HESI MED-SURG REVIEW * 60-70 sec (APTT and PTT TR = 1.5-
2.5 times normal)
o BUN 10-20
o ABCs
o Creatinine 0.5-1.2
* Airway
o Glucose 70-110
* Breathing
o Cholesterol < 200
* Circulation
o Bilirubin Newborn 1-12
o Phenylalanine Newborn < 2, Adult <
* Normal Values 6
o Hgb o Na+ 136-145
* Males 14-18 o K+ 3.5-5
* Females 12-16 * HypoK+ . . . Prominent U waves,
o Hct Depressed ST segment, Flat T waves
* Males 42-52 * HyperK+ . . . Tall T-Waves,
Prolonged PR interval, wide QRS
* Females 37-47
o Ca++ 9-10.5
o RBCs
* Hypocalcemia ... muscle spasms,
* Males 4.7-6.1 million convulsions, cramps/tetany, + Trousseau's, +
Chvostek's, prolonged ST interval,
* Females 4.2-5.4 million
prolonged QT segment
o WBCs
o Mg+ 1.5-2.5
* 4.5-11k
o Cl- 96-106
o Platelets
o Phos 3-4.5
* 150-400k
o Albumin 3.5-5
o PT (Coumadin/Warfarin)
o Spec Gravity 1.005-1.030
* 11-12.5 sec (INR and PT TR = 1.5-2
o Glycosylated Hemoglobin (Hgb
times normal)
A1c): 4-6% ideal, < 7.5% = OK (120 days)
o APTT (Heparin)
o Dilantin TR = 10-20
, o Lithium TR = 0.5-1.5 * Delegation
o Arterial Blood Gases ... Used for o RN Only
Acidosis vs. Alkalosis
* Blood Products (2 RNs must check)
* PH 7.35-7.45
* Clotting Factors
* CO2 35-45 (Respiratory driver) ...
High = Acidosis * Sterile dressing changes and
procedures
* HCO3 21-28 (Metabolic driver) ...
High = Alkalosis * Assessments that require clinical
judgment
* O2 80-100
* Ultimately responsible for all
* O2 Sat 95-100% delegated duties
o Unlicensed Assistive Personnel
* Antidotes * Non-sterile procedures
o Digoxin ... Digiband
o Coumadin ... Vitamin K (Keep PT * Precautions & Room Assignments
and INR @ 1-1.5 X normal)
o Universal (Standard) Precautions ...
o Benzodiazapines ... Flumzaemil HIV initiated
(Tomazicon)
* Wash hands
o Magnesium Sulfate ... Calcium
Gluconate? * Wear Gloves
o Heparin ... Protamine Sulfate (Keep * Gowns for splashes
APTT and PTT @ 1.5-2.5 X normal) * Masks and Eye Protection for
o Tylenol ... Mucomist (17 doses + splashes and droplets
loading dose) * Don't recap needles
o Opiates (narcotic analgesics, heroin, * Mouthpiece or Ambu-bag for
morphine) ... Narcan (Naloxone) resuscitation
o Cholinergic Meds (Myesthenic * Refrain from giving care if you have
Bradycardia) ... Atropine skin lesion
o Methotrexate ... Leucovorin o Droplet (Respiratory) Precautions
(Wear Mask)
2.5 times normal)
o BUN 10-20
o ABCs
o Creatinine 0.5-1.2
* Airway
o Glucose 70-110
* Breathing
o Cholesterol < 200
* Circulation
o Bilirubin Newborn 1-12
o Phenylalanine Newborn < 2, Adult <
* Normal Values 6
o Hgb o Na+ 136-145
* Males 14-18 o K+ 3.5-5
* Females 12-16 * HypoK+ . . . Prominent U waves,
o Hct Depressed ST segment, Flat T waves
* Males 42-52 * HyperK+ . . . Tall T-Waves,
Prolonged PR interval, wide QRS
* Females 37-47
o Ca++ 9-10.5
o RBCs
* Hypocalcemia ... muscle spasms,
* Males 4.7-6.1 million convulsions, cramps/tetany, + Trousseau's, +
Chvostek's, prolonged ST interval,
* Females 4.2-5.4 million
prolonged QT segment
o WBCs
o Mg+ 1.5-2.5
* 4.5-11k
o Cl- 96-106
o Platelets
o Phos 3-4.5
* 150-400k
o Albumin 3.5-5
o PT (Coumadin/Warfarin)
o Spec Gravity 1.005-1.030
* 11-12.5 sec (INR and PT TR = 1.5-2
o Glycosylated Hemoglobin (Hgb
times normal)
A1c): 4-6% ideal, < 7.5% = OK (120 days)
o APTT (Heparin)
o Dilantin TR = 10-20
, o Lithium TR = 0.5-1.5 * Delegation
o Arterial Blood Gases ... Used for o RN Only
Acidosis vs. Alkalosis
* Blood Products (2 RNs must check)
* PH 7.35-7.45
* Clotting Factors
* CO2 35-45 (Respiratory driver) ...
High = Acidosis * Sterile dressing changes and
procedures
* HCO3 21-28 (Metabolic driver) ...
High = Alkalosis * Assessments that require clinical
judgment
* O2 80-100
* Ultimately responsible for all
* O2 Sat 95-100% delegated duties
o Unlicensed Assistive Personnel
* Antidotes * Non-sterile procedures
o Digoxin ... Digiband
o Coumadin ... Vitamin K (Keep PT * Precautions & Room Assignments
and INR @ 1-1.5 X normal)
o Universal (Standard) Precautions ...
o Benzodiazapines ... Flumzaemil HIV initiated
(Tomazicon)
* Wash hands
o Magnesium Sulfate ... Calcium
Gluconate? * Wear Gloves
o Heparin ... Protamine Sulfate (Keep * Gowns for splashes
APTT and PTT @ 1.5-2.5 X normal) * Masks and Eye Protection for
o Tylenol ... Mucomist (17 doses + splashes and droplets
loading dose) * Don't recap needles
o Opiates (narcotic analgesics, heroin, * Mouthpiece or Ambu-bag for
morphine) ... Narcan (Naloxone) resuscitation
o Cholinergic Meds (Myesthenic * Refrain from giving care if you have
Bradycardia) ... Atropine skin lesion
o Methotrexate ... Leucovorin o Droplet (Respiratory) Precautions
(Wear Mask)
