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LPN Notes: Nurse's Clinical Pocket Guide
Initial Assessment and Intervention for All Pts
Table of Contents
Free Topics
Alternatives to Restraints
Blood Specimen-Venous Sample
Clean-Catch (Midstream)
Confirming Proper Placement of NG Tube
Dislodgement
Dressing Types
Hand Hygiene
Post-Procedure Guidelines
Pre-Procedure Guidelines
Pulse Oximetry
Random
SBAR-Communication Technique
Suctioned Specimens (Sputum Trap)
Transmission-Based Precautions
Assess
Normal Range Vital Signs
Pain Assessment
Areas Susceptible to Pressure Ulcers
Auscultation of Lung Sounds
Focused Assessment-OPQRST
Pain Assessment
Pain Scales-FACES Pain Rating Scale
Pressure Ulcer Prevention Strategies
Referred Pain
Respiratory Patterns
Risk Factors for Development of Pressure Ulcers
Physical Assessment
Abdominal Organs and Quadrants
Cardiac Auscultation Sites
Deep Venous Thrombosis (DVT)
Different Approaches to Physical Assessment
Edema Grading Scale
Physical Assessment
Pupil Scale (mm)
Temperature
Geri/OB/Peds
Aspiration Precautions
Aspiration Precautions
General Guidelines
Signs of Dysphagia
Be Alert! Pain Assessment and Intervention
Be Alert! Pain Assessment and Intervention
Be Alert! Respiratory Distress in Pediatrics
Health History
Immunization History
Nonpharmacological Interventions for Pain
Recurrent Childhood Illnesses
Signs and Symptoms by Developmental Stage
Complications of Pregnancy
Bleeding: Placenta Abruptio
Bleeding: Placenta Previa
Blood Pressure (Elevated): Pre-Eclampsia
Blood Pressure (Low): Supine Hypotensive Syndrome
Complications of Pregnancy
Gestational Diabetes
Hyperemesis Gravidarum
Dehydration in the Elderly
Dehydration in the Elderly
Delirium and Dementia in the Elderly
Nursing Interventions
Risk Factors
Signs and Symptoms
Delivery-Uncomplicated
Assisting During Delivery
Clinical Findings (Imminent Delivery)
Delivery-Uncomplicated
Depression and Suicide in the Elderly
Depression and Suicide in the Elderly
Nursing Interventions
Signs of Suicidal Intent
Eating Problems in the Elderly
Eating Problems in the Elderly
Nutritional Assessment
Electronic Fetal Monitoring
Electronic Fetal Monitoring
Fetal Heart Rate (FHR)
Fetal Heart Rate Patterns
Variability (Cardiac Rhythm Irregularities)
Fall Risk Assessment and Prevention
Fall Prevention
Fall Risk Assessment and Prevention
Oral Care-Unconscious or Debilitated Patient
Pharmacokinetics in the Elderly
Geriatric Patients
Mother: Postpartum Care and Assessment
Abdomen and Uterus
Assessment of the Pediatric Patient
Breasts and Breastfeeding
Emotional Status
Lower Extremities
Mother: Postpartum Care and Assessment
Perineum
Newborn: Initial Care and Assessment
ABCs, Temperature, and Vital Signs
APGAR Score
Identification and Infant Safety
Measurements
Newborn: Initial Care and Assessment
Physical Assessment
Routine Newborn Medication and Labs
OB Patients: Pregnancy-Newborn-Postpartum
Basic Terms Associated With Pregnancy
Due Date Prediction (Nägeleâs Rule)
Fetal Development Timetable
Fundal Height Assessment
Hormones Associated With Pregnancy
Immunization During Pregnancy
Normal Changes Throughout Pregnancy
OB Patients: Pregnancy-Newborn-Postpartum
Weight Gain and Nutritional Requirements
Polypharmacy in the Elderly
Assessment and Prevention
Polypharmacy in the Elderly
Recommended Adult Immunization Schedule
Progression of Labor
Factors Affecting Progression of Labor (Four Ps)
Progression of Labor
Med Surg & Emergency
Automatic External Defibrillator (AED)
Automatic External Defibrillator (AED)
Cardiopulmonary Resuscitation (CPR) Maneuvers
Cardiopulmonary Resuscitation: 2015 Guidelines
Choking: 2015 Guidelines
Code Responses and Responsibilities
Electrode Size
Medical Emergencies
Abdominal Pain
Abuse
Allergic Reaction: Anaphylaxis
Altered Mental Status (AMS)
Bradycardia (2015 ACLS Guidelines)
Cardiac Arrest (2015 ACLS Guidelines)
Chest Pain
Diabetic Emergencies
Dizziness, Vasovagal Response, Syncope
Hypertension
Hypotension
Increasing Intracranial Pressure
Infection: Fever/SIRS/Sepsis
Initial Assessment and Intervention for All Pts
Medical Emergencies
Overdose (OD)
Postoperative Hemorrhage
Respiratory Distress
Seizure
Suicidal/Combative Patient
Tachycardia (2015 ACLS Guidelines)
Transfusion Reaction
Meds/IV/Fluids
Abbreviation Alert!
Administration Alerts!
Administration Alerts!
Always Remember! Assessment and Documentation
Always Remember! Critical General Points
Always Remember! Medication Rights
Always Remember! Triple Check
High-Alert Medication Classes
Angle of Injection
High-Alert Medication Classes
Injections-Intradermal (ID)
Injections-Intramuscular (IM)
Injections-Intramuscular Landmarks
Injections-Intramuscular Z-Track Method
Injections-Subcutaneous (SC)
Injections-Subcutaneous and Intradermal Sites
Insulin-Mixing Technique
Specific High-Alert Medications
Intravenous (IV)-Access, Infusion, Maintenance
Access-Inserting a Peripheral IV or Saline Lock
Infusion-Continuous
Infusion-Intermittent IV Piggyback (IVPB)
Intravenous (IV)-Access, Infusion, Maintenance
Maintenance-Flushing Peripheral and Central Lines
Routine Care of Peripheral and Central Lines
Troubleshooting IV Complications
Intravenous Solution Types
Crystalloids
Intravenous Solution Types
Volume Expanders (Colloids)
Medication Errors
Medication Errors
Pregnancy Risk Categories
Prevention
Response
Labs/ECG
12-Lead ECG
12-Lead ECG
12-Lead Placement-Chest and Limb Leads
Sample ECG Rhythms
Basic Chemistry and Electrolytes
Basic ECG Interpretation
Basic ECG Interpretation
Cardiac Anatomy and Conduction
ECG Components
Lead Placement-Standard Three- and Five-Wire
Blood Gas Analysis
Diseases & Patient Ed
Diseases and Disorders
Alzheimerâs Disease (AD)
Asthma
Breast Self-Examination
Cancer: General Overview
Chronic Obstructive Pulmonary Disease (COPD)
Common Types of Cancers
Congestive Heart Failure (CHF)
Coronary Artery Disease (CAD)
Crohnâs Disease
Diabetes Mellitus (DM)
Diseases and Disorders
Food and Dietary Considerations
Hypertension (HTN)
Irritable Bowel Syndrome (IBS)
Multiple Sclerosis (MS)
Pancreatitis
Peripheral Vascular Disease (PVD)
Renal Failure: Chronic (CRF)
Testicular Self-Examination (TSE)
Urinary Incontinence
Tools/Index
Common Formulas and Equivalents
Common Formulas and Equivalents
Conversions: Standard-to-Metric
Waist-to-Hip Ratio
Cultural Diversity in Health Care
American Indian
Arab Heritage
Asian Heritage
Bosnian Heritage
Cuban Heritage
Cultural Diversity in Health Care
Filipino Heritage
Haitian Heritage
Mexican Heritage
Puerto Rican Heritage
Russian Heritage
English-to-Spanish Translation
Assessment: Areas of the Body
Assessment: History
Assessment: Pain
English-to-Spanish Translation
Introductions: Greetings
Select References
Symbols and Abbreviations
Web Resources (Updated July 2015)
Procedures
Assistive Devices: Ambulation
Assistive Devices: Ambulation
Blood Specimen-Finger Stick Blood Glucose (FSBG)
Blood Specimen-Venous Sample
Canes
Chest Tube Complications
Crutches
Dressing Change-Sterile
Walkers-Avoid Using on Stairs
Dressings
Application Techniques
Dressing Types
Dressings
Nasogastric (NG) Tube
Confirming Proper Placement of NG Tube
Insertion of NG Tube
Nasogastric (NG) Tube
Removal of NG Tube
Ostomy Care
Applying or Changing an Ostomy Bag
Ostomy Care
Pulse Oximetry
Types of Ostomies
Post-Procedure Guidelines
Pre-Procedure Guidelines
Restraints
Alternatives to Restraints
Common Reasons for Using Restraints
Laws Pertaining to Restraints
Restraints
Safety Guidelines
SBAR-Communication Technique
Types of Restraints
Sputum/Throat Culture
Expectorated Specimens
Sputum/Throat Culture
Suctioned Specimens (Sputum Trap)
Throat Culture
Standard Precautions
Hand Hygiene
Personal Protective Equipment (PPE)
Removing Soiled Gloves
Sharps-Linen-Refuse-Equipment
Standard Precautions
Transmission-Based Precautions
Stool-Specimen Collection
Cysts and Spores-Ova and Parasites
Occult Blood (Hemoccult, Guaiac)
Stool-Specimen Collection
Suctioning
Closed System-Ventilated Patient
Nasopharyngeal/Oropharyngeal
Suctioning
Tracheostomy Care
Cleaning
Dislodgement
Tracheostomy Care
Tube Feedings
Administering Feedings
Checking Residuals
Tube Feedings
Urinary Catheter-Insertion
Condom Catheter Application
Indwelling and Straight Catheters
Urinary Catheter-Insertion
Urinary Catheter-Removal
Urine-Specimen Collection
Catheterized Patients
Clean-Catch (Midstream)
First Morning
Random
Second Void
Timed (24-Hour Urine)
Urine-Specimen Collection
Ventilators-Patient in Distress
Ventilated Patient in Respiratory Distress
Ventilators-Patient in Distress
Wound Culture
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