Nclex Memorize

Tonometry: normal (10-21 mm Hg) PR Interval: normal (0.12-0.20 seconds) Serum Amylase: normal (25-151 units/dL) un its/dL) Serum Ammonia: normal (35 to 65 mcg/dL) Calcium: adult (8.6-10 mg/dL) child (8 to 10.5 mg/dL) term<1week hg =" inadequate">11 mm Hg = too much fluid Potassium: 3.5-5.0 mEq/L Sodium: 135-145 mEq/L Calcium: 4.5-5.2 mEq/L or 8.6-10 mg/dL Magnesium: 1.5-2.5 mEq/L Chloride: 96-107 mEq/L Phosphorus: 2.7 to 4.5 mg/dL PR measurements: normal (0.12 to 0.20 second) QRS measurements: normal (0.04 to 0.10 second) Ammonia: 35 to 65 ug/dL Amylase:25 to 151 IV/L Lipase: 10 to 140 U/L Cholesterol: 140 to 199 mg/dL LDL: <130>0.1 to 0.2 ng/mL = MI Erythrocyte studies: 0-30 mm/hour  Serum iron: Male 65-175 ug/dL Female 50-170 ug/dL RBC: Male 4.5 to 6.2 M/uL Female 4.0 to 5.5 M/uL

Theophylline levels normal (10 to 20 mcg/dl)

MOTOR DEVELOPMENT

Chin up 1 month Chest up 2 month Knee push and “swim” 6 month Sits alone/stands with help 7 month Crawls on stomach 8 month Stands holding on furniture 10 month Walks when led 11 month Stands alone 14 month Walks alone 15 month

AT THE PLAY GROUND * Stranger anxiety: 0 -1 year  * Separation anxiety: 1 - 3 years * Solitary play: 0 – 1 year  * Parallel play: 2 – 3 years * Group play: 3 – 4 years

PSYCHOLOGICAL DEVELOPMENT AGE ERIKSON FREUD PIAGET

Infant 0 – 1.5 Trust vs. mistrust Oral (trust & dependence sensorimotor  Toddler  1.5 -3 Autonomy vs. shame Anal (holding vs. letting out)  preoperational Pre-school 3-6 Initiative vs. guilt Phallic (Oedipus complex)  preoperational School age 6 - 11 Industry vs. inferiority latency Concrete operational 11 - 20 Identity vs. role confusion con fusion genital Formal operational 20 – 25 Intimacy vs. isolation 25 – 50 Generativity vs. stagnation 50 - ? Integrity vs.despair 

LABORATORY VALUES ELECTROLYTES Sodium (Na+): 135 – 145 meq/L (increase-dehydration; decrease overhydration) Potassium (K+): 3.5 - 5.0 meq/L Magnesium (Mg++): 1.5 – 2.5 meq/L Calcium (Ca++): 4.5 – 5.8 meq/L  Neonate : 7.0 to 12 mg/dL Child: 8.0 to 10.5 mg/dL Phosphorus (PO4): 1.7 – 2.6 meq/L Chloride (Cl-): 96 – 106 meq/L COAGULATION STUDIES

Activated partial thromboplastin time(APTT): 20 – 36 seconds depending on the type of  activator used Prothrombin time(PT): male: 9.6 – 11.8 seconds Female: 9.5 – 11.3 seconds International Normalized Ratio(INR): 2.0 - 3.0 for standard Coumadin therapy 3.0 – 4.5 for high-dose Coumadin therapy Clotting time: 8 – 15 minutes Platelet count: 150,000 to 400,000 cells/Ul Bleeding time: 2.5 to 8 minutes SERUM GASTROINTESTINAL STUDIES Albumin: 3.4 to 5 g/dL Alkaline phosphatase: 4.5 to 13 King-Armstrong units/dL Ammonia: 15 to 45 ug/dL Amylase: 50 – 180 Somogyi U/dL in adult 20 – 160 Somogyi U/dL in the older adult Bilirubin: direct: 0 - 0.3 mg/dL Indirect: 0.1 – 1.0 mg/dL Total: less than 1.5 mg/dL Cholesterol: 120 – 200mg/dL Lipase: 31 -186 U/L Lipids: 400 – 800 mg/dL Triclycerides: Normal range: 10 – 190 mg/dL Borderline high: 200 – 400 mg/dL High: 400 – 1000mg/dL Very high: greater than 1000mg.dL Protien: 6.0 – 8.0 g/L Uric acid: male: 4.5 – 8 ng/dL Female: 2.5 – 6.2 ng/dL

GLUCOSE STUDIES Fasting blood sugar: 70 – 105 mg/dL Glucose monitoring (capillary Blood): 60 – 110 mg/dL

RENAL FUNCTION TEST Creatinine: 0.6 – 1.3 mg/dL Blood urea nitrogen (BUN): 5 – 20 mg/dL

ERYTROCYTES STUDIES Erytrocyte sedimentation rate(ESR): 0 – 30 mm/hr depending on age Hemoglobin: male: 14 – 16.5 g/dL Female: 12 – 15 g/dL Hematocrit: male: 42% - 52% (increased in hemoconc entration, fluid loss and dehydration) Female: 35% - 47% ( decreased in fluid retention) Red blood cell (RBC): male: 4.5 to 6.2 million/uL Female: 4 to 5.5 million/uL White blood cell (WBC): 4500 to 11,000/uL Erytrocyte Protoporthyrin (EP) : <9ug/dl>25 mg/dL CRANIAL NERVES MAJOR FUNCTIONS I. Olfactory (S) smell II. Optic (S) vision III. Oculomotor (M) IV. Trochlear (M) Eye movement V. Trigeminal (S-M) Facial sensation Jaw movement VI. Abducent (M) Eye movement VII. Facial (S-M) Taste Facial expression VIII. Acoustic (S) Hearing and balance IX. Glossopharyngeal (S-M) Taste Throat sensation Gag and swallow X. Vagus (S-M) Gag and swallow Parasympathetic activity

XI. Spinal Accessory (M) Neck and back muscles XII. Hypoglossal (M) Tongue movement On Old Olympus’ Towering Tops, A Finn And German Viewed Some Hops Some Says Marry Money, But My Brother Says Bad Business Marry Money ARTERIAL BLOOD GAS (ABG)  pH: 7.35 – 7.45 PCO2: 35 - 45 mmHg PO2: 80 - 100 mmHg HCO3: 22 - 27 mEq/L O2 saturation: 96% - 100% Acid-base “RAMS”(Respiratory Alternate, Metabolic Same) GLASGOW COMA SCALE Eye opening response Motor response Verbal response AUTONOMIC NERVOUS SYSTEM SYMPATHETIC/ ADRENERGIC PARASYMPATHETIC/ CHOLINERGIC Heart Increased heart rate Increased conduction Increased force Decreased heart rate Bronchi dilation constriction GI tract Reduced motility Increased motility Rectum Allows filling Empties rectum Relaxes internal sphincter 

Bladder  Allows filling Empties bladder  Relaxes internal sphincter  Erection Maintains erection Ejaculation Triggers ejaculation Pupils of eye Big (mydriasis) Small (miosis) Salivary glands Secretion Blood vessels Depends on receptors -a contrict -b dilates