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NURSING nur265 NCLEX study guide Galen College of Nursing

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NCLEX study guide LABS K 3.5 – 5.1↑cardiac arrhythmias: possible met. acid. if pt has ↓K 1st hold diuretic/digoxin then assess with EKG, VS I&O ↓:muscle weakness, dysrhythmias, to increase... K in diet (raisins, bananas,apricot) ↑: MURDER: muscle weakness, oliguria/anuria, respir.depression, decreased cardiac contractility, ECG changes,↓ reflexes Na 135 – 145↓possible hypoT.&dehydration. ↑HTN ↑: fever, weakness, disorientation, delusions,hypotension, tachycardia tx:hypotonic 0.45NS, D5W ↓: n/a, muscle cramps, ICP, muscle twitching, convulsions, tx: osmotic diuretics, fluids Mg 1.6 – 2.6 ↑: depresses CNS, hypotension, facial flushing, muscle weakness, absent deep tendon reflexes, shallow respirations, emergency ↓: tremors, tetany, seizures, dysrhythmias, depression, confusion, dysphagia, dig toxicity Cl 98 – 107 Ca 8.6 – 10↓⍅ trousea (arm) & chovstek sign(cheek) ↑: muscle weakness, lack of coordination, abd pain, confusion, absent tendon reflexes, sedative effecet on CNS ↓: CATS: convulsions, arrhythmias, tetany, spasms, stridor Wbc 4500 – 11000 Phos. 2.2- 4.8 when this is high Ca is low etc Hgb 14-16.5 m11-16 F:14-18 Hct 42-52% (3 x Hgb) M34-47 F:39-54 Mg. 1.5 - 2.5 Albumin 3.4 – 5: ↓fluid overload, edema, ascites wt gain/liver dz Fe 65-175 ALT/AST 5-60/5-43 (liver function tests) Uric acid 4.5 – 8 (men) 2.5 – 6.2 (women) ↑ with gout Lipase 10 – 140 ↑ in liver dz (Lipase = Liver) Serum osmolality 285 – 295 ↑ = dehydration ↓ = overhydration CK enzymes MB = cardiac muscle BB = brain MM = skeletal Troponins -better indicator of detecting MI than CK’s Amylase 25-151 ↑ with pancreatitis (acute 5x nml, chronic 3x nml) -aids in digestion IOP/ICP 10-20 Urine specific gravity 1.010 – 1.025 > 1.030 dehydration [Show More]

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