MedSurg Clinicals Cheat Sheet PDF

Medsurg clinicals cheat sheet normal vital signs Parenteral Administration Blood Pressure (bp) Systolic 120 mmHg...

Medsurg clinicals cheat sheet normal vital signs Parenteral Administration Blood Pressure (bp) Systolic 120 mmHg angle USUAL SITES Diastolic 80 mmHg Intradermal (ID) 10 - 15° Inner forearm Heart Rate (hr) 60 – 100 bpm Subcutaneous (SUBQ) Normal/overweight: 90° Abdomen Posterior upper arm Thigh * Respiratory rate (rr) 12 – 20 breaths/min Thin: 45° temperature (t) 97.8 – 99°F (36.5 - 37.2°C) Intramuscular (IM) 90° Deltoid Vastus lateralis Ventrogluteal oxygen (o!) 95 – 100% COPD pts are expected Hand Wrist Intravenous (IV) Commonly * to have lower O2 levels 25° PRO TIP: done in Cubital fossa Foot Scalp neonates Insulin After you are done taking a patients HR keep your finger on their pulse while assessing their respirations. This is easier because when the patients knows you are taking their respirations, they may breathe differently. Conversions Electrolytes 1 mg = 1,000 mcg generic Lispro Glargine 1 g = 1,000 mg names Aspart Regular NPH Detemir Glulisine 1 oz = 30 mL NORMAL VALUE CLASSIC S&S 8 oz = 1 cup Humalog brand Humulin R Humulin N Lantus 1 tsp = 5 mL Novolog names Novolin R Novolin N Levemir NA+ 145 Change of LOC, agitation, restlessness 1 L = 1,000 mL PEAK 30-90 min 2-4 hrs 4-12 hrs none 1 mL = 5 gtts (drops) K+ 5.0 Muscle weakness and cramps Change of LOC, numbness, PHOS 4.5 Diarrhea, Muscle weakness, ↓DTR inverse 3% saline Cerebral edema Hyponatremia ↑Ca+ = ↓PO4 5% dextrose in 0.9% saline (D5NS) Hypertonic 5% dextrose in 0.45% saline (D5 1⁄2 NS) Metabolic alkalosis Tetany, Positive Trousseau’s, NORMAL 11 Bone pain, kidney stones, muscle weakness 0.9% sodium chloride (NS) (normal saline) Blood loss use with blood Isotonic 5% dextrose in water (D5W) Dehydration or blood products Lactated Ringers (LR) Fluids maintenance 2.5 Decreased everything (↓BP, ↓HR, ↓RR, ↓DTR, ↓energy) Hypotonic 0.225 saline (1/4 NS) Hypernatremia 5% dextrose in water (D5W) Common Labs Charting BASIC METABOLIC PANEL COAGULATION pulse chart Muscle Strength (BMP) PT 0 Pulse is absent 5+ Normal Strength 1+ 4+ Na Cl BUN 10 - 13 sec PTT 135 - 145 95 - 105 7 - 20 Glucose 25 - 35 sec Diminished Moves against gravity and light resistance INR K 3.5 - 5 HCO3 Cr 22 - 26 0.6 - 1.2 70 - 100 1-2 2+ Normal 3+ Moves against gravity but not resistant 3+ Full 2+ Moves with gravity eliminated CBC LIVER PANEL Hgb Total 4+ Bounding, strong 1+ Muscle movement w/o joint motion WBC F: 12 - 16 PLT Bilirubin 0.1 - 1.2 edema 0 No muscle movement M: 13 - 18 4.5 - 11 150 - 450 AST ALT 1+ Trace Mild swelling Reflexes x103 HCT x103 5 - 40 7 - 56 F: 36% - 48% M: 39% - 54% ALP 2+ Mild 0 No response absent 1+ 40 - 120 Moderate Deep Present, but sluggish or diminished RENAL DIAGRAM 3+ indentation remains 2+ Active or expected response normal ARTERIAL BLOOD GAS (ABG) for a short time Ca Mg Severe Very deep 3+ More brisk than excited; hyperactive pH PCO2 HCO3 PO2 7.35 - 7.45 35 - 45 22 - 26 80 - 100 9 - 11 1.5 - 2.5 4+ indentation that lasts 4+ Brisk, hyperactive, with intermittent or transient clonus Phos a long time 2.5 - 4.5 Weeping edema: Areas that have pitting edema can leak fluid out directly from the skin © 2023 NurseInTheMaking LLC