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Skills check off
Med admin for Oral, Topical, IM, SubQ
| Question | Answer |
|---|---|
| What is the purpose of Digoxin | increase cardiac output |
| How does Digoxin work | increasing force of heart contraction, to decrease the heart rate |
| What side effects are common with Digoxin | arrhythmias, bradycardia, and toxicity which looks like a cold or flu |
| What would we assess for before giving Digoxin | gag reflex and an apical pulse less than 60 |
| What patient education would we do for Digoxin | signs of toxicity which includes abdominal pain, anorexia, nausea, vomiting, and bradycardia or arrhythmias |
| What is the purpose of Fentanyl | decrease severity of pain |
| What is the purpose of Furosemide | decrease hypertension |
| What is the purpose of Morphine | decrease the severity of pain without alteration in level of consciousness or respiratory status |
| What is the purpose of Regular and NPH insulin | control the blood glucose levels |
| How does Morphine work | binding to opiate receptors in the CNS to alter the perception of and response to painful stimuli |
| How does Furosemide work | inhibiting the reabsorbtion of sodium to increase the excretion of water, sodium, etc |
| How does Fentanyl work | binding to opiate receptors in the CNS to alter the perception of and response to painful stimuli |
| How does Regular and NPH insulin work | stimulating glucose uptake in skeletal muscle and fat and inhibiting the liver from making more glucose |
| What side effects are common with Fentanyl | Respiratory depression |
| What side effects are common with Furosemide | hypotension, orthostatic hypotension (dizziness when standing),rash, and dehydration |
| What side effects are common with Morphine | Respiratory depression, Hypotension and constipation, dizziness and confusion |
| What side effects are common with Regular insulin | hypoglycemia which looks like sweating, dizziness, feeling tires, hungry, and easily irritated |
| What would we assess for before giving Fentanyl | BP, pulse, respirations, pain with an mini oldcarts to find the location, and any old patched |
| What would we assess for before giving Furosemide | Bp and pulse |
| What would we assess for before giving Morphine | Pain with an mini oldcarts to find the location, level of consciousness, bp and respirations |
| What would we assess for before giving Regular and NPH insulin | bp, pulse, and blood sugar greater than 70 |
| What patient education would we do for Fentanyl | signs of respiratory depression which are difficulty breathing, irregular or shallow breathing, and pale |
| What patient education would we do for Furosemide | signs and symptoms of hypotension, and caution about photosensitivity reactions |
| What patient education would we do for Morphine | signs of respiratory depression which are difficulty breathing, irregular or shallow breathing, and pale |
| What patient education would we do for Regular and NPH insulin | teaching of hypo and hyperglycemia signs. Hyperglycemia looks like dry mouth, fruity breath, decreased consciousness, frequent urination, and headache |
| What is the preferred site for adults | Ventrogluteal |
| What is the preferred site for children birth to 3 yrs | Vastus Lateralis |
| What is the preferred site for smaller injections and immunizations | Deltoid |
| How do we find the Ventrogluteal injection site | placing our palm (left hand for right side) on the greater trochanter, our index finger on the anterior superior iliac spine, our middle fingers on the iliac crest, with our thumb towards the pubic |
| How do we find the Vastus Lateralis injection site | placing our hand on the lateral quadriceps muscle, using the lateral condyle and the greater trochanter moving together till the outer middle third |
| How do we find the Deltoid injection site | acromion process lower edge and 3 fingers width below the process |
| What is the maximum volume for Ventrogluteal | 3 ml for child and 5 ml for adult |
| What is the needle size for Ventrogluteal | 22-25 gauge 1-1.5 in |
| What is the maximum volume for Vastus Lateralis | 0.5ml to 1 ml for infant, 2ml child, 3 ml adult |
| What is the needle size for Vastus Lateralis | 23-25 gauge 1 in for children and 23-25 1.5 in adults |
| What is the maximum volume for Deltoid | 1ml |
| What is the needle size for Deltoid | 23-25 gauge 1 in |
| What is the onset for rapid acting insulin | 10-20min |
| What is the peak for rapid acting insulin | 1-2 hr |
| What is the duration for rapid acting insulin | 3-5 hr |
| What is the administration in relation to meals for rapid acting insulin | 5-15 min before |
| What is the onset for short acting insulin | 30-60 min |
| What is the peak for short acting insulin | 2-4 hr |
| What is the duration for short acting insulin | 4-8 hr |
| What is the administration in relation to meals for short acting insulin | 30 min before |
| What is the onset for intermediate acting insulin | 1-2 hr |
| What is the peak for intermediate acting insulin | 6-14 hr |
| What is the duration for intermediate acting insulin | 16-24 hr |
| What is the onset for long acting insulin | 1-2 hr |
| What is the peak for long acting insulin | No peak |
| What is the duration for long acting insulin | 24 hr |
| What is the administration in relation to meals for long acting insulin | Without regard to meals |
Created by:
Jlmasy
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