ACETAMINOPHEN: 10-20 Sweat Chloride Test = <40

Adult dose to pedia dose = 1.73 T3: 70-205

ALBUMIN: 3.4-5 T4: 5-12
Alpha Fetoprotein: 15-30 (done 16-18 wks gest) TSH: 0.2- 5.4
ALT: 4-36 Thyroid test: normal 2-10
AMMONIA: 10-80 THEOPHYLLINE: 10- 20
AMNIOTIC FLUID PH: 7-7.5 TROP I : <0.3
AMYLASE: 25-151 TROP T : <0.1, >0.1- 0.2 = MI
APTT: 20-36 SEC (1.5-2.5x in heparin therapy) Tuberculin: >15 children 4y/o older; >10 if 4y/o younger; >5 high risk group
ASA toxic mild: >4 URIC ACID: 2.5-8
AST: 35 Vanillylmandelic acid 2-7/ per 24 hrs
BILIRUBIN total: <1 WBC: 4,500- 11,000
DIRECT BILIRUBIN: <0.3
BLEEDING T: IVY: 3-6, DUKE: 1-3
BNP: <100
BUN: 10-20
BUN:CREA RATIO 6-25
CAC (coronary artery calcium): if >400 requires preventive treatment
CALCIUM: 8.6-10 ANTIDOTE
Carboxyhemoglobin <12%
Catecholamine Urine: Acetaminophen antidote: Acetylcysteine
Epinephrine: <20 Alteplase/Tenecteplase: amonocaproic acid
Norepinephrine: 15-80 Aspirin overdose= metabolic acidosis, hypoglycemia, reversal: Vit K,
CHLORIDE: 98-107 sodium bicarb, activated charcoal
Cholesterol total <200 Benzodiazepine: Flumazenil
CREATININE: 0.6-1.3 Digoxin: Digibind/ Digoxin immune Fab
CK: 26-174 Endrophonium: Atropine Sulfate
CK-MB: 2-6 Enoxaparin: Protamine Sulfate
CLOTTING T: 8-15 Heparin: Protamine Sulfate
CD4 T CELLS: 500-1600 Morphine Sulfate: Naloxone
CRP: >3 =high risk for heart disease Pergolide Mesylate = for Parkinson’s
CSF pressure: 50-175 Lead: 20-44 = initiate action; antidote: chelation BAL, EDTA
D-Dimer: ≤ 250
DIGOXIN: 0.5-0.8
Dilantin: 10-20
ESR: <30
Fibrinogen: 200-400
GASTRIC PH ≤3.5
GCS: <8 = coma is present
GFR: 125 ml/min
HCT: 30-52%
HOMOCYSTEINE: <1.9
HDL: 30-70
HGB: 14-16.5 M, 12-15 F
HBAIC: <7%
HCO3:VENOUS: 22-29
HYPERTHERMIA: >40.6
INR:on treatment: 2-3 standard, 3-4.5 high dose Warfarin
Intra-Occular Pressure:12-21
Lipoprotein: <30
LDL <30
LITHIUM: 0.6-1.2
MAGNESIUM: 1.6-2.6
MAGNESIUM SULFATE: 4-7
NEUTROPHIL: 1,800 - 7,800
PAP: 15-26 sys, 5-15 dias
PAWP: 4-12 mmhg
PHENYTOIN: 10-20
PLATELET: 150,000 – 400,000
PHOSPHORUS: 2.7- 4.5
PHENYLALANINE: Newborn: 1.2- 3.4, onwards: 0.8-1.8
POTASSIUM: 3.5- 5.5
PT: 10-16 (1.5- 2X in oral anticoagulation)
PTT 60-70
PROTEIN: 6-8
RBC: 4.5- 6.2 M, 4-5.5 F
SODIUM: 135-145
SPEC. GRAVITY: 1.005- 1.030
Urine PH: 4.6- 8
Osmolality: 300---1300
 MATERNITY
Amniocentesis: 15-20 wks; if <20 wks=full bladder; >20 wks empty bladder
Antepartum Visit: q4 week 28-32 wkl; q2 week 32-36 wk; q1 week 36-40 wk
Bishop score: >6 =ready for induction labor
Breast feeding diet: 200-500 cal/day, avoid gas-forming & caffeine & estrogen
BP: ↓in 2nd trimester; ↑ 3rd trimester
Cervical cerclage: 10-14 wks gest
Chadwick: 1-to 1 ½ month
Chorionic villi sampling: 10-13 wks
Contraction: 30-90 secs
Corticosteroids: for 28- 32 wks gest labor can be inhibited for 48 hrs
DIC: AGILASH; if dead fetus 3-4 weeks longer
External Version: >34 th week
Fatigue: 1 st & 3 rd trimester
Fetal HR 1st trimester 160-170 detected @ 12 week then 110-160 near or term
Fibronectin test 16-20 wks, repeated near term or at term
Fundal Height 18-30wks = fetal age in weeks ± 2cm
Gestational Diabetes screening= 24 & 28 wks gestation; maintain 65-130mg/dl
Heartbeat of fetus: 10-12 weeks
Heartburn: 2 nd & third trimester
Hemorrhage: >500 ml
Hyperemesis gravidarum: 1st trimester, intractable
Incompetent Cervix: 4-5 mos pregnancy
Insulin needs ↓first trimester; ↑2nd & 3rd trimester
Intrauterine death = ↓Hgb↓Hct↓Plt, BT→ CT→
Irregular contraction: starts 16 weeks gestation
Kick count: 10 kicks in each 2 consecutive hours
Lochia: 1-3, 4-10, 11-14 days; <2.5, <10, <15, saturated 1 hour, sat 15 mins
Magnesium Sulfate target blood range: 4-7
Maternal infection: 1st 8 weeks –highest rate of fetal infection
Maternal risk factor: Age <20, >35
Menstruation post partum: 1-2 mos non-Breast Feeding, 3-6 mos BF
Nasal stuffiness: 1 to 3rd trimester
Nausea & vomiting: starts in 1st trimester, ↓in 3rd month
Newborn HIV positive until 18 mos after birth
Nitrazine test: blue green, blue gray, deep blue = ruptured membrane
Post-Partum: ater delivery to 6 weeks (ffup 4-6 weeks)
Pre-eclampsia: Proteinuria, Hypertension
Pre-eclampsia w Hydatidiform mole= <20 wks
Pre-eclampsia of pregnancy >20 wks
Pregnancy Pre-eclampsia/ infection protein= 2+ to 4+
Preterm Labor= after 20 week but before 37 week
PROM: Trichomoniasis, Chlamydia
Protein in urine: 2+ to 4+ may indicate infection or Preeclampsia
Post term: after 42 wk
Quickening: 16-20 weeks
Reflex normal 2+
RhoGAM(RhD immunglob):give at 28 wks gest, within 72 hr post partum (-)
mother (+)baby
Stage 2 labor= 10cm, every 2-3 mins, duration 60-75 secs
Supine hypotension: 2 nd & 3 rd trimester
Syncope: 1st trimester
Tocolytic: Nifedipine, Magnesium Sulfate
Urination frequency: ; ↑1 st & 3 rd trimester
Uterine resting tone: 5-15 mmhg
Vaginal Secretion PH: 4.5- 5.5
WBC pregnancy: 11,000-18,000; immediate postpartum: 25,000-30,000
Weight gain in pregnancy = 25-35 lbs
X-ray: >20 wks gestation
Zidovudine: 14 wks gestation, IV during labor, NB: syrup 6 wks after
birth
PEDIATRIC
APGAR scoring: 1 min; 5 min; 10 min; scores: 8-10, 4-7,0-3
ANC (Absolute Neutrophil Count): >50%
Asthma attack trigger meds: Beta Block, Aspirin, NSAIDS
Quick-relief meds: Corticosteroids, Anticholinergic, B2 agonist
Cleft lip repair: 3-6 mos, then cleft palate repair @ 6-24 mos
Position: on the back upright, feeding: formula to the side and back
Digoxin: withhold if HR <90-110 in infants, if HR<70 in older children
Safe dose:infant: 50 mcg or 0.05mg in 1 dose; administer 1 hr AC, 2 hr PC
Blood level: 0.5-0.8
Epiglottitis:bacterial croup caused by Hib, Strep. Pneumonia
Erickson’s
Autonomy vs Shame & Doubt 12-18 mos
Initiative vs guilt 3-6
ESSR method of feeding infant:Enlarge the nipple, Stimulate sucking reflex,
Swallow, Rest to allow swallow
FHR: 10-12 wks doppler, 20 wks fetoscope
Glucose NB: 40-60 first 24 hrs, 50-90 after 24 hrs of life
Heart failure:
Weight gain 0.5 kg is caused by fluid accumulation
Hepa A = not infectious 1 week after onset of jaundice
HIV: HIV culture 1 & 4 months; ffup HCP birth, 1 wk, 2 wks, 1 mo, 2 mos 4 mo
Hyperbilirubinemia in newborn: >12 mg/dL
Hypoglycemia: <40 in 72 hrs, <45 after 3 days of life
Jaundice Physiologic: after 1 st 24 hrs, after 48 hrs in premature
Peaks on 5 th day 6-7 mg/dl
Large for gestational age: ≥ 90 th percentile
Laryngotracheobronchitis: viral or bac croup caused by: Para influenza 2,3
RSV, Mycoplasma Pn, Influenza A, B
Moro reflex: >6 mos = neurological abnormality
Newborn BP: 80-90/ 40-50; L:45-55cm, Wt: 2,500-4000g, HC: 33-35cm
HR rest: 120-160; sleep: 80-100; crying: 180
Respiration: 30-60
Phytonadione NB inj: 0.5-1mg IM
RSV: Palivizumab: medicine for high risk infant for RSV; Ribavirin for RSV
Small for gestational age: newborn ≤10 th percentile
Stomach capacity NB: 10 ml.. 90 ml by 10 th day, formula <30ml by 3 rd
day
VSD: many VSDs close during 1 st year of life (if small or moderate
defect
Weight loss: 5-10% normal, regain by 10-14 days
MEDICAL-SURGICAL
Indomethacin (prostaglandin inhibitor): for patent ductus arteriosus
Hirshsprung’s dse: fever, prostration, GI bleed, Explosive watery diarrhea
Weight gain in burns: 6-9 kg is normal in 72 hours
Urine output in burns: report to HCP if <30ml or >50 ml per hour
Diuretics are avoided because they increase the risk of hypovolemia
Diet: high CHON CHO fats vitamins, major burns: >5000 kcal

Probable signs of Pregnancy
HCG UBBP
Hegar’s, Chadwick’s
Goodell’s, Uterine enlargement
Ballottement, Braxton Hick’s
Positive pregnancy test
Positive signs MOH
Movement Outline Heartrate
Nausea & Vomiting interventions
FAHAD BED
Fried food avoid, Acupressure prec
Herbals ask Antiemetic Drink liquids
Brush avoid immediate after arising
Eat small frequent LF Dry crackers
Insulin needs 1↓ 2↑ 3↑ delivery ↓
Gestational diabetes predisposin
LOOMF
Large fetus Obesity Older 35 y/o
Multiple gest Family history
DIC Predisposing AGILASH
Abruptio Placenta Gestational HTN
Intrauterine death Liver disease
Amniotic fluid embolism Sepsis
HELLP syndrome
Gestational HTN Complications
DAT HIIP
DIC, Abruptio Placenta,
Thrombocytopenia, HELLP syndrom
Iintrauterine death, Intrauterine
growth restriction, Placental insufficie
Magnesium Sulfate Toxicity
FSH CURT
Flushing, Sweating, Hypotension,
CNS depression, Urine output↓,
Resp dpress, Tendon reflex↓
MATERNITY MNEMONICS
Multiple Gestation Complication
PHP GAPACHI
Preterm labor, Hyperemesis Gravidr,
PROM, Gest HTN, Abortion,
Polyhydramnios, Anemia, Congenital
anomaly, Hemorrhage post part,
Intrauterine growth restrict
UTI predisposing AHS HD
Anemia, History of UTI, Sickle cell trt
Hygiene poor, Diabetes Mellitus
Non-reasuring FHR intervention
ID PO EC
Identify cause, Discontinue Oxytocin,
Position the mother, Oxygen 8-10,
Electronic fetal monitor, CS prepare
4 stages of labor EESR
Effacement Expulsion Separation
Recovery
Preterm labor risk factor
IMOMASSA
Infection, Multifetus, OB problem,
Medical condition, Anemia, Social,
Substance abuse, Age <18 >40
Rupture of Uterus risk factor LAO
Labor after CS, Abdominal trauma,
Overdistended uterus eg multiple fet
Dystocia risk factor….
Post Partum Depression
FLAC AD FILLS PEDIATRIC MNEMONICS
Fatigue, Lack of energy, Anxiety,
Crying sad, Appetite change, Difficult Hyperphosphatemia HDTM
concentration, Feeling guilt, Hypotension, Dysrhythmia, Tetany,
Irritability, Less response to infant, Muscle weakness
Loss of interest, Suicidal thought
Digoxin Toxicity: DBP VAN
Post-partum hemorrhage Dysrhythmia, Bradycardia, Poor feed
HOPIA DOMI Vomiting, Anorexia,Nausea
History of post partum hemorrhage
Overdistention of uterus (multiple ges
Placenta previa, Infection,
Abruptio placenta, Dystocia,
Operative delivery, Multiparity,
Intrauterine manipulation
Hypokalemia CIRCUM-I
Confusion, Irritability, Restless,
Cramps, U-wave prom, Muscle weak
Invert T wav
Hypernatremia NV DT LOFT
Nausea, Vomiting, Dysrhythmia
Tetany, Lethargy, Oliguria, Flushed
Thirst
Hypercalcemia FAN PVC
Fatigue, Anorexia, Nausea, Polyuria
Vomiting, Constipation
Serious signs: EMT PD
Electrocardiogram change, Muscle
weak, ↓Tendon reflex, Paralytic ileus
Dehydration
Hi guys,
These are the normal values I had read everyday beside the doctor's table while
assisting him, and he, busy with the patient etc, etc, etc.. There were times he
scolded me for opening the Saunders book (but he's right we're at work hehe) but
hey, dream on kid... You should take this in day by day, not just 1 week or less. I
memorized some of them (especially the Lab values) for a year.. others 6 months
and a month before the exam... the most critical here is the normal "blood
values". You may find some a little higher or lower compared to what you're
reviewing but for passing's sake don't be overcritical on 0.000 something
difference ( I find Saunders and U world not far from each other).
The normal values are updated from 6th to 7th edition of Saunders (a few may
not be recorded but I did 99.9% effort to include them from start to finish of the
hundreds of pages). I reviewed the whole book of Saunders 6th twice and when I
read the 7th edition it was so concised (6th is better but there are updates on
the 7th thus I updated the lab values) Like in Pregancy Induced Hypertension..
before there were complete signs of PIH but now it was reduced (and
surprisingly, U-World is saying the same). Well I just wanna share this to you
guys.. good luck..
Also to complete my review I tore the Saunders Book chapter by chapter (to
refrain from bringing a hideously large and heavy book around the workplace)..
so in the end.. the Saunders... torn.. but I passed.. I know what I did was
unorthodox but who would want to keep a whole book intact while one can't even
read a page a day.. If you think you're lazy to review it, tear each page a time and
you'll finish the whole thing ^____^.
PS: don't waste time on TV and the internet FB, InstaG focus, focus, focus ^___^
I’d like to dedicate my NCLEX victory to my wife who encouraged me to take it;
to my mom who took care of my child while I was reviewing; to my churchmates
who prayed for me; and to my workmates who helped me get the vital signs of
the patients in order for me to review; and those who replaced me at times when
there were visiting doctors; Finally to God who made me able because I was a
batch 2005 RN and reviewing took a long time to get things coming back to my
already rusty brain. Those days were timeless, and I passed it all to not waste
every single drop of your effort in vain. All of you guys will go down deep in my
memory and my fathomless gratitude will forever be mentioned for you in this
great and noble undertaking.

-Jimir