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Focus material T-4
| Question | Answer |
|---|---|
| What is the 6 rights of medication administration? | Right PT. Right Route. Right Med. Right Time. Right dose. Right Doc. |
| What is Z track? | An injection technique which the surface tissues are pulled and held to one side before insertion of the needle deep into muscle. |
| What is the Correct way to administer eye drops? | Assist patient to sitting position. Telt patient head back slightly. Pull lower lid DOWN, form a POUCH(exposing conjunctival sac). Squeeze ribbon of ointment into pouch,INNER cathus to OUTER canthus. Have patient batt the eyes. |
| The drug name that is assigned and is not owned by the pharmaceutical company that develops the drug is? | Generic name |
| You are preparing to administer a Schedule 2 drug. what special considerations are necessary? | It is kept under double lock. |
| What is the needle length range for INTRADERMAL INJECTION? | 3/8 to 5/8 inches. |
| What is the needle lenth range for SUBCUTANEOUS INJECTION? | 1 1/2 to 5/8 inches. |
| What is the needle length range for INTRAMUSCLAR INJECTION? | 1 to 1 1/2 inches. |
| What is the angle of needle insertion for INTRADERMAL INJECTION? | 10-15 degrees |
| What is the angle of needle insertion for SUBCUANEOUS INJECTION? | 45-90 degrees |
| What is the angle of needle insertion for INTRAMUSCULAR INJECTION? | 90 degrees |
| SUBCUTANEOUS INJECTIONS? | Scapular. Upper Arm. iliac(upper hip). Abdomen. Anterior thigh. |
| Dilaudid(hydromorhone) Pt. teaching is ? | Alert client to change positions slowly to minimize controstate hypotension. Call for assistance when ambulating. Avoid driving and other activities that require alertness, until off of Med. |
| Dilaudid(hydromorhone) Classification? | Therapeutic: allergy, cold, cough remidies. Opiods analgesics.(pain reliever) |
| Dialaudid(hydromorhone) Side effects? | Confusion. Sedation. Dizziness. dysphara,eupnera. headache,haulucination. Causes RESP. depression. Causes constipation,urinary retention,nausea. |
| What is the Patient teaching for Colace(docusate)? | only use for SHORT period of time,Long period of use can cause elctrolyte imbalance & depency. Increase fluid intake(6-8 glasses). Increase mobility, client with CARDIAC disease,avoid straining during bowel movments. DOn't USE,pain in stomach,nausea. |
| What is the Classification of Colace(docusate)? | Therapeutic laxatives. |
| What are the Side effects of Colace(docusate)? | Causes throat irritation, mild cramps,and rashes. |
| What is the Patient teaching for Heparin? | Report unusual bleeding. Don't take Asprin or NSAID's Avoid IM injections,sports. Use soft toothbrush, elctric razor. ALWAYS HAVE a I.D.Band(heparin). |
| What is the Classification of Heparin? | Theapeutic: Anticoagulants |
| What is the Side Effects of Heparin? | BLEEDING. Anemia. Thrombocytopenia(decrease in platlets resulting in abnormal(excessive) bleeding. |
| What is the Lab Considerations of Heparin? | Check APTT(range 30-40) and Hematocrit. Monitor Platelet count q 2-3 days. |
| What is the Patient teaching for Digoxin? | Check Aprical Pulse. Check K+ levels. Take missed dosage within 12hrs of scheduled dose. Check Pulse(60-100)for normal ranges,any changes is signs of Digoxin toxicity(infant&childre). |
| What is the Classification of Digoxin? | Therapeutic: Antiarrhythmics,intropics. |
| What is the Side Effects of Digoxin? | Confusion,drowsiness. Blurred vision. |
| What is the Patient teaching for Nitroglycerin? | Should be kept in ORIGINAL glass container,speacial made metal containers. Has to REMOVE Cotton tip when getting pills. Losses POTENCY in plastic/cardboard containor. Keep out of heat,air,and moisture(loss of potency). Replace after 6 months. |
| What is patient teacing for nitroglycerin? | Can cause VASODIALATION. Keep away from body, Don't hold in bare Hands because may absorb into skin. Keep in cool/dark place. |
| What is Classification of Nitroglycerin? | Therapeutic: antianginals |
| What are the Side Effects of Ntroglycerin? | Increases Cornary Blood flow. Produces Vasodilation. Relief of anginal attacks. Increase cardiac output, and Reduces blood pressure. |
| Pharmacokinetics: | Absorption. Distribution. Metabolism. Excretion. |
| Nitroglycerin Dosage(adult)? | 0.3-0.6mg,repeat q5 minutes 2 times |
| Digoxin lab values? | Therapeutic serum digoxin levels: 0.5-2ng/mL(drawn q 6-8hrs) |
| What is the Antidote of Heprin? | pertainumine sulfate |
| Aspirin | Reduces your clotting time(Anti-platlet). Monitor for onset tinnitus,headache,hyperventilation,mental confusion. |
| Enteric-coated tablets? | CANNOT CRUSH OR CHEW!!! |
| Warfarin(coumadin)? | Requires atleast 3-5days before it takes affect. Patient should have a limited amount of K+ foods,vitamines. |
| the antidote for Warfarin(coumadin)? | Vitamine K+ |
| What is the Normal Therapeutic ranges PT for Warfarin? | 1.3-1.5 or2.0(desired outcome) |
| What is the Normal ranges for INR in Warfarin? | 0.8-1.2. If patient is high risk of embolization(2.3-3.5) |