\documentclass[10pt,a4paper]{article}

% Packages
\usepackage{fancyhdr}           % For header and footer
\usepackage{multicol}           % Allows multicols in tables
\usepackage{tabularx}           % Intelligent column widths
\usepackage{tabulary}           % Used in header and footer
\usepackage{hhline}             % Border under tables
\usepackage{graphicx}           % For images
\usepackage{xcolor}             % For hex colours
%\usepackage[utf8x]{inputenc}    % For unicode character support
\usepackage[T1]{fontenc}        % Without this we get weird character replacements
\usepackage{colortbl}           % For coloured tables
\usepackage{setspace}           % For line height
\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{Dani (Dan\_Niel)}
\pdfinfo{
  /Title (nb-s-alterations-in-oxygenation-ventilation.pdf)
  /Creator (Cheatography)
  /Author (Dani (Dan\_Niel))
  /Subject (NB's Alterations in Oxygenation (Ventilation) Cheat Sheet)
}

% Lengths and widths
\addtolength{\textwidth}{6cm}
\addtolength{\textheight}{-1cm}
\addtolength{\hoffset}{-3cm}
\addtolength{\voffset}{-2cm}
\setlength{\tabcolsep}{0.2cm} % Space between columns
\setlength{\headsep}{-12pt} % Reduce space between header and content
\setlength{\headheight}{85pt} % If less, LaTeX automatically increases it
\renewcommand{\footrulewidth}{0pt} % Remove footer line
\renewcommand{\headrulewidth}{0pt} % Remove header line
\renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit
% This two commands together give roughly
% the right line height in the tables
\renewcommand{\arraystretch}{1.3}
\onehalfspacing

% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
\newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols
\newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns
\newcommand{\tn}{\tabularnewline} % Required as custom column type in use

% Font and Colours
\definecolor{HeadBackground}{HTML}{333333}
\definecolor{FootBackground}{HTML}{666666}
\definecolor{TextColor}{HTML}{333333}
\definecolor{DarkBackground}{HTML}{B00E54}
\definecolor{LightBackground}{HTML}{FAEFF4}
\renewcommand{\familydefault}{\sfdefault}
\color{TextColor}

% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{NB's Alterations in Oxygenation (Ventilation) Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Dani (Dan\_Niel)} via \textcolor{DarkBackground}{\uline{cheatography.com/131883/cs/26608/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Dani (Dan\_Niel) \\
  \uline{cheatography.com/dan-niel} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 14th February, 2021.\\
   Updated 20th February, 2021.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{2}

\begin{tabularx}{8.4cm}{p{0.8 cm} p{0.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Aspiration}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{Inhalation of a foreign object into the airway occurs most frequently in infants and toddlers} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Signs \& Symptoms}}} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• Choking, hard, forceful coughing} \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• Increased respiratory difficulty (stridor)} \tn 
% Row Count 5 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Management}}} \tn 
% Row Count 6 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• Subdiaphragmatic thrusts (Heimlich Maneuver)} \tn 
% Row Count 7 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• Stand behind the child \& place fist under diaphramgm} \tn 
% Row Count 9 (+ 2)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• upside down with finger inside mouth, trust the back} \tn 
% Row Count 11 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{p{0.8 cm} p{0.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Status Asthmaticus}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{Recurrent diffuse, obstructive pulmonary disease process caused by airway inflammation and hyperreactivity. Occurs when children fail to respond} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Clinical Manifestation}}} \tn 
% Row Count 4 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• Wheezing changes as disease progresses} \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• Inspiratory \& expiratory wheeze: airways obstructed} \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• Little air movement heard (tight): complete obstruction} \tn 
% Row Count 9 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• Retractions, hr \& rr elevated, cyanosis, hypoxia} \tn 
% Row Count 11 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• Prolonged expiratory phase} \tn 
% Row Count 12 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Pathophysiology}}} \tn 
% Row Count 13 (+ 1)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{Smooth muscle spasm to mucosal edema leading to mucosal plugging causing obstruction, air trapping leading to hypoxemia} \tn 
% Row Count 16 (+ 3)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Nursing Care}}} \tn 
% Row Count 17 (+ 1)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• Aerosol administration of a bronchodilator (albuterol)} \tn 
% Row Count 19 (+ 2)
% Row 11
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• IV corticosteroids to reduce symptoms} \tn 
% Row Count 20 (+ 1)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• O2 by face mask or nasal prongs} \tn 
% Row Count 21 (+ 1)
% Row 13
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• IV infusion for hydration} \tn 
% Row Count 22 (+ 1)
% Row 14
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• Monitor I \&O : measure the specific gravity of urine} \tn 
% Row Count 24 (+ 2)
% Row 15
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• In severe attacks, ET intubation \& mech. ve} \tn 
% Row Count 25 (+ 1)
% Row 16
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Diagnostic Tests}}} \tn 
% Row Count 26 (+ 1)
% Row 17
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• Chest radiography: detect foreign body, infiltration} \tn 
% Row Count 28 (+ 2)
% Row 18
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• Lab test: evaluate degree of acidosis \& infection} \tn 
% Row Count 30 (+ 2)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{p{0.8 cm} p{0.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Status Asthmaticus (cont)}}  \tn
% Row 19
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• Spirometry: to assess severity of disease} \tn 
% Row Count 1 (+ 1)
% Row 20
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• Pulse oximetry: reveals the low oxygen sat level.} \tn 
% Row Count 3 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Extreme emergency}} because a child may die of heart failure caused by the combination of: exhaustion, atelectasis, respiratory acidosis from bronchial plugging.}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.4 cm} x{5.6 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Cystic Fibrosis}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{is a chronic, progressive, and frequently fatal. Caused by abnormality of chromosome 7 CFTR gene. genetic disease of the body's mucus glands. life span of 30 yrs} \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{{\bf{CF affects}}} \tn 
% Row Count 5 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Respiratory & Increased mucus secretions \tn 
% Row Count 6 (+ 1)
% Row 3
\SetRowColor{white}
Digestive & Decreased pancreatic enzymes \tn 
% Row Count 7 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Sweat glands & increase salt in sweat \tn 
% Row Count 8 (+ 1)
% Row 5
\SetRowColor{white}
\seqsplit{Reproductive} & Infertility \tn 
% Row Count 9 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Clinical Manifestation}}} \tn 
% Row Count 10 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• productive cough, wheezing, hyperinflation of lungs} \tn 
% Row Count 12 (+ 2)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• Clubbing of extremities, fat soluble deficiencies} \tn 
% Row Count 14 (+ 2)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• Malnutrition, steatorrhea, strong salt in perspiration.} \tn 
% Row Count 16 (+ 2)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Treatments}}} \tn 
% Row Count 17 (+ 1)
% Row 11
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• Preventing and controlling lung infections} \tn 
% Row Count 18 (+ 1)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• Loosening and removing mucus from the lungs} \tn 
% Row Count 19 (+ 1)
% Row 13
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• Preventing and treating intestinal blockage} \tn 
% Row Count 20 (+ 1)
% Row 14
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• Providing adequate nutrition} \tn 
% Row Count 21 (+ 1)
% Row 15
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Medications}}} \tn 
% Row Count 22 (+ 1)
% Row 16
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• Antibiotics (gentamycin)} \tn 
% Row Count 23 (+ 1)
% Row 17
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• Mucus thinning drugs: cough up mucus} \tn 
% Row Count 24 (+ 1)
% Row 18
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• Bronchodilators: help keep the airways open} \tn 
% Row Count 25 (+ 1)
% Row 19
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• Oral pancreatic enzymes: help absorb nutrients} \tn 
% Row Count 26 (+ 1)
% Row 20
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Tests and Diagnosis}}} \tn 
% Row Count 27 (+ 1)
% Row 21
\SetRowColor{white}
Sweat test & sweat saltier than normal \tn 
% Row Count 28 (+ 1)
% Row 22
\SetRowColor{LightBackground}
Genetic test & defect on chromosome 7 \tn 
% Row Count 29 (+ 1)
% Row 23
\SetRowColor{white}
Imaging test & Damage to lungs or intestines \tn 
% Row Count 31 (+ 2)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{2.4 cm} x{5.6 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Cystic Fibrosis (cont)}}  \tn
% Row 24
\SetRowColor{LightBackground}
Function test & How much air, how fast, how well \tn 
% Row Count 2 (+ 2)
% Row 25
\SetRowColor{white}
Sputum culture & Analyzed bacteria \tn 
% Row Count 4 (+ 2)
% Row 26
\SetRowColor{LightBackground}
Organ func. & health of pancreas and liver \tn 
% Row Count 5 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{p{0.8 cm} p{0.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Laryngotracheobronchitis (Croup)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Pathophysiology}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• viral infection of parainfluenza or H.influenza causes swelling of the laynx, trachea, and large bronchi.} \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• Swelling due to infiltration of WBC causes airway obstruction thus, increased work of breathing. (stridor)} \tn 
% Row Count 7 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Signs \& Symptoms}}} \tn 
% Row Count 8 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• Barking cough ( inspiratory stridor )} \tn 
% Row Count 9 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• Marked retractions, temp is mildly elevated} \tn 
% Row Count 10 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• Marked retractions, hoarseness} \tn 
% Row Count 11 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• Difficulty breathing worsen at night} \tn 
% Row Count 12 (+ 1)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Nursing Care}}} \tn 
% Row Count 13 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• Assess airway obstruction by elev. respi status} \tn 
% Row Count 15 (+ 2)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• Provide warm, moist envi. \& give 02 for hypoxia} \tn 
% Row Count 17 (+ 2)
% Row 11
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• Corticosteroid (dexamethasone or epinephrine} \tn 
% Row Count 18 (+ 1)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{• IV therapy to keep child hydrated} \tn 
% Row Count 19 (+ 1)
% Row 13
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• Keep emergency equipment (tracheostomy, intubation)} \tn 
% Row Count 21 (+ 2)
% Row 14
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Health Teachings}}} \tn 
% Row Count 22 (+ 1)
% Row 15
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{• bath with hot water to produce steam} \tn 
% Row Count 23 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}