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  • Newborn Danger Signs

    When to call doctor When to call 911 Signs & Symptoms of distress

  • Neuroleptic Malignant Syndrome

    A rare but potentially life-threatening reaction to the use of almost any of a group of antipsychotic drugs. The primary trigger of NMS is dopamine receptor blockade and the standard causative agent is an antipsychotic. NMS symptoms usually last for 7 to 10 days. NMS can damage muscles and cause very high or low blood…

  • Nagele’s Rule for Due Dates

    Average pregnancy last 280 days 40 weeks is full term 9 calendar months 3 trimesters 1st 1 week to 14 weeks 2nd 15 weeks to 28 weeks 3rd 29 weeks to delivery How to figure out a due date with Nagele’s Rule – Add seven days to the date of the first day of the LMP, then subtract three…

  • Menopause

    The last menstrual period and can be dated with certainty only 1 year after menstruation ceases. When ovaries no longer respond to simulation from the pituitary. Perimenopause is the period of time preceding menopause, usually between 2 and 8 years before menopause. May last 2 to 10 years During this time of transition, levels of…

  • Types of WBC

    Leukocytes = White Blood Cells, that help fight infection Phagocytes= engulf and absorb (eat) foreign invaders and other small cells and particles. Granulocyte= release granules Monocytes Basophils Neutrophils Eosinophils Lymphocytes T Cells ThymusCellular ImmunityRecognizes material as foreignGood (destroy tumor cells)Bad (organ transplant rejection) B Cells Bone marrowHumoral ImmunityProduce AntibodiesB memory cells Natural Killer Cells *Release…

  • Isotonic, hypotonic & hypertonic fluids

    Crystalloids Isotonic IV Solution *Osmolality closest to ECF * Ideal for patients who have fluid volume deficit 0.9% Sodium Chloride Aka Normal Saline Water, salt and chloride ● Only Fluid used with Blood Administration ● Used in flushes● Good for vomiting, GI and wound drainage● DO NOT use in people with CHF, Pulmonary Edema, renal impairment, and sodium retention…

  • Heparin v. Warfarin

    Heparin Vs. Warfarin Anticoagulants, their job is to slow down and the clotting process not to break up already formed clots Warfarin How it works Antagonize vitamin K which prevents the synthesis of 4 coagulation factors VII, IX, X and prothrombin Uses Treatment of venous thrombosis Treatment of venous thrombosis in people with A fib…

  • Gestational Diabetes

    High blood sugar that is 1st diagnosed during pregnancy Signs & Symptoms Risk Factors Testing Initial Glucose Challenge Done between weeks 24-28 1 hour test Results > 140mg/dL need follow up testing Follow up Testing Patient has to fast overnight  Testing done at 1 hour, 2 hours & 3 hours If 2 out of 3 are…

  • Focused Renal Assessment

    *Provide privacyDiet: Increased sodium = Increased urine Increased caffeine/alcohol = Increased urine LABS: -BUN -Creatinine -CBC -ABGs -CMP -UA -Specific gravity -Osmolarity -GFR -pH of Urine OBJECTIVE: -Vital signs -Palpate and percuss for flank pain and CVA tenderness -Turgor -Mucous membranes -Urine (color, clarity and odor) -Auscultate for a renal artery bruit -I & O…

  • How to Read a FHR Monitor

    Baseline 110-160 bpm Variability (change in baseline) 1. Normal 6-25 bpm2. Moderate >25 bpm3. Loss – flat line Reassuring-110-160bpm, increase from baseline, NO drops Nonreassuring- tachycardia, bradycardia, decrease from baseline, irregular, decrease within 30 seconds after contractions Bradycardia <100bpm for > 10minutes Tachycardia >160bpm for > 10 minutes AccelerationIncrease 15 bpm lasting 15 second to…