HESI Exit Exam
Labs:
Normal Values:
HgB: - Males:
• 14-18
- Female:
• 12-16
Hct: - Males:
• 42-52
- Female:
• 37-47
RBC’s: - Males:
• 4.7-6.1 million
- Female:
• 4.2-5.4 million
WBC’s: - 4.5-11k
Platelets: - 150-400k
PT: - 11-12.5 seconds
INR: - 1.5-2.5 times normal
APTT: - 60-70 seconds
BUN: - 10-20
Creatinine: - 0.5-1.2
Glucose: - 70-110
Cholesterol: - <200
Bilirubin Newborn: - 1-12
Phenylalanine: - Newborn: <2
- Adult: <6
Na: - 135-145
K: - 3.5-5.0
- Hypokalemia:
• Prominent U waves
• Depressed ST segment
• Flat T waves
- Hyperkalemia:
• Tall T-Waves
• Prolonged PR interval
• Wide QRS
, HESI Exit Exam
Ca: - 9-10.5
- Hypocalcemia:
• Muscle spasms
• Convulsions
• Cramps/tetany
• Trousseau’s
+ Chvostek’s
• Prolonged ST interval
• Prolonged QT segment
Mg: - 1.5-2.5
Cl: - 96-106
Phosphate: - 3-4.5
Albumin: - 3.5-5
Specific Gravity: - 1.003-1.030
A1c: - 4-6% is ideal
- <7.5= OK
- This tells you average blood glucose over 120 days
Dilantin: - 10-20
Lithium: - 0.5-1.5
ABGs: - Used in acidosis v alkalosis
- PH:
• 7.35-7.45
- CO2:
• 35-45 Respiratory Driver
- HCO3:
• 21-28 Metabolic Driver
- O2:
• 80-100
- O2 STAT:
• 95-100%
, HESI Exit Exam
Antidotes
Antidotes:
1. Digoxin Digibond
2. Coumadin Vitamin K ( Keep PT and INR @ 1-1.5 X
Normal)
3. Benzodiazepines Flumazenil (Romazicon)
4. Magnesium Sulfate Calcium Gluconate
5. Heparin Protamine Sulfate (Keep APTT and PTT @
1.5-2.5 X Normal)
6. Tylenol Mucomyst (17 doses + Loading Dose)
7. Opiates (Narcotic analgesics, heroin, morphine)
Narcan (Naloxone)
8. Cholinergic Meds (Myasthenic Bradycardia)
atropine
9. Methotrexate Leucovorin
Delegation:
Delegation:
RN Only: - Blood Products 2 RN’s Must Check
- Clotting Factors
- Sterile Dressing changes and procedures
- Assessment that require clinical judgment
- Ultimately responsible for all delegated duties
UAP: - Non-sterile procedures
Labs:
Normal Values:
HgB: - Males:
• 14-18
- Female:
• 12-16
Hct: - Males:
• 42-52
- Female:
• 37-47
RBC’s: - Males:
• 4.7-6.1 million
- Female:
• 4.2-5.4 million
WBC’s: - 4.5-11k
Platelets: - 150-400k
PT: - 11-12.5 seconds
INR: - 1.5-2.5 times normal
APTT: - 60-70 seconds
BUN: - 10-20
Creatinine: - 0.5-1.2
Glucose: - 70-110
Cholesterol: - <200
Bilirubin Newborn: - 1-12
Phenylalanine: - Newborn: <2
- Adult: <6
Na: - 135-145
K: - 3.5-5.0
- Hypokalemia:
• Prominent U waves
• Depressed ST segment
• Flat T waves
- Hyperkalemia:
• Tall T-Waves
• Prolonged PR interval
• Wide QRS
, HESI Exit Exam
Ca: - 9-10.5
- Hypocalcemia:
• Muscle spasms
• Convulsions
• Cramps/tetany
• Trousseau’s
+ Chvostek’s
• Prolonged ST interval
• Prolonged QT segment
Mg: - 1.5-2.5
Cl: - 96-106
Phosphate: - 3-4.5
Albumin: - 3.5-5
Specific Gravity: - 1.003-1.030
A1c: - 4-6% is ideal
- <7.5= OK
- This tells you average blood glucose over 120 days
Dilantin: - 10-20
Lithium: - 0.5-1.5
ABGs: - Used in acidosis v alkalosis
- PH:
• 7.35-7.45
- CO2:
• 35-45 Respiratory Driver
- HCO3:
• 21-28 Metabolic Driver
- O2:
• 80-100
- O2 STAT:
• 95-100%
, HESI Exit Exam
Antidotes
Antidotes:
1. Digoxin Digibond
2. Coumadin Vitamin K ( Keep PT and INR @ 1-1.5 X
Normal)
3. Benzodiazepines Flumazenil (Romazicon)
4. Magnesium Sulfate Calcium Gluconate
5. Heparin Protamine Sulfate (Keep APTT and PTT @
1.5-2.5 X Normal)
6. Tylenol Mucomyst (17 doses + Loading Dose)
7. Opiates (Narcotic analgesics, heroin, morphine)
Narcan (Naloxone)
8. Cholinergic Meds (Myasthenic Bradycardia)
atropine
9. Methotrexate Leucovorin
Delegation:
Delegation:
RN Only: - Blood Products 2 RN’s Must Check
- Clotting Factors
- Sterile Dressing changes and procedures
- Assessment that require clinical judgment
- Ultimately responsible for all delegated duties
UAP: - Non-sterile procedures
