Rnotes: Nurse's Clinical Pocket Guide

COVER......Page 1
with a ballpoint pen.Wipe old entries off with an alco-hol pad and reuse.......Page 5
Standard (Universal) Precautions......Page 7
Communication......Page 9
Safety—Restraints......Page 10
Oxygen Delivery Equipment......Page 11
Artificial Airways......Page 14
Pulse Oximeters......Page 16
Ventilated Patient in Distress......Page 17
Troubleshooting Ventilator Alarms......Page 18
Suctioning a Patient on the Ventilator......Page 19
Troubleshooting Chest Tubes......Page 21
NG (Nasogastric) Tube—Insertion......Page 22
NG Tube—Care and Removal......Page 23
NG Tube Feedings......Page 24
Tube Feeding Complications......Page 25
Ostomy Care......Page 26
Urinary Catheters......Page 27
Urinary Catheters—Care and Removal......Page 28
Specimen Collection—Blood......Page 30
Specimen Collection—Urine......Page 32
Specimen Collection—Sputum/Throat Cx......Page 34
Specimen Collection—Stool......Page 35
Gordon’s Functional Health Patterns......Page 37
Complete Health History......Page 38
Physical Assessment......Page 39
Head and Neck......Page 41
Respiratory System......Page 43
Lung Sounds—Differential Diagnosis......Page 44
Cardiac Auscultation Sites Order of Auscultating Lung Sounds......Page 46
Circulation and Pulses......Page 47
Abdomen—Abdominal Organs......Page 48
Extremities......Page 49
Skin—Integumentary......Page 50
Pressure Sore Management......Page 52
Wound Care—Assessment......Page 53
Genitourinary—Reproductive Assessment......Page 55
Brief Neurological Exam......Page 56
Muscle Strength Grading Scale......Page 58
Levels of Consciousness......Page 59
Cranial Nerve Assessment......Page 60
Psychiatric/Mental Health Assessment......Page 62
Suicide—Assessment and Interventions......Page 63
Alcohol and Drug Abuse Assessment......Page 64
COLDERRA......Page 66
Nursing Interventions—Pain Management......Page 67
Characteristics of Different Types of Pain......Page 68
Postoperative Assessment......Page 69
Nutrition Assessment......Page 71
Fluid and Electrolytes......Page 72
Electrolyte Imbalances......Page 73
Reusable Assessment Form (make photocopies for multiple Pts)......Page 75
Reusable Assessment Form......Page 76
Erikson’s Developmental Stages......Page 79
Terms Associated with Pregnancy......Page 80
Predicting the Due Date (Nägele’s Rule)......Page 82
Stages of Labor......Page 83
Electronic Fetal Monitoring (EFM)......Page 84
Emergency Delivery......Page 85
Initial Newborn Care and Assessment......Page 88
Routine Newborn Medication and Labs......Page 89
APGAR Score......Page 90
Postpartum Care and Assessment—Mother......Page 91
Pediatric Health History......Page 94
Pediatric Assessment......Page 96
Pain Assessment and Intervention......Page 98
1 yr)......Page 99
Pediatric IV Pearls......Page 100
Geriatric Assessment Pearls......Page 102
Pharmacokinetics in the Elderly......Page 103
Polypharmacy......Page 104
Fall Risk Assessment and Prevention......Page 105
Adult Immunization Schedule—United States • 2005......Page 107
DISEASES AND DISORDERS Alzheimer’s Disease (AD)......Page 108
Asthma......Page 109
Cancer—General Overview......Page 110
Chronic Obstructive Pulmonary Disease (COPD)......Page 113
Congestive Heart Failure (CHF)......Page 114
Coronary Artery Disease (CAD)......Page 116
Crohn’s Disease......Page 117
Diabetes Mellitus (DM)......Page 118
Hypertension (HTN)......Page 119
Irritable Bowel Syndrome (IBS)......Page 121
Multiple Sclerosis (MS)......Page 122
Pancreatitis......Page 123
Peripheral Vascular Disease (PVD)......Page 124
Pneumonia......Page 125
Renal Failure—Chronic (CRF)......Page 126
Urinary Incontinence......Page 127
CPR Quick Reference......Page 129
Choking Quick Reference......Page 130
Resuscitation Maneuvers......Page 131
Emergency Assessment......Page 133
Emergency Drugs......Page 137
Manual Defibrillation......Page 139
Automatic External Defibrillators (AEDs)......Page 140
Transcutaneous Pacing (TCP)......Page 141
Electrical Cardioversion......Page 142
V-Fib or Pulseless V-Tach......Page 143
BP, SOB, or ALOC)......Page 144
Wide-Complex Tachycardia—Stable......Page 145
Pediatric Advanced Life Support......Page 146
Initial Steps to Neonatal Resuscitation1......Page 147
Medical Emergencies (Adults)......Page 149
Antidotes......Page 151
Posturing......Page 157
Primary Trauma Survey......Page 160
Abuse......Page 162
Burns......Page 164
Rule of Nines......Page 165
Shock: Signs and Symptoms......Page 166
Terrorism......Page 167
Medication Administration......Page 170
Medication Error—Intervention......Page 171
High-Alert Medications......Page 172
Error-Prone Abbreviations and Symbols......Page 173
Common Medication Formulas......Page 174
Fluid Infusion Rate (4-2-1)......Page 175
Universal Formula—Figure Out Drip Rates and Drug Amounts......Page 176
Crystalloids......Page 177
Volume Expanders......Page 178
Blood Transfusion Reactions......Page 180
Intramuscular (IM) Injection Sites......Page 181
Z-Track Method for Giving IM Injections Injections—Intradermal (ID), Subcutaneous (SC), and Intramuscular (IM)......Page 182
Angle of Injection SC Injection Sites......Page 183
SC Injection Technique......Page 184
Types of Insulin......Page 185
Mixing Insulin......Page 187
Starting an IV......Page 188
IV Insertion Guide......Page 189
IV Piggyback (IVPB) Setup......Page 190
Troubleshooting IV Complications......Page 191
Flushing Peripheral and Central Lines......Page 193
Common Prescription Drugs......Page 194
Pregnancy Risk Categories (FDA Definitions)......Page 202
General Chemistry......Page 203
Hematology (ABC, CBC, Blood Counts)......Page 205
Cardiac Enzyme Markers......Page 206
Coagulation......Page 207
Thyroid Panel......Page 208
Antibiotic Levels......Page 209
24 Hour Urine......Page 210
Normal Arterial Blood Gases......Page 211
Common Causes of Acid-Base Imbalance......Page 212
Hemodynamic Values......Page 213
Basic ECG Interpretation......Page 214
Common Abbreviations Associated with ECG......Page 218
Analyzing the P-R Interval (PRI)......Page 219
Rates and Measurements......Page 220
ECG Rhythms......Page 221
Sinus Bradycardia......Page 222
Atrial Flutter......Page 223
Ventricular Tachycardia......Page 224
Asystole......Page 225
AV Block (Mobitz Type-I, Wenckebach)......Page 226
AV Block (Complete Heart Block)......Page 227
Premature Atrial and Junctional Complex......Page 228
Metric Conversions......Page 229
Equivalents Specific to Your Institution......Page 230
Frequently Used Phone Numbers......Page 231
Community Resources......Page 233
Cultural Diversity in Health Care......Page 234
Basic English-to-Spanish Translation......Page 241
Symbols and Abbreviations......Page 246
Selected References......Page 255