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HEAL1060 Part 1

QuestionAnswer
What does parentral mean? Injected into a patient
The ratio 1:2 expressed as a fraction would be? 1/2
A fraction that has a smaller number in the numerator than in the denominator is what type of fraction? Proper Fraction
A fraction that has a larger number in the numerator than in the denominator, or equal numbers, is what type of fraction? Improper fraction
A fraction that is expressed as a whole number with a proper fraction together is what type of fraction? Muxed number
A fraction that has a fraction in the numerator and in the denominator is what type of fraction? Complex fraction
gtt drop
t or tsp teaspoon
T or tbs Tablespoon
fl oz fluid ounce
pt pint
qt quart
oz ounce (weight)
lb pound
1 T => t 3 t => T
2 T => fl oz 1 fl oz => T
1 cup => fl oz 8 fl oz => cup
1 pt => cup 2 cups => pt
1 qt => pt 2 pt => qt
1 lb => oz 16 oz => lb
1 g => gr gr xv => g
gr i => mg 60 mg => gr
1 t => mL 5 mL => t
1 T => mL 15 mL => T
1 fl oz => mL 30 ml => fl oz
1 L => qt 1 qt => L
1 pt => mL 500 mL => pt
1 cup => mL 250 mL => cup
1 kg => lb 2.2 lb => kg
1 in => cm 2.5 cm => in
C => F F = (C * 1.8 ) + 32
F => C C = ( F - 32 ) /1.8
How many decimal places do you use for weight? One
How many decimal places do you use for Temp? One
What is the maximum volume you can inject into the Gluteus muscle? 3 mL
What is the maximum volume you can inject into the Deltoid muscle? 2 mL
What is the Leur-lock syringe hub? The type of syringe that you can screw on the needle
What is the 1 mL syringe that is used for general injections? The Tuberculin (TB) syringe
Volumes that are less than 1 mL should be rounded to homany decimal places? two
Volumes tat are greater than 1 mL should be rounded to how many decimal places? one
When do you check the drug label? 1. Check it against the MAR; 2. Check it against the dose; 3. Check it when you are administrating the drug
IM Intramuscular
IV intravenous
IV PB Intravenous piggyback
subcut subcutaneous
SL sublingual
ID intradermal
GT gastrostomy tube
NG nasogastric tube
NJ nasojejunal tube
p.o. by mouth
p.r. per rectum
a.c. before meals
p.c. after meals
ad. lib. as desired, freely
p.r.n. when necessary
stat immediately, at once
b.i.d. twice a day
t.i.d. three times a day
q.i.d. four times a day
min minute
h hour
q.h every hour
q.2h every 2 hours
a (with a bar over it) before
p (with a bar over it) after
c (with a bar over it) with
s (with a bar over it) without
q every
qs quantity sufficient
aq water
NPO nothing by mouth
tab tablet
cap capsule
et and
noct night
What are the 7 parts of a drug order? 1. patient; 2. drug; 3. dosage; 4. route; 5. frequency; 6. date and time order was written; 7. signature and licensure if the one writting the order
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Rapid Acting Insulin (active, peak, duration) 5-15 min, Peak in 45-75 Min, 2-4 hour duration
ShortActing Insulin (active, peak, duration) 30 min, Peak in 2-4 Hours, 5-8 hour duration
Intermediate Acting Insulin (active, peak, duration) 2 hours, Peak in 6-10 hours, 18-28 hour duration
Long Acting Insulin (active, peak, duration) 2 hours, No Peak, 6-24 hour duration
What indicates Regular insulin on the label? R
What indicates NPH insulin on the label? N
An indication of R on the label means the insulin is ________ acting insulin. Short
An indication of N on the label means the insulin is ________ acting insulin. Intermediate
Rapid acting Insulins are? Lispro, Aspart, and Glulisine
Short acting Insulins are? Regular
Intermediate acting Insulins are? NPH
Long acting Insulins are? Detemir and Glargine
U-100 insulin is administered with what type of syringe? U-100 syringe
U-500 insulin is administered with what type of syringe? 1 mL syringe
Prior to administering insulin to a patient, what must happen/ Two nurses must check the dosage
When do you need to make a reconstituted label? When the med will last long enough to be used
What information needs to be included on the reconstituted label? Date and Time of the reconstitution, what strength, when it expires (date and time), storage requirements, your initials.
Reconstitution of liquid concentrates are written as: a fraction, percentage, or ratio. Numerator = concentrated quantity, denominator = total solution, Numerator - Denominator = Quantity of dilute
Describe a 1/4 strength of Hydrogen Peroxide? 1 part Hydrogen Peroxide, 3 parts dilute to give a 1 to 4 ration of hydrogen peroxide to total solution
How do you determine which concentration to select if there are multiple choices. Based on the quantity needed for a dose or a concentration to minimize the chance for making errors.
IV Component abbreviation: D Dextrose
IV Component abbreviation: W Water
IV Component abbreviation: S Saline
IV Component abbreviation: NS Normal Saline (0.9% NaCl)
IV Component abbreviation: NaCl Sodium Chloride
IV Component abbreviation: RL Ringer's Lactate
IV Component abbreviation: LR Lactated Ringer's
Hypotonic < 250 mOsm/L
Isotonic 250 - 375 mOsm/L
Hypertonic > 375 mOsm/L
The rate of infusion for peripheral veins should not exceed: 200mL per hour
PICC Line Peripherally inserted central catheter
Phlebitis When the vein becomes irritated, red, or painful at the site of the IV
Infiltration When the IV catheter becomes dislodged from the vein and IV fluid escapes into the subcutaneous tissue.
Drop Factor gtt/mL
Watch count Counting how many drops per minute are flowing
Macrodrop IV tubing 10, 15, or 20 gtt/mL
Microdrop IV tubing 60 gtt/mL
Calculating rate in drops per minute (Volume (mL) / Time (min)) * Drop factor (gtt/mL) = Rate (gtt/min)
Normal drops per minute range: 20 - 100 gtt/min
Drop factor constant for 10 gtt/mL 60/10 = 6
Drop factor constant for 15 gtt/mL 60/15 = 4
Drop factor constant for 20 gtt/mL 60/20 = 3
Drop factor constant for 60 gtt/mL 60/60 = 1
Shortcut rule to calculate gtt/min (mL/h)/drop factor constant = gtt/min
Recalculated mL/h for IV dosage Remaining volume/remaining hours
% variation for IV administration that has altered from original setting (Adjusted gtt/min - ordered gtt/min)/ordered gtt/min
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What are the three steps in calculating parenteral medications? 1. Convert; 2. Think; 3. Calculate
Created by: brian.belson
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