RNotes : nurse's clinical pocket guide

The popular and highly-respected ''RNotes[registered]'' is the preferred pocket-sized tool of nursing educators and students for the delivery of safe and effective health care in hospital and home settings. In this new second edition, ''RNotes[registered]'' continues to present practical, clinically-oriented content across a wide range of topics in a succinct format: quick find features, portability, functionality, and more of the commonly-used but rarely memorized clinical information that hundreds of thousands of nurses and students refer to daily. Refined, reorganized, and updated with new content, the second edition of ''RNotes[registered]'' will allow the reader to navigate more intuitively and with less effort. COVER......Page 1 with a ballpoint pen.Wipe old entries off with an alco-hol pad and reuse.......Page 5 Standard (Universal) Precautions......Page 7 Communication......Page 9 Safety—Restraints......Page 10 Oxygen Delivery Equipment......Page 11 Artificial Airways......Page 14 Pulse Oximeters......Page 16 Ventilated Patient in Distress......Page 17 Troubleshooting Ventilator Alarms......Page 18 Suctioning a Patient on the Ventilator......Page 19 Troubleshooting Chest Tubes......Page 21 NG (Nasogastric) Tube—Insertion......Page 22 NG Tube—Care and Removal......Page 23 NG Tube Feedings......Page 24 Tube Feeding Complications......Page 25 Ostomy Care......Page 26 Urinary Catheters......Page 27 Urinary Catheters—Care and Removal......Page 28 Specimen Collection—Blood......Page 30 Specimen Collection—Urine......Page 32 Specimen Collection—Sputum/Throat Cx......Page 34 Specimen Collection—Stool......Page 35 Gordon’s Functional Health Patterns......Page 37 Complete Health History......Page 38 Physical Assessment......Page 39 Head and Neck......Page 41 Respiratory System......Page 43 Lung Sounds—Differential Diagnosis......Page 44 Cardiac Auscultation Sites Order of Auscultating Lung Sounds......Page 46 Circulation and Pulses......Page 47 Abdomen—Abdominal Organs......Page 48 Extremities......Page 49 Skin—Integumentary......Page 50 Pressure Sore Management......Page 52 Wound Care—Assessment......Page 53 Genitourinary—Reproductive Assessment......Page 55 Brief Neurological Exam......Page 56 Muscle Strength Grading Scale......Page 58 Levels of Consciousness......Page 59 Cranial Nerve Assessment......Page 60 Psychiatric/Mental Health Assessment......Page 62 Suicide—Assessment and Interventions......Page 63 Alcohol and Drug Abuse Assessment......Page 64 COLDERRA......Page 66 Nursing Interventions—Pain Management......Page 67 Characteristics of Different Types of Pain......Page 68 Postoperative Assessment......Page 69 Nutrition Assessment......Page 71 Fluid and Electrolytes......Page 72 Electrolyte Imbalances......Page 73 Reusable Assessment Form (make photocopies for multiple Pts)......Page 75 Reusable Assessment Form......Page 76 Erikson’s Developmental Stages......Page 79 Terms Associated with Pregnancy......Page 80 Predicting the Due Date (Nägele’s Rule)......Page 82 Stages of Labor......Page 83 Electronic Fetal Monitoring (EFM)......Page 84 Emergency Delivery......Page 85 Initial Newborn Care and Assessment......Page 88 Routine Newborn Medication and Labs......Page 89 APGAR Score......Page 90 Postpartum Care and Assessment—Mother......Page 91 Pediatric Health History......Page 94 Pediatric Assessment......Page 96 Pain Assessment and Intervention......Page 98 1 yr)......Page 99 Pediatric IV Pearls......Page 100 Geriatric Assessment Pearls......Page 102 Pharmacokinetics in the Elderly......Page 103 Polypharmacy......Page 104 Fall Risk Assessment and Prevention......Page 105 Adult Immunization Schedule—United States • 2005......Page 107 DISEASES AND DISORDERS Alzheimer’s Disease (AD)......Page 108 Asthma......Page 109 Cancer—General Overview......Page 110 Chronic Obstructive Pulmonary Disease (COPD)......Page 113 Congestive Heart Failure (CHF)......Page 114 Coronary Artery Disease (CAD)......Page 116 Crohn’s Disease......Page 117 Diabetes Mellitus (DM)......Page 118 Hypertension (HTN)......Page 119 Irritable Bowel Syndrome (IBS)......Page 121 Multiple Sclerosis (MS)......Page 122 Pancreatitis......Page 123 Peripheral Vascular Disease (PVD)......Page 124 Pneumonia......Page 125 Renal Failure—Chronic (CRF)......Page 126 Urinary Incontinence......Page 127 CPR Quick Reference......Page 129 Choking Quick Reference......Page 130 Resuscitation Maneuvers......Page 131 Emergency Assessment......Page 133 Emergency Drugs......Page 137 Manual Defibrillation......Page 139 Automatic External Defibrillators (AEDs)......Page 140 Transcutaneous Pacing (TCP)......Page 141 Electrical Cardioversion......Page 142 V-Fib or Pulseless V-Tach......Page 143 BP, SOB, or ALOC)......Page 144 Wide-Complex Tachycardia—Stable......Page 145 Pediatric Advanced Life Support......Page 146 Initial Steps to Neonatal Resuscitation1......Page 147 Medical Emergencies (Adults)......Page 149 Antidotes......Page 151 Posturing......Page 157 Primary Trauma Survey......Page 160 Abuse......Page 162 Burns......Page 164 Rule of Nines......Page 165 Shock: Signs and Symptoms......Page 166 Terrorism......Page 167 Medication Administration......Page 170 Medication Error—Intervention......Page 171 High-Alert Medications......Page 172 Error-Prone Abbreviations and Symbols......Page 173 Common Medication Formulas......Page 174 Fluid Infusion Rate (4-2-1)......Page 175 Universal Formula—Figure Out Drip Rates and Drug Amounts......Page 176 Crystalloids......Page 177 Volume Expanders......Page 178 Blood Transfusion Reactions......Page 180 Intramuscular (IM) Injection Sites......Page 181 Z-Track Method for Giving IM Injections Injections—Intradermal (ID), Subcutaneous (SC), and Intramuscular (IM)......Page 182 Angle of Injection SC Injection Sites......Page 183 SC Injection Technique......Page 184 Types of Insulin......Page 185 Mixing Insulin......Page 187 Starting an IV......Page 188 IV Insertion Guide......Page 189 IV Piggyback (IVPB) Setup......Page 190 Troubleshooting IV Complications......Page 191 Flushing Peripheral and Central Lines......Page 193 Common Prescription Drugs......Page 194 Pregnancy Risk Categories (FDA Definitions)......Page 202 General Chemistry......Page 203 Hematology (ABC, CBC, Blood Counts)......Page 205 Cardiac Enzyme Markers......Page 206 Coagulation......Page 207 Thyroid Panel......Page 208 Antibiotic Levels......Page 209 24 Hour Urine......Page 210 Normal Arterial Blood Gases......Page 211 Common Causes of Acid-Base Imbalance......Page 212 Hemodynamic Values......Page 213 Basic ECG Interpretation......Page 214 Common Abbreviations Associated with ECG......Page 218 Analyzing the P-R Interval (PRI)......Page 219 Rates and Measurements......Page 220 ECG Rhythms......Page 221 Sinus Bradycardia......Page 222 Atrial Flutter......Page 223 Ventricular Tachycardia......Page 224 Asystole......Page 225 AV Block (Mobitz Type-I, Wenckebach)......Page 226 AV Block (Complete Heart Block)......Page 227 Premature Atrial and Junctional Complex......Page 228 Metric Conversions......Page 229 Equivalents Specific to Your Institution......Page 230 Frequently Used Phone Numbers......Page 231 Community Resources......Page 233 Cultural Diversity in Health Care......Page 234 Basic English-to-Spanish Translation......Page 241 Symbols and Abbreviations......Page 246 Selected References......Page 255 Waterproof and Reusable Medical Notes COVER 1 LINKS 5 BASICS ASSESS 5 Waterproof and Reusable Wipe-Free Pages Write directly onto any page of 5 with a ballpoint pen.Wipe old entries off with an alco-hol pad and reuse. 5 BASICS 7 Standard (Universal) Precautions 7 Nosocomial Infection 9 Communication 9 Safety—Restraints 10 Oxygen Delivery Equipment 11 Artificial Airways 14 Pulse Oximeters 16 Ventilated Patient in Distress 17 Troubleshooting Ventilator Alarms 18 Suctioning a Patient on the Ventilator 19 Troubleshooting Chest Tubes 21 NG (Nasogastric) Tube—Insertion 22 NG Tube—Care and Removal 23 NG Tube Feedings 24 Tube Feeding Complications 25 Ostomy Care 26 Urinary Catheters 27 Urinary Catheters—Care and Removal 28 Specimen Collection—Blood 30 Specimen Collection—Urine 32 Specimen Collection—Sputum/Throat Cx 34 Specimen Collection—Stool 35 ASSESS 37 Gordon’s Functional Health Patterns 37 Complete Health History 38 Physical Assessment 39 Head and Neck 41 Cardiovascular System 43 Respiratory System 43 Respiratory Patterns 44 Lung Sounds—Differential Diagnosis 44 Cardiac Auscultation Sites Order of Auscultating Lung Sounds 46 Circulation and Pulses 47 Abdomen—Abdominal Organs 48 Extremities 49 Skin—Integumentary 50 Pressure Sore Management 52 Wound Care—Assessment 53 Genitourinary—Reproductive Assessment 55 Brief Neurological Exam 56 Pupil Scale (mm) Glasgow Coma Score 58 Muscle Strength Grading Scale 58 Deep Tendon Reflex Grading Scale 59 Levels of Consciousness 59 Neurological Assessment Aids 60 Cranial Nerve Assessment 60 Psychiatric/Mental Health Assessment 62 Suicide—Assessment and Interventions 63 Alcohol and Drug Abuse Assessment 64 PQRST 66 COLDERRA 66 Nursing Interventions—Pain Management 67 Referred Pain 68 Characteristics of Different Types of Pain 68 Postoperative Assessment 69 Nutrition Assessment 71 Physical Findings of Dehydration 72 Fluid and Electrolytes 72 Electrolyte Imbalances 73 Reusable Assessment Form (make photocopies for multiple Pts) 75 Reusable Assessment Form 76 Erikson’s Developmental Stages 79 Maslow’s Hierarchy of Needs 80 Terms Associated with Pregnancy 80 Predicting the Due Date (Nägele’s Rule) 82 Stages of Labor 83 Electronic Fetal Monitoring (EFM) 84 Emergency Delivery 85 Initial Newborn Care and Assessment 88 Routine Newborn Medication and Labs 89 APGAR Score 90 Postpartum Care and Assessment—Mother 91 Pediatric Health History 94 Pediatric Assessment 96 Pediatric Assessment Pearls 98 Pain Assessment and Intervention 98 Pediatric Formulas ( 99 1 yr) 99 Pediatric IM Injection Sites 100 Pediatric IV Pearls 100 Geriatric Assessment Pearls 102 Pharmacokinetics in the Elderly 103 Polypharmacy 104 Inappropriate Medications for the Elderly 105 Fall Risk Assessment and Prevention 105 Adult Immunization Schedule—United States • 2005 107 DISEASES AND DISORDERS Alzheimer’s Disease (AD) 108 Asthma 109 Cancer—General Overview 110 Chronic Obstructive Pulmonary Disease (COPD) 113 Congestive Heart Failure (CHF) 114 Coronary Artery Disease (CAD) 116 Crohn’s Disease 117 Diabetes Mellitus (DM) 118 Hypertension (HTN) 119 Irritable Bowel Syndrome (IBS) 121 Multiple Sclerosis (MS) 122 Pancreatitis 123 Peripheral Vascular Disease (PVD) 124 Pneumonia 125 Renal Failure—Chronic (CRF) 126 Urinary Incontinence 127 EMERG TRAUMA 129 CPR Quick Reference 129 Choking Quick Reference 130 Resuscitation Maneuvers 131 Emergency Assessment 133 Emergency Drugs 137 Manual Defibrillation 139 Automatic External Defibrillators (AEDs) 140 Transcutaneous Pacing (TCP) 141 Electrical Cardioversion 142 V-Fib or Pulseless V-Tach 143 Asystole or PEA (pulseless electrical activity) 144 Bradycardia (HR 144 60 bpm) 144 Tachycardia—Unstable (CP, 144 BP, SOB, or ALOC) 144 Narrow-Complex Tachycardia—Stable 145 Wide-Complex Tachycardia—Stable 145 Pediatric Advanced Life Support 146 Initial Steps to Neonatal Resuscitation1 147 Medical Emergencies (Adults) 149 Antidotes 151 Posturing 157 Primary Trauma Survey 160 Abuse 162 Burns 164 Rule of Nines 165 Shock: Signs and Symptoms 166 Terrorism 167 Medication Administration 170 Medication Error—Intervention 171 Preventing a Medication Error 172 High-Alert Medications 172 Error-Prone Abbreviations and Symbols 173 Common Medication Formulas 174 Fluid Infusion Rate (4-2-1) 175 Universal Formula—Figure Out Drip Rates and Drug Amounts 176 IV Solutions 177 Crystalloids 177 Volume Expanders 178 Blood Transfusion Reactions 180 Intramuscular (IM) Injection Sites 181 Z-Track Method for Giving IM Injections Injections—Intradermal (ID), Subcutaneous (SC), and Intramuscular (IM) 182 Angle of Injection SC Injection Sites 183 ID Sites 184 SC Injection Technique 184 Types of Insulin 185 Mixing Insulin 187 Starting an IV 188 IV Insertion Guide 189 IV Piggyback (IVPB) Setup 190 Complications of Starting/Maintaining IVs 191 Troubleshooting IV Complications 191 Flushing Peripheral and Central Lines 193 Common Prescription Drugs 194 Pregnancy Risk Categories (FDA Definitions) 202 LABS/ ECG 203 General Chemistry 203 Hematology (ABC, CBC, Blood Counts) 205 Lipids (Cholesterol) 206 Cardiac Enzyme Markers 206 Coagulation 207 DIC Panel—Disseminated Intravascular Coagulopathy 208 Cerebrospinal Fluid (CSF) 208 Thyroid Panel 208 Medication Levels (Therapeutic) 209 Antibiotic Levels 209 Renal/Kidney 210 Urinalysis (UA) 210 24 Hour Urine 210 Normal Arterial Blood Gases 211 The Body’s Reaction to Acid-Base Imbalance 212 Common Causes of Acid-Base Imbalance 212 Hemodynamic Values 213 Basic ECG Interpretation 214 Common Abbreviations Associated with ECG 218 Normal Cardiac Rhythm Parameters 219 Systematic Approach to ECG Assessment 219 Analyzing the P-R Interval (PRI) 219 Analyzing the QRS Complex 220 Rates and Measurements 220 ECG Rhythms 221 Normal Sinus Rhythm 222 Sinus Bradycardia 222 Atrial Fibrillation 223 Atrial Flutter 223 Junctional Rhythm 224 Ventricular Tachycardia 224 Ventricular Fibrillation 225 Asystole 225 1 226 AV Block 226 2 226 AV Block (Mobitz Type-I, Wenckebach) 226 2 227 AV Block (Mobitz Type-II) 227 3 227 AV Block (Complete Heart Block) 227 Premature Ventricular Complex (PVC) 228 Premature Atrial and Junctional Complex 228 TOOLS/ INDEX 229 Metric Conversions 229 Volume Weight 230 Common Equivalents and Formulas 230 Equivalents Specific to Your Institution 230 Body Surface Area (BSA) 231 Waist-to-Hip Ratio 231 Frequently Used Phone Numbers 231 Community Resources 233 Cultural Diversity in Health Care 234 Basic English-to-Spanish Translation 241 Symbols and Abbreviations 246 Selected References 255 ANOTHER,3HAXAP,RELEASE ANOTHER 3HAXAP RELEASE "Accept no pretenders. RNotes is the original preferred pocket-sized tool for the delivery of safe and effective nursing care in hospital and home settings. This refined, reorganized, and updated RNotes 2nd Edition has more than 100 additional pages of essential health-care information. The new topics and features include: New Diseases and Disorders tab covers interventions and patient education information for the most common conditions nurses will encounter; OB/Peds/Geri focuses on life span considerations; Assess brings together tools for a thorough general assessment of the adult patient; expanded coverage of emergency assessment and high alert meds; and documentation tips throughout."--Jacket RNotes is a quick, portable, and indispensable reference that will help your students quickly access information relating to basic nursing tasks and concepts. When they draw a blank on the information they need - like calculating common medication formulas, coagulation values, or remembering the normal ranges of vital signs - they will be able to refer to this guide, which can be neatly tucked inside their scrub pockets. It even has pages that can be written on and erased for further use. A pocket-sized tool for nursing educators and students for the delivery of safe and effective health care in hospital and home settings. It presents practical, clinically-oriented content across a range of topics: quick find features, portability, functionality, and more of the commonly-used clinical information.