Nursing School Necessities Cheat Sheet NORMAL VITAL SIGNS Infant (0-12 months)
Child (1-11 years)
Adult (12+ years)
Heart Rate: 100-160 beats per minute
Heart Rate: 70-120 beats per minute
Heart Rate: 60-100 beats per minute
Respiration (0-6 months): 30-60 breaths per minute
Respiration (1-5 years): 20-30 breaths per minute
Respiration: 12-20 breaths per minute
Respiration (6-12 months): 24-30 breaths per minute
Respiration (6-11 years): 12-20 breaths per minute
Blood Pressure: 120/80 mm Hg
Blood Pressure (0-6 months): 65-90/45-65 mm Hg
Blood Pressure: 90-110/55-75 mm Hg
Temperature: 98.6° F or 37°C
Blood Pressure (6-12 months): 80-100/55-65 mm Hg
Temperature: 98.6° F or 37°C
Temperature: 98.6° F or 37°C LAB VALUES Hematology Values
Red Blood Cells: 4.5-5.0 million
Coagulation Parameters
Coumadin (Warfarin)
Hemoglobin (Male):14-18 g/dL
Hemoglobin (Female): 12-16 g/dL
Hematocrit (Male): 42-54%
Hematocrit (Female): 36-48%
Chemistry Values Blood Glucose: 70-110 mg/dL Blood Urea Nitrogen (BUN): 7-22 mg/dL Creatinine: 0.6-1.35 mg/dL Specific Gravity: 1.010-1.030
Potassium: 3.5-5 mEq/L
Prothrombin Time (PT): 11-14 seconds (normal), 16-28 seconds (therapy) International Normalized Ratio (INR): 0.8-1.2 (normal), 2.0-3.0 (therapy) Antidote: Vitamin K Partial Thromboplastin Time (PTT): 25-35 seconds (normal), 38-70 seconds (therapy) Antidote: Protamine Sulfate Arterial Blood Gas Values
Calcium: 8.5-10.9 mg/L Magnesium: 1.5-2.5 mEq/L
Bicarbonate (HCO3): 22-28 mEq/L
Digoxin: 0.5-2.0 ng/mL
Carbon Dioxide (PaCO2): 35-45 mEq/L
Lithium: 0.8-1.5 mEq/L
Oxygen (PaO2): 80-100 mEq/L
Theophylline: 10-20 mcg/dL
ROME: Respiratory Opposite – Metabolic Equal -
Respiratory Acidosis: pH ↓
CO2 ↑
HCO3 ↑
Albumin: 3.9-5.0 g/dL
-
Metabolic Acidosis:
pH ↓
CO2 ↓
HCO3 ↓
ALT: 8-37 IU/L
-
Respiratory Alkalosis: pH ↑
CO2 ↓
HCO3 ↓
-
Metabolic Alkalosis:
pH ↑
CO2 ↑
HCO3 ↑
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Chloride: 95-105 mEq/L
Therapeutic Drug Values
Protein: 6.2-8.1 g/dL
AST: 10-34 IU/L
Sodium: 135-145 mEq/L
Phosphorus: 2.5-4.5 mg/L
Heparin/Lovenox/Dalteparin
White Blood Cells: 5,000-10,000
Serum electrolytes
Dilantin: 10-20 mcg/dL
MEDICATION ADMINISTRATION 8 Rights of Medication Administration
Drug Schedules
1.
Right Patient: Use 2 identifiers
Schedule I: Research use only
2.
Right Medication: Check label and order
Schedule II: Requires written prescription
3.
Right Dose: Make sure order is appropriate amount
Schedule III: Requires new prescription after six months
4.
Right Route: Make sure route is appropriate
5.
Right Time: Confirm frequency and last time given
Schedule IV: Requires new prescription after six months
6.
Right Documentation: Document after given
Schedule V: Dispensed as any other prescription or
7.
Right Reason: Confirm rationale for medication
8.
Right Response: Make sure the patient has the desired effect of the medication
OR five refills
without prescription if state law permits
Common Antidotes
Acetaminophen Acetylcysteine (Mucomyst) Certain poisons Activated charcoal Digoxin Digibind Benzodiazepines Flmazenil (Romazicon) Beta Blockers/Calcium Channel Blockers Glucagon Insulin Dextrose Magnesium Sulfate Calcium Gluconate Opioids and Narcotics Naloxone (Narcan) Potassium Albuterol or Kayexalate Alcohol Thiamine
CONVERSION CHART Prefix
Symbol
Factor
Kilo-
k
1,000
Deci-
d
0.1
Centi-
c
0.01
Milli-
m
0.001
Micro
μ
0.000,001
PROCESSES AND METHODS Volume
Mass/Time
Height/Temperature
1 mL = 1 cubic centimeter (cc)
1 oz = 28 grams (g)
1 cm = .01 m
1 mL = 15 drops (gtt)
16 oz = 1 pound (lb)
2.54 cm = 1 inch
5 mL = 1 teaspoon (tsp)
1 lb = 2.2 kilograms (kg)
Height is measured in cm
15 mL = 3 tsp = 1 tablespoon (tbsp)
1 kg = 1000 g Fahrenheit to Celsius
30 mL = 1 ounce (oz) = 2 tablespoons 8 oz = 1 cup (c) 2 cups = 1 pint (pt)
Military time
Subtract 32
-
0000 or 2400 = midnight
2.
Multiply by 5
3.
Divide by 9
-
12:00 am – 12:59 pm keep the same value
2 pints = 1 quart (qt)
-
After 12:59, simply add 12 to the time.
4 quarts = 1 gallon (gal)
-
Examples: 1:00 am + 12 = 1300 hours
1 gallon = 3.79 liters (L)
-
5:38 pm + 12 = 1738 hours
-
11:05 pm + 12 = 2305 hours
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1.
Celsius to Fahrenheit 1.
Multiply by 9
2.
Divide by 5
3.
Add 32
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