NURSES’ POCKET NOTES RBC’s (x106/ml) 45-55 40-49 SGOT (AST) <35 IU/L (20-40)

SGPT (ALT) <35 IU/L

NORMAL VALUES RDW (RBC <14.5
distribution width) THYROID FUNCTION TESTS
MCV 80-100 Free T3 2.3-4.2 pg/ml
LUNG SOUNDS
Serum T3 70-200 ng/dl
Crackles or Crackling or rattling sounds MCH 26-34
rales Free T4 0.5-2.1 ng/dl
wheezing High-pitched whistling MCHC % 31-37 Serum T4 4.0-12.0mcg/dl
expirations TSH 0.25-4.30 microunits/ml
Platelet count 100000- Total iron binding capacity 250-420 mcg/dl
stridor Harsh, high-pitched 450000
inspirations (TIBC)
rhonchi Coarse, gravelly sounds Transferrin >200 mg/dl
CREATININE KINASE (CK) ISOENZYMES Uric acid (male) 2.0-8.0 mg/dl
PULSE OXIMETRY CK-BB 0% Uric acid (female) 2.0-7.5 mg/dl
Range Value Treatment CK-MB (cardiac) 0-3.9%
Normal 95-100% None or placebic CK-MM 96-100% WBC + DIFFERENTIAL
Creatinine Phosphakinase 8-150 IU/L WBC (cells/ml) 4500-10000
Mild 91-94% Give oxygen Segmented 54-62%
(CPK)
hypoxia neutrophils
Creatinine (mg/dl) 0.5-1.4
Moderate 86-90% Give 100% oxygen Band forms 3-5% (above 8% indicates
hypoxia left shif)
Severe <85% Give 100% oxygen ELECTROLYTES
Basophils 0-1 (0-0.75%)
hypoxia with positive Calcium 8.5-10.2mg/dl
Eosinophils 0-3 (1-3%)
pressure Calcium, ionized 2.24-
Lymphocytes 24-44 (25-33 %)
2.46mEq/L
monocytes 3-6 (3-7%)
Albumin 3.2 g/dl Chloride 95-107 mEq/L
Alkaline Phosphatase 33-131 IU/L Magnesium 1.6-2.4mEq/L
(Adults: 25-60) Phosphate 2.5-4.5 mg/dl NURSING CONSIDERATIONS FOR BT
Adults: >61yo 51-153 IU/L Potassium 3.5-5.2 mEq/L • Confirm that the transfusion is prescribed
Ammonia 20-70 mcg/dl Sodium 135-145 • Check if Px blood has been typed and cross-
mEq/L matched
Bilirubin, direct 0-0.3 mg/dl Ferritin (ng/ml) 13-300 • Verify the consent from has been signed
Bilirubin, tota 0.1-1.2 mg/dl Folate (ng/ml) 3.6-20 • Explain the procedure to the Px and instruct px
Glucose, fasting 60-110 for s/sx of transfusion reaction (itching, hives,
BLOOD GASES chills, sweeling, fever, shortness of breath)
Arterial Venous (mg/dl)
Glucose (2 hours postprandial) Up to 140 • Take px’s vital signs to establish baseline for
pH 7.35-7.45 7.32-7.42 comparing of vital signs during transfusion
(mg/dl)
pCO2 35-45 38-52 • Standard precaution during BT as per hospital
Hemoglobin A10 6-8
pO2 70-100 28-48 Iron (mcg/dl) 65-150 policy
• Use gauge 20 or larger needles for BT
HCO3 19-25 19-25 Lactic acid (mEq/L) 0.7-2.1
• Maximum hours for BT is 4 hours
LDH (lactic dehydrogenase) 56-194 IU/L
O2 Sat % 90-95 40-70 • Double check obtained PRBC from blood bank
BUN 7-20 mg/dl • Double check labes with other RN or MD to make
LIPOPROTEINS AND TRIGLYCERIDES
sure of ABO and Rh compatibility
COMPLETE BLOOD COUND (CBC) ADULTS Cholesterol, total <200 mg/dl
• Check blood for unusual color, bubbles or
Male Female HDL cholesterol 30-70 mg/dl cloudiness, it may indicate bacterial growth or
Hemoglobin (g/dl) 13.5-16.5 12.0- LDL cholesterol 65-180 mg/dl hemolysis
15.0 Triglycerides 45-155 mg/dl (<160) • Make sure PRBC is initiated within 30 minutes
Hematocrit (%) 41-50 36-44 Osmolality 289-308 mOsm/kg after removal from blood bank refrigerator
• For first 15 minutes, run transfusion slowly not Isotonic NaCl Elec. Mod. If a patient's level of Creatine
more than 5ml/min, observe for side effects, KCl Elec. Mod. kinase (isoenzyme BB) is Cell necrosis in brain
then increase flow rate unless px is risk for Lanoxin Digitalis high, what does this mean?
circulatory overload. Cystine Acetate Analgesic If a patient's level of Creatine
Cel necrosis in heart or
• Observe px frequently for 15 to 30 minutes Losec Anti-ulcer kinase (isoenzyme MM) is
skeletal muscle
• Be alert for adverse reactions, circulatory MgSO4 Anti-convul high, what does this mean?
overload, sepsis, febrile reactions, allergic Morphine Narcotic anal If LDH-1 is high, what does it
Cell necrosis of heart,
reactions and hemolytic reactions. Metochlorpramide Anti-emetic mean? (lactate
erythrocytes, or skeletal
• Change tubing after every 2 units transfused Narcan Narc. Antag dehydrogenase isoenzyme
muscle
• Obtain BS and compare with initial VS Nicardipine Ca channel blocker, anti- 1)
• Document procedure angina, vasodilator, anti- If LDH-5 is high, what does it
• Monitor px for response to and effectiveness of hypertension mean? (lactate Cell necrosis of Liver or
Nubain Narc. Analg. dehydrogenase isoenzyme skeletal muscle
the procedure
NaHCO3 Elec. Mod., alk. Agent 5)
Drug Use Nitroprusside Anti-hpn If AST level is elevated, what
Cell necrosis of heart, liver
Nipride does that mean? (Aspartate
Adrenaline Bronchodilator cdc stim. & skeletal muscle
Nimotop Cal channel blocker aminotransferase)
vasoconstrictor
atSO4 Anticholinergic NTG (transderm) Atni-ang., vasodil If ALT level is elevated, what
Cell necrosis of Liver, skeletal
Nitrobid Vasodil, anti-angi does that mean? (Alanine
Aminophylline Bronchodilator muscle
Orudis Anti-inflam aminotransferase)
Aeknil Anti-pyretic
Benadryl Anti-histamine Promethazine HCl Anti-histamine, anti-emetic, What is significance of Pancreas, salivary gland cell
Burinex Diuretic sed elevated amylase? necrosis
Ca gluconate Electrolyte modifier Perlinganit Anti-angina Normal value of total
Reglan Anti-emetic .2 - 1.5 mg/dl
Cardepine Ca antagonist bilirubin?
Carricor Anti-arrhythmic Sensorcain HCl Adrenalien Normal value of direct
Solucortef Immune response & inflame 0 to .3 mg/dl
Calmegic Analgesic/ anti-pyretic bilirubin?
Cefamandole Anti-infective Supp.
Serum (total) is 9.0 to 10.5,
Cefuroxime Anti-infective Toradol Analgesic
ionized is 4.5 to 5.6. 50% of
Cordarone Anti-arrhythmic Zantac Anti-histamine receptor Normal calcium levels calcium in blood is bound to
Cyklokapron Coagulant Zofran Anti-emetic protein, 40% is free or
Demerol Narcotic agent Zinacef Anti-infective ionized.
Dexamethasone Anti-inflammatory
Dextrose Caloric agent What is the normal value of
60-110 mg/dl
Diazepam Sedative serum glucose?
Diclofenac Na Non-steroidal anti- What is the normal arterial
7.35 to 7.45
(Voltaren) inflammatory agent blood pH value?
Dilantin Anti-convulsant; atni- What is the normal PaC02? 35-45 mmHg
arrythmic Normal Pa02? 80-100mmHg
Dobutrix Inotropic agent
Normal HC03? 22-28 mEq
Dopamine Vasopressor, inotropic agent
Dormicum Sedative Normal value of K? 3.5 to 5.5 mEq/l
Ephedrine Bronchodilator Normal serum sodium level?
135-145 mEq/l
Famotidine Anti-ulcer
Furosemide Diuretic Normal BUN? 8-25 mg/dl
Hyosine Hbr. Antispasmodic
Normal blood osmolarity? 275-295 mOs/kg
Isoket Anti-angina
Isoptin Ca channel blocker, anti- If a patient's level of Creatine
anginal, anti-hypertension, kinase (isoenzyme MB) is Cell necrosis in heart.
anti-arrhythmic high, what does this mean?