NurseInTheMaking LLC are simply guides and should not be used over and above your course material and teacher instruction in nursing school.

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By purchasing this material, you agree to the following terms and conditions: you agree that this ebook and all other media produced by NurseInTheMaking LLC are simply guides and should not be used over and above your course material and teacher instruction in nursing school.When details contained within these guides and other media differ, you will defer to your nursing school’s faculty/staff instruction. Hospitals and universities may differ on lab values; you will defer to your hospital or nursing school’s faculty/staff instruction. These guides and other media created by NurseInTheMaking LLC are not intended to be used as medical advice or clinical practice; they are for educational use only. You also agree to not distribute or share these materials under any circumstances; they are for personal use only.© 2021 NurseInTheMaking LLC. All content is property of NurseInTheMaking LLC and www.anurseinthemaking.com. Replication and distribution of this material is prohibited by law. All digital products (PDF �les, ebooks, resources, and all online content) are subject to copyright protection. Each product sold is licensed to an individual user and customers are not allowed to distribute, copy, share, or transfer the products to any other individual or entity, they are for personal use only. Fines of up to $10,000 may apply and individuals will be reported to the BRN and their school of nursing.www.etsy.com/shop/nurseinthemaking @Kristine_nurseinthemaking @anurseinthemaking [email protected] @nurseinthemakingkristine @NurseInTheMaking

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Head To Toe Assessment ..................................................................4 Dosage Calculation ........................................................................6 Lab Value Cheat Sheet...................................................................18 Lab Value Memory Tricks ...............................................................19 Blood Types ...............................................................................20 Electrolyte Imbalances ..................................................................21 Fundamentals ............................................................................25 Mental Health Disorders ..............................................................41 Mother Baby ..............................................................................51 Pediatric Development Milestones ...................................................68 Pediatrics ..................................................................................73 Med-Surg Renal / Urinary System ..........................................................91 Cardiac System .................................................................100 Endocrine System ...............................................................119 Respiratory Disorders ..........................................................129 Hematology Disorders ..........................................................135 Gastrointestinal Disorders ....................................................138 Neurological Disorders .........................................................143 Burns ..............................................................................148 ABG’s ..............................................................................152 Pharmacology: Suffixes, Prefixes, & Antidotes ....................................156 Pharmacology ...........................................................................161 Templates & Planners .................................................................183 Note from Kristine ...................................................................202

TABLE OF CONTENTS

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Head & Face HEAD • Inspect head/scalp/hair • Palpate head/scalp/hair FACE • Inspect • Check for symmetry

• To assess Cranial Nerve 7, check the following:

– Raise eyebrows – Smile – Frown – Show teeth – Puff out cheeks – Tightly close eyes EYES • Inspects external eye structures • Inspect color of conjunctiva and sclera

• PERRLA

–Pupils Equal, Round, Reactive to Light, & Accommodation Neck, Chest (Lungs) & Heart NECK • Inspect and palpate • Palpate carotid pulse • Check skin turgor (under clavicle)

POSTERIOR CHEST

• Inspect • Auscultate lung sounds in posterior and lateral chest – Note any crackles or diminished breath sounds

ANTERIOR CHEST

• Inspect:

– Use of accessory muscles – AP to transverse diameter

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• Palpate: symmetric expansion

• Auscultate lung sounds – anteriorand lateral – Note any crackles or diminished breath sounds HEART • Auscultate heart sounds (A, P, E, T, M) with diaphragm and bell – Note any murmurs, whooshing, bruits, RUPXIvHGKHDUWVRXQGV Introduction • Knock • Introduce yourself • Wash hands • Provide privacy • Verify patient ID and DOB • Explain what you are doing (using non-medical language) Orientation • What is your name?• Do you know where you are?• Do you know what month it is?• Who is the current U.S. president?• What are you doing here?• A&O X4 = Oriented to Person, Place, Time, and Situation "Normal" Vital Signs

PULSE: 60-100 bpm

BLOOD PRESSURE:120/80 mmHg

O2 SATURATION: 95-100%

TEMPERATURE: 97.8-99.1° F

RESPIRATIONS: 12-20 breaths per min

INSPECT

PALPATE

PERCUSS

AUSCULTATE

HEAD-TO-TOE ASSESSMENT

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