Advanced Medical-Surgical Nursing -Westminster College 2017-

Hematocrit (HCT):
females 37-47%; males 42-52%
Hemoglobin (Hgb):
females 12-16 g/dL; males 14-18 g/dL
White Blood Cell Count (WBC):
Neutrophils: neutropenia is what?
is a neutrophil count of less than 2,000/mm3
150,000-400,000 mm3
Serum sodium (Na):
136-145 mEq/L
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Serum potassium (K):
3.5-5.0 mEq/L
Serum calcium (Ca):
9.0-10.5 mg/dL
Serum magnesium (Mg):
1.3-2.1 mEq/L
Serum glucose:
(finger stick) 60-110 mg/dL
Serum BUN:
8-25 mg/dL
Serum creatinine:
0.6-1.3 mg/dL
Activated partial thromboplastin time (aPTT):
30-40 seconds is normal; about 50-80 is
therapeutic (desired range when on heparin)
International normalized ratio (INR):
0.8-1.2 is normal; 2-3 is desired range when on
warfarin (Coumadin)
Arterial Blood Gases (ABGs):
on ABG handout
Mixed venous oxygen saturation (SVO2):
Cardiac Output:
4-7 L/min
Cardiac Index
2.6-4.2 L/min/m2
Pulmonary Artery Wedge Pressure:
4-12 mmHg
Central Venous Pressure (Right Atrial Pressure):
1-8 mmHg
Used to treat V-tach, and V-fib
allergy to iodine
AV block w/ pace m. , Hx bradycardia
atropine sulfat
metoprolol, propranolol, carvedilol, labetalol [beta blockers]
Beta blocker
-is an inotropic agent. It works by increasing the strength and force of the heartbeat, causing more blood to circulate through the body
—Do not use if
•you have a history of heart valve problems, an adrenal gland tumor, an increased irregular heartbeat (tachyarrhythmia), or an enlarged left ventricle of the heart due to narrowing of the aortic blood vessel (idiopathic hypertrophic subaortic stenosis)
Milrinone is an inotrope and vasodilator. It works by increasing the force with which the heart pumps blood through the body and widens blood vessels, which allows blood to flow through the body more easily.
diltiazem, nifedipine, verapamil [calcium channel blockers]
8. epinephrine
9. norepinephrine (Levophed)
10. furosemide
11. lorazepam (Ativan), midazolam (Versed), diazepam
12. flumazenil
13. propofol
14. vecuronium
15. morphine
16. naloxone (Narcan)
17. fentanyl
18. clopidogrel (Plavix)
19. aspirin
20. nitroprusside (Nipride)
21. nitroglycerine (nitrates)
22. warfarin
23. vitamin K
24. heparin
25. protamine
26. captopril, enalopril, Lisinopril [ACE inhibitors]
27. pantoprozole [proton pump inhibitors]
28. famotidine [H2 blockers]
29. digoxin
Know what the rhythm looks like, how serious it is, treatment if any
Normal sinus rhythm
Sinus tachycardia
Sinus bradycardia
Atrial fibrillation
Ventricular tachycardia
Ventricular fibrillation
First degree AV block
Second degree AV block type 1
Second degree AV block type 2
Third degree AV block
Junctional rhythm