elevated levels indicate renal failure

most common cause of SIADH

cancer, esp. lung cancer

other causes include various pulmonary and CNS disorders

Cranial Nerve pneumonics

Oh Oh Oh To Touch and Feel a girls vagina arouses him

some say marry money but my brother says big breasts mean more

Therapeutic Lithium level

0.5-1.2
Toxic effects occur above 1.5 mEq/L

given for diabetes insipidus

Desmopressin DDAVP (Vasopressin)