Front | Back |
FLUID VOLUME DEFICIT
|
"SHOCK YOU"
*Sunken Fontanel (Neonate) * Flat neck veins * Dry, Poor Skin Turgor * Constipation * Decreased CVP * Increased HCT * Wt. Loss |
FLUID VOLUME EXCESS
|
"EDEMA"
*Periorbital Edema *JV Distention * CHF: crackles, DOB,coughing * Increased CVP * Decreased HCT |
Hypo-NA
|
< 135 meq/L
*s/sx of Fld. Vol. Deficit *DOC: Demeclocycline, Diuretics |
Hyper-Na
|
>145 meq/L
* s/sx of Fld. Vol. Excess *DOC: Albumin IV, Diuretics * Mgt: Dialysis |
Hypo-K
|
Decrease in : CNS(Impulses), Cardio, GIT, Muscle
* ECG: Depressed T-wave, U-wave * Lethargy * Early: Cramps * Late: Weakness *Mgt: KCL, K-rich foods (PABOWS) * C/I: Digoxin, K-wasting |
Hyper-K
|
> 5.1 meq/L
* Increase in : CNS, Cardio, GIT, Muscle * ECG: Peaked T-wave * Seizure * Early: Spasm * Late: Weakness * Mgt: Kayexalate(oral/enema), IV Insulin * C/I : K-sparing |
Hypo-Ca
|
Decrease Ca = Increase Impulses
* Tetany : (+) Chostek, (+) Trousseu, Circumoral Tingling * Mgt: Ca Gluconate |
Hyper-Ca
|
Increase Ca = Decrease Impulses
"Bones, Stones, Moans, Groans!" * Fracture * Kidney Stones * Constipation * Mgt: Diuretics, Dialysis |
Hypo-Mg
|
Decrease Mg = Increase Impulses
* Cardio: V-Tach (Polymorphic "Torsades De Pointes") * (+) DTR * CNS: Seizures, Tetany * Mgt: MgSO4 |
Hyper-Mg
|
Increase Mg = Decrease Impulses
* (-) DTR = Paralysis * D-rop R-R O-utput P-ressure * Mgt: Ca Gluconate |
ABG (Arterial Blood Gas)
|
Step 1:
PH - Up (Acidosis) ; Down (Alkalosis) Step 2: R - espiratory O - pposite (pCO2) M - etabolic E - qual (HCO3) Step 3: Fully Compensated - Normal Ph Partially Compensated - AbN pCO2 & HCO3 Uncompensated - Normal pCO2 or HCO3 |
STANDARD PRECAUTION
|
Hepatitis A-G
Infectious Mononucleosis (Kissing Dse) *Hand Washing *Serum - gloves Blood - gown Optional - googles |
AIRBORNE PRECAUTION:
MTV - HZ |
M - easles
T - urberculosis V - aricella HZ - Herpes Zoster ( Shingles) *<5 microns * (-) Pressure Room * N-95 |
ENTERIC PRECAUTION:
Ssh |
S = Salmonella
S = Shigella H = Hepatitis AE - "tae" |
CLEAN Procedures
|
* Enema
* Colostomy Irrigation * Oral Meds * Rectal Suppository |