NURSING HEALTH HISTORY I.

Vital Information Name: Age: Sex: Birth Date: Religion: Nationality: Address: Marital Status: Occupation: Date and Time of Admission: Chief Complaint: Diagnosis: Attending Physician: II. History of Present Illness III. Past Medical History IV. Family Medical History V. Socio-economic status VI. Activities of Daily Living A. Nutrition B. Elimination C. Rest and Sleep D. Activity and Exercise

PEDIA HEALTH HISTORY

I.Personal Information Informant: Name: Age: Sex: Birth Date: Religion: Nationality: Relation:

IV NEEDLES COLORS AND GAUGES

14 16 18 20 22 24 26

IV SOLUTION BOTTLE COLORS

D5NM D5NSS PNSS D5IM B D5LR D10W 0.3 NaCl D5W PLRS

Address: Date and Time of Admission: Chief Complaint: Diagnosis: Attending Physician: II. Pre-Natal History III. Natal History IV. Neonatal History V. Post Natal History VI. Nutrition VII. Growth and Development VIII. Immunization Record Vaccine Number & Date IX. Socio-economic History X. History of Present Illness XI. Past medical History XII.Family Medical History

SPINAL DEEDLE GAUGES AND COLORS

16 26 18 20 22 23 25

27

COLOR OF GASES
Reactions

O2

Compressed Air

H CO2

Nitrous Oxide

COAGULATION STUDIES: APTT: 20-36sec. PT: M: 9.6-11.8 sec. F: 9.5-11.3 sec. Clotting Time: 8-15min. Platelet: 150,000-400,000 cell/Ul Bleeding Time: 2.5-8 min.

RENAL FUCTION TEST: Creatinine: 0.6-1.3mg/dL BUN: 5-20mg/dL ERYTHROCYTES STUDIES: ESR: 0-30mm/hr Hemoglobin: M: 14-16g/dL F: 12-14g/dL Hematocrit: M:42%-48% F: 36%-42% RBC: M:4.5-6.2million/uL F: 4-5.5million/uL WBC: 5000-10,000/uL Phenylalanine Level: <2mg/dL (PKU: >25mg/dL) TEMP. CONVERSION: C = F-32/1.8 F = 1.8 xC-32

ARTERIAL BLOOD GAS: pH: 7.35-7.45 PCO2: 35-45mmHg PO2: 80-100mmHg HCO3:22-26meq/L O2 Saturation: 98%-100% WEIGHT: 60grams = 1dram 8drams = 1ounce 12ounces = 1pound 1/60grain = 1milligram 15grains = 1 gram 2.2pounds =1kilogram

ELECTROLYTES: Sodium: 135-145meq/L Potassium: 3.5-5.5meq/L Magnesium: 1.5-2.5mg/dL Phosphorus: 2.5-4.5mg/dL Calcium: 9-11mg/dL Chloride: 98-108meq/L

MEDICATION CALCULATION: Desired Dose Stock on Hand IV FLOW RATE: Volume x gtt Factor Hrs. to run x 60

VOLUME: 60 minims = 1 dram 4drams = 0.5 0unce 8drams = 1 ounce 16ounces = 1 pint 32ounces = 1 quart 5cc = 1tsp 15cc = 1tbsp 30cc = 2tbsp 500cc = 0.5liter 1000cc = 1 liter 0.5liter = 1pint 1liter = 1 quart

COMMON DROP FACTOR: 10gtts/ml (BLOOD SET) 15gtts/ml (REGULAR SET) 60gtts/ml (MICRODROP)

GLUCOSE STUDIES: FBS: 70-110mg/dL Glucose Monitoring (Capillary Blood): 60-100mg/dL

GLASGOW COMA SCALE ACTION EYES OPEN BEST RESPONSE Spontaneously To speech To pain None Oriented Confused Inappropriate words Incomprehensible sounds None Obeys command Localized pain Flexion withdrawal Abnormal flexion Abnormal extension Flaccid SCORE 4 3 2 1 5 4 3 2 1 6 5 4 3 2 1 15

ACID-BASE IMBALANCES
Respiratory Acidosis Uncompensated Compensated <7.35 Normal

pH PCO2

VERBAL

pH PCO2

Respiratory Alkalosis Uncompensated Compensated >7.35 Normal

MOTOR

pH PCO2

Metabolic Acidosis Uncompensated Compensated <7.35 Normal Normal Metabolic Alkalosis Uncompensated Compensated >7.35 Normal Normal

pH PCO2

TOTAL

PEDIATRIC VITAL SIGNS

AGE Premature Newborn 1 mo 6 mo 1 yr 2-3 yr 4-5 yr 6-8 yr 10-12 yr >14 yr WT.(KG) 1 2-3 4 7 10 12-14 16-18 20-26 32-42 >50 HR 100180 100180 80100 70150 70150 70120 70110 60110 5590 5590 RR <40 <40 2435 2435 2030 2030 2030 1225 1220 1218 BP 4210 6010 8016 8929 9630 9925 9920 10513 11219 12020