Serum creatinine - ANS0.6-1.35 mg/dL (< 2 in older adults)
LDH - ANS100-190 U/L
CPK - ANS21-232 U/L
,Uric acid - ANS3.5-7.5 mg/dL
Triglyceride - ANS<150 mg/dL
Total cholesterol - ANS130-200 mg/dL
Bilirubin - ANS< 1.0 mg/dL
Protein - ANS6.2-8.1 g/dL
Albumin - ANS3.4-5.0 g/dL
Digoxin - ANS0.5-2.0 ng/ml
Lithium - ANS0.8-1.5 mEq/L
Dilantin - ANS10-20 mcg/dL
Theophylline - ANS10-20 mcg/dL
FHR - ANS120-160 BPM.
Variability - ANS6-10 BPM.
Contractions - ANSnormal frequency 2-5 minutes apart; normal duration < 90 sec.; intensity <
100 mm/hg.
Amniotic fluid - ANS500-1200 ml (nitrozine urine-litmus paper green/amniotic fluid-litmus paper
blue).
Apgar scoring - ANSA = appearance, P = pulses, G = grimace, A = activity, R = reflexes (Done
at 1 and 5 minutes with a score of 0 for absent, 1 for decreased, and 2 for strongly positive.)
Umbilical cord blood supply - ANSThe umbilical cord has two arteries and one vein. (Arteries
carry deoxygenated blood. The vein carries oxygenated blood.)
Early decelerations - ANSBegin prior to the peak of the contraction and end by the end of the
contraction. They are caused by head compression. There is no need for intervention if the
variability is within normal range (that is, there is a rapid return to the baseline fetal heart rate)
and the fetal heart rate is within normal range.
Variable decelerations - ANSAre noted as V-shaped on the monitoring strip. Variable
decelerations can occur anytime during monitoring of the fetus. They are caused by cord
, compression. The intervention is to change the mother's position; if pitocin is infusing, stop the
infusion; apply oxygen; and increase the rate of IV fluids. Contact the doctor if the problem
persists.
Late decelerations - ANSOccur after the peak of the contraction and mirror the contraction in
length and intensity. These are caused by uteroplacental insuffiency. The intervention is to
change the mother's position; if pitocin is infusing, stop the infusion; apply oxygen;, and increase
the rate of IV fluids. Contact the doctor if the problem persists.
TORCHS syndrome in the neonate - ANSThis is a combination of diseases. These include
toxoplasmosis, rubella (German measles), cytomegalovirus, herpes, and syphyllis. Pregnant
nurses should not be assigned to care for the client with toxoplasmosis or cytomegalovirus.
Treatment for maternal hypotension after an epidural anesthesia - ANS1. Stop pitocin if infusing.
2. Turn the client on the left side. 3. Administer oxygen. 4. If hypovolemia is present, push IV
fluids.
Anticoagulant therapy and monitoring- Coumadin (sodium warfarin) PT - ANS10-12 sec.
(control).
Coumadin Antidote - ANSThe antidote for Coumadin is vitamin K.
Anticoagulant therapy and monitoring- Heparin/Lovenox/Dalteparin PTT - ANS30-45 sec.
(control).
Heparin Antidote - ANSThe antidote for Heparin is protamine sulfate.
Anticoagulant therapy and monitoring- Therapeutic level - ANSIt is important to maintain a
bleeding time that is slightly prolonged so that clotting will not occur; therefore, the bleeding time
with medication should be 1 1/2-2 times the control
Rule of nines for calculating TBSA for burns - ANSHead = 9% Arms = 18% (9% each Back =
18% Legs = 36% (18% each) Genitalia = 1%
Arab American cultural attributes - ANSFemales avoid eye contact with males; touch is
accepted if done by same-sex healthcare providers; most decisions are made by males;
Muslims (Sunni), refuse organ donation; most Arabs do not eat pork; they avoid icy drinks when
sick or hot/cold drinks together; colostrum is considered harmful to the newborn.
Asian American cultural attributes - ANSThey avoid direct eye contact; feet are considered dirty
(the feet should be touched last during assessment); males make most of the decisions; they
usually refuse organ donation; they generally do not prefer cold drinks, believe in the "hot-cold"
theory of illness.
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