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Five Rights of Delegation
1. Right Person
2. Right Task
3. Right Circumstance
4. Right Direction and Communication
5. Right Supervision and Evaluation
Maslow's Hierarchy of Needs
Brainpower
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Five Rights of Medication Administration
1. Right Client
2. Right Drug
,3. Right Dose
4. Right Route
5. Right Time
Acetaminophen (Tylenol)
Antidote/Reversal: acetylcysteine (Muscomyst)
Toxic Level: >250mcg/mL
Curare
Antidote/Reversal: edrophonium (Tensilon)
Cyanide Poisoning
Antidote/Reversal: methylene blue
Ethylene Poisoning
Antidote/Reversal: fomepizole (Antizol)
Iron
Antidote/Reversal: deferoxamine (Desferal)
Lead
Antidote/Reversal: succimer (Chemet)
Carbamazepine
anticonvulsant
Therapeutic Level: 5-12 mcg/mL
Amitriptyline
antidepressant and nerve pain med
Toxic Level: >500 ng/ML
Gentamicin
antibiotic (renal/oto toxic)
Therapeutic Level: 0.5-0.8 mcg/mL
Toxic Level: >12mcg/mL
Magnesium Sulfate
anticonvulsant/used for torsade de pointeTherapeutic Level: 4-8 mg/dL
Toxic Level: >9mg/dL
Antidote/Reversal: calcium gluconate 10% (Kalcinate)
Methotrexate
,Chemotherapy/Immunosuppressant
Toxic Level: >10 mcmol over 24 hours
Quinidine
antiarrhythmic/anti-parasite
Therapeutic Level: 2-5 mcg/mL
Toxic Level: >10 mcg/mL
Salicylate
NSAID
Therapeutic Level: 100-250 mcg/mL
Toxic Level: >300 mcg/mL
Tobramycin
Therapeutic Level: 5-10 mcg/mL
Toxic Level: >12 mcg/mL
Sodium (Na)
135-145
Potassium (K)
3.5-5
Calcium (Ca)
8.5-10.5
Magnesium (Mg)
1.5-2.5
Phosphorus (PO4)
2.5-4.5
pH
7.35-7.45
PaCO2
35-45
PaO2
80-100
HCO3 (bicarbonate)
22-26
, RBC
4,000,000-6,000,000
Hgb
12-18
Hct
36-50
WBC
5,000-10,000
Cholesterol
<200
INR
<2.
Warfarin Therapeutic Range: 2-3
PT
11-15.
Warfarin Therapeutic Range: 1.5-2 times normal value (16.5-30)
PTT
25-35.
Heparin Therapeutic Range: 1.5-2 times normal value. (37.5-70)
Platelets
150,000-400,000.
<20,000 be very concerned.
Urine Specific Gravity
1.01-1.025.
High gravity means urine is concentrated.
Low gravity means urine is dilute.
Creatinine
0.6-1.2.