Final Ranges (labs, needles, ect)

Sodium

• hydration, water retention

• 136-145

Potassium

• heart/muscle function

• 3.5-5

Magnesium

• nerve transmission, muscle contractions, regular heart rhythm

•  1.3-2.1

Calcium

• bone health, nerve function, muscle contraction, blood clotting 

• 9.0-10.5

Blood Urea Nitrogen (BUN)

• kidney/liver function 

• 10-20

Glucose

• blood sugar levels, energy production 

• 74-106

Blood Pressure

120/80

Heart Rate

60-100

• may be slower for athletes

Temperature 

36-38 C or 96.8-100.4 F

Respiration

12-20

SpO2

95%-100%

Hematocrit 

• % of blood made up of RBC

• F: 37-47

• M: 42-52

RBC

• F: 4.2-5.4

• M: 4.7-6.1

WBC

• promote healing: high = infection low= immune compromised

• 5,000-10,000

Hemoglobin

• carries oxygen

• F: 12-16

• M: 14-18

Platelets

• clotting factors

• 150,000-400,000

Bath water temp

43-46 C or 110 to 115 F

How often do you perform rounding (check on patients?)

every hour

How many bed rails can be put up at one time?

3! NOT all 4

If restraints are used how often should they be evaluated?

every 24 hours

If restraints are put on in an emergency how long do you have to get an order?

1 hour

Edema grading

• +1 → 2mm deep, rapid skin response

• +2 → 4mm deep, 10-15 sec skin response

• +3 → 6mm deep, prolonged kin response

• +4 → sever, 8mm deep, prolonged kin response

Pulse grade strength?

• 0: absent

• 1+ : diminished

• 2+ : normal

• 3+ : increased

• 4+ : bounding, can be seen

What should cap refill be under?

3 seconds

Absent bowel sounds

no sounds for 5 minutes

normal bowel sound range

5-35

CN l

• olfactory

• sensory

• smell test

CN ll

• optic

• sensory

• eye test

CN lll, lV, Vl

• lll

  • oculomotor

• lV (4)

  • trochlear

• VI (6)

  • abducents

• 6-point gaze

• eye muscles

• motor

CN V

• 5

• trigeminal

• sensory & motor

• Close your eyes and touch your face with a cotton ball

CN Vll

• 7

• facial

• puff cheeks, smile, move eyebrows

CN Vlll

• 8

• auditory

• sensory

• whisper test

CN IX & X

• 9 & 10

• IX: glossopharyngeal

• X: vagus

• sensory and motor

• gag reflux and say “ah” look at soft palate

CN Xl

• 10

• spinal accessory

• motor

• shrug shoulders and turn head side to side

CN Xll

• 12

• hypoglossal

• motor

• stick tongue inside cheek and out of mouth