Definitions
Polyuria
Excessive urine (50mL/kg)
Pt admitted for asthma exacerbation. Vitals are BP- 143/87, HR- 104, RR- 22, SpO2- 90%, pain- 2/10. Breathing tx q4hrs PRN for SOB.
OXYGEN!!!
Impaired gas exchange
Ineffective breathing pattern
Activity tolerance
Range for heart rate
60-100
Most common oral medication for DMII
Metformin (glucophage)
Na 135
K 3.7
Mg 1.3
Ca 9.2
Magnesium (1.5-2.6)
The principal hormone that regulates uptake of glucose from the blood into most cells (primarily muscle and fat cells, but not central nervous system cells)
Insulin
Pt admitted for CP. Went from the ER to cath lab and is now on your floor. Pt denies CP at this time. Vitals are BP- 123/75, HR- 77, RR- 18, SpO2- 95%. Dressing to right groin where cath was performed has bloody drainage
Apply pressure to site! Assess for other s/sx of bleeding
Impaired tissue perfusion
Risk for bleeding
SpO2
92-100
3 common blood thinners
Lovenox, Coumadin, heparin, pradaxa, xeralto, brilentia, eliquis
RBC 4.3
Hgb 12.1
Hct 38
Hgb (13.3-17.1)
FWW
BSC
Front wheel walker
Bedside commode
Pt is s/p ORIF left hip. PT is having a difficult time getting pt OOB for therapy due to pain. Pt currently using bed pan to void.
Pain meds
Impaired mobility
Risk for impaired skin integrity
Acute pain
Respiratory rate
12-20
Things to look for when administering a narcotic
Pain scale, Decreased RR, lowered BP/HR, SpO2, rash, itching, SOB, anxiety
PT 11.9
INR 2.5
Platelets 157
INR (0.8-1.1)
Abx
Dx
AC/HS
Antibiotics
Diagnosis
Before meals/ bedtime
Pt admitted for abd pain, N/V. Pt receiving IVF at 100mL/hr. 6 hours into your shift, pt has has 4 episodes of vomiting and 2 loose stools.
Anti-emetic
Risk for fluid volume deficit
Nutrition imbalance: less than body requirements
Blood pressure
120-90/80-60
Atenolol, metoprolol, esmolol
Beta blockers
BUN 13
Creatinine 1.8
ALT 44
AST 35
Creatinine (0.5-1.4)
BID
TID
QID
NPO
2 times a day
3 times a day
4 times a day
Nothing by mouth
Pt was admitted to the floor after hernia surgery. You assess his abd dressing and notice white/yellow discharge. Vitals are BP- 149/82, HR- 107, RR- 20, temp- 101.3°F, pain- 5/10.
Pain meds/ Tylenol for fever
Risk for infection
Pain, acute
Fasting blood glucose (range)
70-99
Zofran, phenergan, reglan, compazine
Anti-emetics
Na 134
K 5.3
Hgb 13.4
Creatinine 0.5
Troponin 0.5
Na (135-145)
K (3.5-5)
Troponin (<0.4)