Advanced Medical-Surgical Nursing -Westminster College 2017-
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Hematocrit (HCT):
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females 37-47%; males 42-52%
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Hemoglobin (Hgb):
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females 12-16 g/dL; males 14-18 g/dL
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White Blood Cell Count (WBC):
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5,000-10,000/uL
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Neutrophils: neutropenia is what?
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is a neutrophil count of less than 2,000/mm3
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Platelets:
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150,000-400,000 mm3
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Serum sodium (Na):
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136-145 mEq/L
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Serum potassium (K):
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3.5-5.0 mEq/L
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Serum calcium (Ca):
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9.0-10.5 mg/dL
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Serum magnesium (Mg):
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1.3-2.1 mEq/L
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Serum glucose:
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(finger stick) 60-110 mg/dL
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Serum BUN:
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8-25 mg/dL
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Serum creatinine:
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0.6-1.3 mg/dL
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Activated partial thromboplastin time (aPTT):
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30-40 seconds is normal; about 50-80 is therapeutic (desired range when on heparin)
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International normalized ratio (INR):
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0.8-1.2 is normal; 2-3 is desired range when on warfarin (Coumadin)
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Arterial Blood Gases (ABGs):
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on ABG handout
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Mixed venous oxygen saturation (SVO2):
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60%-80%
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HEMODYNAMIC PARAMETERS
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HEMODYNAMIC PARAMETERS
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Cardiac Output:
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4-7 L/min
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Cardiac Index
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2.6-4.2 L/min/m2
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Pulmonary Artery Wedge Pressure:
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4-12 mmHg
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Central Venous Pressure (Right Atrial Pressure):
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1-8 mmHg
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MEDICATIONS:
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MEDICATIONS:
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amiodarone
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Used to treat V-tach, and V-fib DON'T USE allergy to iodine AV block w/ pace m. , Hx bradycardia
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atropine sulfat
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Anticholinergic
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metoprolol, propranolol, carvedilol, labetalol [beta blockers]
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Beta blocker
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dobutamine
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-is an inotropic agent. It works by increasing the strength and force of the heartbeat, causing more blood to circulate through the body ---Do not use if •you have a history of heart valve problems, an adrenal gland tumor, an increased irregular heartbeat (tachyarrhythmia), or an enlarged left ventricle of the heart due to narrowing of the aortic blood vessel (idiopathic hypertrophic subaortic stenosis)
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milrinone
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Milrinone is an inotrope and vasodilator. It works by increasing the force with which the heart pumps blood through the body and widens blood vessels, which allows blood to flow through the body more easily.
