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QuestionAnswer
Brand name for humalin R Regular Insulin
Classification of humalin R
Action of humalin R Lowers blood glucose
Major side effect of humalin R Hypoglycemia
How should humalin R be given Sub Q
Onset time for humalin R 30 mins
Peak time for humalin R 2-4 hours
Duration of humalin R 6-8 hours
What must be checked before administering any insulin? blood glucose level
Normal blood glucose level 60-100 mg
Brand name for humalin N NPH insulin
Classification for humalin N Pancreatic hormone
Action of humalin N lowers blood glucose
major side effect of humalin N hypoglycemia
Onset time for humalin N 1 1/2 hours
Peak time for humalin N 6-8 hours
Duration time for humalin N 24 hours
T/F humalin N is a cloudy insulin that is mixed by shaking the vial False, must be rolled in between your hands
Brand name of warfarin Coumadin
Classification of warfarin (Coumadin) Anticoagulant
Action of warfarin (Coumadin) "thins" blood, prevents clots
major side effect of warfarin (Coumadin) hemorrhage
How is warfarin (Coumadin) administered to the patient PO
Which lab test must be checked before administering warfarin (Coumadin)? PT/INR
Normal INR range 2-4
Antidote for warfarin (Coumadin) Vitamin K
Classification of Heparin Anticoagulant
Action of Heparin "thins" blood, prevents clots
Major side effect of Heparin Hemorrhage, can cause bruising at site of injection
How is Heparin administers to patients? SQ or IV
Which lab test must be checked before administering Heparin? PTT
Antidote for Heparin Protamine Sulfate
Brand name for enoxaparin Lovenox
Classification of enoxaparin (Lovenox) Low-molecular weight heparin, Anticoagulant
Action of enoxaparin (Lovenox) "thins" blood, prevents clots
Major side effect of enoxaparin (Lovenox) Hemorrhage, can cause bruising at site of injection
How is enoxaparin (Lovenox) administered to the patient? SQ off to the side of abdomen
Do you need to check any blood test prior to administering enoxaparin (Lovenox)? No
Brand name of furosemide Lasix
Classification of furosemide (Lasix) Loop Diuretic
Action of furosemide (Lasix) decreases edema
Major side effect of furosemide (Lasix) dehydration, hypokalemia
Which blood test must be checked before administering furosemide (Lasix)? Potassium (K+), furosimide is a potassium depleting diuretic
Normal level for Potassium (K+) 3.5-5
Brand name of hydrochlorothiazide Hydrodiuril
Classification of hydrochlorothiazide (Hydrodiuril) Antihypertensive, diuretic
Action of hydrochlorothiazide (Hydrodiuril) lowers B/P and reduces edema
Major side effect of hydrochlorothiazide (Hydrodiuril) hypotension and hypokalemia
Which blood level should be checked before administering hydrochlorothiazide (Hydrodiuril)? Potassium (K+), Potassium depleting diuretic
T/F: You can give hydrochlorothiazide (Hydrodiuril) to a pt that is allergic to thiazides False
Brand name for digoxin Lanoxin
Classification of digoxin (Lanoxin) Cardiotonic
Action of digoxin (Lanoxin) slows rate and strengthens heart beat
Major side effect of digoxin (Lanoxin) bradycardia
What action must be done before administering digoxin (Lanoxin)? check apical for full minute. If pulse below 60 bpm, hold med and notify provider
Classification of morphine sulfate Schedule II narcotic analgesic
Action of morphine sulfate decreases pain
Major side effect of morphine sulfate Respiratory depression, drowsiness, constipation
What should you monitor when administering morphine, especially in the elderly? Respiration and allergies
Brand name for meperidine Demerol
Classification of meperidine (Demerol) Schedule II narcotic analgesic
Action of meperidine (Demerol) decreases pain
Major side effect for meperidine (Demerol) seizures, drowsiness, constipation, monitor for respiratory depression
Why is meperidine (Demerol) not given as much? can cause seizures and not as effective for pain as morphine
Which Schedule II narcotic analgesic is the 1st choice to give? morphine
Classification for codeine Schedule II, III, VI narcotic analgesic depending on how much is added with another med
Major side effect of codeine drowsiness, very constipating
What does the #3 indicate when codeine is added to Tylenol? the amount (mg) of codeine added
Action of codeine decreases pain
What medication is given if the patient has an allergy to Tylenol and not codeine? aspirin (Empirin)
Classification of erythromycin anti infective
Action of erythromycin used to tx upper respiratory infections if patient is allergic to penicillin
major side effect of erythromycin GI upset
T/F erythromycin should be taken with food True
What is another name for Bactrim? Septra DS
Classification of Bactrim anti infective
Action of Bactrim used to tx UTI's if patient is allergic to penicillin
major side effect of Bactrim GI upset
Should Bactrim be taken with or without food? With food
T/F: A patient with an allergy to sulfa cannot take Bactrim True
Brand name for hydroxyzine Vistaril
Classification of hydroxyzine (Vistaril) Anti emetic and anti anxiety
Action of hydroxyzine (Vistaril) Decreases anxiety, nausea and itching
Major side effect of hydroxyzine (Vistaril) IM form can be irritating to the tissue
What method is used when administering IM injections to prevent irritation? Z-track
Which narcotics is hydroxyzine (Vistaril) compatible with? Morphine and Demerol (meperidine)
Classification of MVI w/ Iron Vitamin
Action of MVI w/ Iron aids in healing and building up hemoglobin (which carries oxygen)
Major side effect of MVI w/ Iron GI upset, diarrhea or constipation depending on the person
What should you advise the patient taking MVI w/ Iron can happen to their stools? It can make stools black and tarry
Classification of Potassium Electrolyte
Action of Potassium Assists in muscle contractions
Major side effect of Potassium Cardiac dysrhythmias, weakness, hyperkalemia
3 type of injections IM (intramuscular) SQ (subcutaneous) ID (intradermal)
Example of meds given IM Antibiotics, some pain meds, etc
Example of meds given SQ Insulin, Heparin, Lovenox
Example of meds given ID TB test, allergy testing
Type/size of syringe for IM injections 3 mL
Type/size of syringe for SQ injections 1 mL for Heparin, Lovenox etc, 100 unit for insulin
Type/size of syringe for ID injections 1 mL TB syringe
Type/size of needle used for IM injections 18-22 gauge, 1”-1.5”
What does Gauge indicate in needle size? Width
What does (“œ)indicate in needle size? Length
Type/size of needle used for SQ injections 25-29 gauge, 1/2”-5/8”
Type/size of needle for ID injections 25-29 gauge, 1/2”-5/8”
What should you do after injecting needle into IM site? Aspirate to make sure needle is not in blood vessel. If no blood returned, administer medication
Where is TB test administerd? Forearm with palm side up, approx 2-3” below elbow
5 different IM sites Deltoid, Posterior Gluteal, Ventral Gluteal, Vastus Lateralis, Rectus Femoris
Where/how to find Deltoid site 3 finger widths below the acromion process
Where/how to find Posterior Gluteal site Divide the gluteus into forths and then divide the upper outer quadrant into forths again. Give injection in the upper outer quadrant of the upper outer quadrant.
Where/how to find Ventral Gluteal site Place hand on Greater trochanter with thumb pointing towards umbilicus. Place Index finger on the Anterior Superior iliac Spine (A-S-S) and middle finger on Posterior iliac crest. Give injection in V-shaped area between index and middle finger
Where/how to find Vastus Lateralis site Side of thigh, place one palm on greater trochanter and the other on the patella with fingers of both hands pointing towards each other. Give injection in area somewhere in between fingertips
Where/how to find Rectus Femoris site Top of thigh, place one palm on greater trochanter and the other on the patella with fingers of both hands pointing towards each other. Give injection in area somewhere in between fingertips
Why is the Posterior Gluteal site contraindicated? Can cause possible damage to sciatic nerve
Amount of medication that can be give in Deltoid Site No more than 1 mL
Amount of medication given in Ventral Gluteal No more than 3 mL
Amount of medication given in Vastus Lateralis and Rectus Femoris No more than 3 mL
Angle for giving IM injection 90 degree
Angle for giving SQ injection 45-90 degree
Angle for giving ID injection 15 degree
S/S of hyperglycemia in Type I Diabetics 3 P’s- Polyuria, Polydipsia, Polyphagia
S/S of hyperglycemia in Type II Diabetics Fatigue, wt. gain, numbness in extremities
6 rights for med administration right Patient, right Drug, right Dose, right Route, right Time, right Documentation [Mnemonic: Patients Do Drugs Round The Day]
Sites for SQ injections Back of upper arm, abdomen, top of thighs
Which insulin should be drawn up first when mixing NPH and Regular insulin? Regular insulin, Clear to Cloudy
Which medications should be verified or wasted with another nurse? Insulin should be verified & narcotics should be wasted with another nurse
Created by: grdrgz92