Addisons = down, down down up down (↓↓↓↑↓) >< Cushings = up up up down up
(↑↑↑↓↑)
Addisons = hyponatremia, hypotension, Cushings = hyponatremia, hypertension,
decreased blood vol, increased blood vol, hypokalemia,
hyperkalemia, hypoglycemia hyperglycemia
No Pee = No K (do not give potassium without adequate urine output)
K+ = 3.5 - 5
• HypoK+ . . . Prominent U waves, Depressed ST segment, Flat T waves
• HyperK+ . . . Tall T-Waves, Prolonged PR interval, wide QRS
Perfusion: EleVate = Veins, dAngle = Arteries for better
APGAR = 1-5 min After Birth SCORE 1 to 10 HIGHER THE SCORE THE BETTER THE
BABY
A= appearance, skin color (color all pink, pink and blue, blue [pale] ) 0 - 2
P= pulse, heart rate (>1O0, <100, absent) 0 - 2
G= grimace (cough, grimace, no response) 0 - 2
A= activity, muscle tone (flexed, flaccid, limp) 0 - 2
R= respirations, breathing effort (strong cry, weak cry, absent} 0 - 2
TRANSMISSION-BASED PRECAUTIONS: -
AIRBORNE = My Chicken hez(has) TB OR MTV
My – Measles M =Measles
2
Universal (Standard) Precautions … HIV initiated
• Wash hands
• Wear Gloves
• Gowns for splashes
• Masks and Eye Protection for splashes and droplets
• Don’t recap needles
• Mouthpiece or Ambu-bag for resuscitation
• Refrain from giving care if you have skin lesion
Arterial Blood Gases … Used for Acidosis vs. Alkalosis
• PH 7.35 - 7.45
• CO2 35 - 45 (Respiratory driver) … High = Acidosis OUT THE ASS
• HCO3 21-26 (Metabolic driver) … High = Alkalosis OUT THE MOUTH
• O2 80-100
• O2 Sat 95-100%
Antidotes
o Digoxin … Digiband
o Coumadin … Vitamin K (Keep PT and INR @ 1-1.5 X normal)
o Benzodiazapines … Flumzaemil (Tomazicon)
o Magnesium Sulfate … Calcium Gluconate?
o Heparin … Protamine Sulfate (Keep APTT and PTT @ 1.5-2.5 X normal)
o Tylenol … Mucomist (17 doses + loading dose)
o Opiates (narcotic analgesics, heroin, morphine) … Narcan (Naloxone)
o Cholinergic Meds (Myesthenic Bradycardia) … Atropine
o Methotrexate … Leucovorin
**********************************************************************************
***********
KNOWLEDGE PART 2
1. Air/Pulmonary Embolism (S&S: chest pain, difficulty breathing, tachycardia, pale/cyanotic,
Sense of impending doom) turn pt to left side and lower the head of the bed.
2. Woman in labor w/Un-reassuring FHR (late decels, decreased variability/ fetal
Bradycardia(HR<60), etc) turn on left side (and give 02, stop Pitocin, increase IV fluids)
4
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