Cram guide Flashcards
Fetal heart rate
120-160 BPM
Fetal respiratory rate
30-60 breaths/min
Amniotic fluid volume
500-1200 mL
Contraction duration and intensity
2-5 min apart with duration of <90s
intensity <100 mmHg
Apgar score
7-10 excellent
4-6 moderately depressed
0-3 severely depressed
Therapeutic range of digoxin
0.5-2.0 ng/mL
Therapeutic range of lithium
0.6-1.2 mEq/L
Therapeutic range of theophylline
10-20 mcg/mL
What is theophylline
bronchodilator used for COPD or asthma
What are s/s of digoxin toxicity?
ab pain, anorexia, n/v, visual disturbances, bradycardia, other arrhythmias
What are s/s of theophylline toxicity?
anorexia, n/v, stomach cramps, diarrhea, confusion, headache, restlessness, flushing, increased urination, insomnia, tachycardia, arrhythmias, seizures
What are s/s of lithium toxicity?
vomiting, diarrhea, slurred speech, lightheadedness, decreased coordination, drowsiness, muscle weakness, tremor, twitching
Therapeutic range of phenytonin
10-20 mcg/mL
What are s/s of phenytonin toxicity?
nystagmus, ataxia, confusion, nausea, slurred speech, dizziness
What is the therapeutic range for magnesium sulfate?
4-7 mg/dL
What is the therapeutic range for acetaminophen?
10-20 mcg/mL
What is the therapeutic range for gentamicin?
5-10 mg/L
What is the therapeutic range for salicylate?
100-300 mcg/mL
What is the therapeutic range for valporic acid?
50-100 mcg/mL
What is the therapeutic range for peak and trough of vancomycin?
peak: 20-40 mcg/mL
trough: 5-15 mcg/mL
What is a common s/s for pernicious anemia?
beefy red, smooth tongue
What is a common s/s for parkinson’s disease
pin-rolling tremors
What is a common s/s for CSF leakage
a halo or ring will be seen on gauze when mixed with blood
What is a common s/s for osteomyelitis
high fever
What is a common s/s for ARDS
refractory hypoxemia
What is a common s/s for gastric ulcer?
pain immediately after eating
What is a common s/s for duodenal ulcer
relief of pain after eating(2-3 hrs after)
What is a common s/s for any renal damage
increased BUN and creatinine
What is a common s/s for bladder cancer
painless hematuria
What is a common s/s for depression
anhedonia (loss of pleasure in activities usually found enjoyable)
What is a common s/s in infants for fetal alcohol syndrome?
thin upper lip and smooth philtrum
What is a common s/s in infants for spina bifida occulta
small tuft of hair, a dimple, or a hemangioma at the base of the spine
What is a common s/s for epiglottitis
tripod position
What is a common s/s for scarlet fever
strawberry tongue and sandpaper rash
What are common diet modifications for celiac disease
gluten free
No BROW: barley, rye, oat, wheat
What are common diet modifications for burns
increase protein and calories
What are common diet modifications for AKI
protein-restricted, increase calories
What are common diet modifications for COPD
small, frequent meals
increase calories and fat
What are common diet modifications for pancreatitis
small frequent meals, decrease fat
What are common diet modifications for gallbladder issues (ie. cholecystitis)
decrease fat
What are common diet modifications for Cystic fibrosis
increase fats, calories, and fluids
What are common diet modifications for sickle cell anemia
increase fluids
What are common diet modifications for those with ostomies?
increase fluids and decrease odorous and gas forming foods
What are common diet modifications for gout
decrease purines: shellfish, seafood, organ meats
What are common diet modifications for cirrhosis
avoid foods high in protein: milk products, broccoli, eggs, tuna, chicken breast, ect
What are common diet modifications for ulcerative colitis
low residue (fiber) diet
What is contraindicated for NSAIDs?
cardiovascular history (ie. stroke, MI, CAD, ect)
asthma
Why should you not palpate the stomach of those with pheochromocytoma?
could cause a hypertensive crisis
XWhat is pheochromocytoma?
benign tumor of the adrenal gland
What foods should those on MAOIs avoid and why?
those that contain tyramine need to be avoided because of the risk of hypertensive crisis associated with use of this medication.
Foods to avoid include figs; bananas; sauerkraut; avocados; soybeans; meats or fish that are fermented, smoked, or otherwise aged; some cheeses; yeast extract; and some beers and wine.
