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HEAL1060 Part 1
| Question | Answer |
|---|---|
| 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 |
| Blank for printing | Blank for printing |
| Blank for printing | Blank for printing |
| Blank for printing | Blank for printing |
| 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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| Blank for printing | Blank for printing |
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| What are the three steps in calculating parenteral medications? | 1. Convert; 2. Think; 3. Calculate |