Labs
The normal value of this lab is 4-10 k/uL
White Blood Cells (WBC)
What type of medication order should be administered immediately
STAT order
Name 2 isotonic fluids
0.9% NaCl
Lactated Ringers
When the patient is positioned on their abdomen
Name 3 signs of a localized infection
Localized redness, edema, tenderness, drainage
BUN and Creatinine are a measure of what?
Kidney Function
Name 1 type of pill that cannot be crushed
Extended release
How does fluid shift with administration of 3% NaCl
Out of the cell and into the ECF
Sitting position between 45-60 degrees
Fowlers Position
First line of defense against infection
What is the normal value of hemoglobin
13.5-17.5 g/dl (men)
12-15.5 g/dL (women)
What route of med administration has the fastest onset
Intravenous
Describe IV site assessment
Assess for erythema/discoloration, drainage, edema, pain/tenderness, patency, blood return
Name 3 nursing interventions to prevent complications of immobility
Turn q2
ROM
SCD
IS/deep breathing
Transfer devices
Specific (adaptive) immune defenses
Antibodies
Lymphocytes
The normal value of this lab is 3-5.5 mEq/L
Potassium
Name the 5 rights and 3 checks
Right patient, medication, dose, route, time
During dispense
While preparing
Just before admin
Name 3 signs/symptoms of hypovolemia
Tachycardia
Low blood pressure
Dizziness
Confusion
Weak peripheral pulses
Describe how to properly use a walker
move walker a short distance in front of you
ensure all 4 tips are on the group before step
step forward with weak leg
step forward with strong leg
Why does dilation and increased leakiness of local blood vessels occur with the inflammatory response
To allow migration of WBC (phagocytes) to the area
What labs are included in a blood gas (which 3 did we focus on)
pH, HCO3, CO2
Explain the first pass phenomenon
The medication is metabolized resulting in a reduced concentration of the active drug prior to reaching its site of action or systemic circulation. Metabolism often occurs in the liver
Where is the majority of body fluid located
Intracellular Fluid (2/3)
Name 3 ways immobility affects the cardiopulmonary system
Decreased cardiac output
Pooling of blood (increased risk for DVT's, PE)
Pooling of secretions (increased risk for pneumonia)
Decreased depth of respirations (increased risk for atelectasis)
Detects infection in the blood and identifies the causative microbe (lab)
Blood culture