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Random Drug Facts

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QuestionAnswer
When should the RN perform the blood draw for trough levels? Immediately before the next does
When should the RN perform the blood draw for peak levels? Peak blood draws DEPEND ON THE ROUTE
6 Rights of Medication Administration RIGHT: person,drug, dose, route, time, documentation.
If an RN takes a telephone order, within what time period must the provider sign the MAR? 24 hours
Example of an AGONIST drug MORPHINE(activates receptors for Analgesia, sedation, constipation, etc.)
Example of an ANTAGonist drug LOSARTAN(Angio II receptor blocker)--> NO vasoconstriction --> LOWER BP!
Example of a PARTIAL Agonist drug (action depends on specific receptor it's working on) NUBAIN (AGONIST at MU receptors, ANTAGONIST at KAPPA receptors; ultimately causing minimal RESPDEPRESSION at low doses.
When should the RN give PO meds? 1 hr before or 2 hrs after meals
This Cardiac med is highly effected by liver's first-pass effect and thus is given ________ly. Nitroglycerin; SL
Metered-Dose Inhaler Instructions REGULAR MDI = start from normal breathing and NO LIPS AROUND: remove cap, shake 5-6x, hold 1-3 in from mouth,PRESS INHALER and INHALE for 3-5 sec,HOLD BREATH for 10 sec, PURSED EXHALE, back to normal! :-)
MDI with Spacer Instructions EXHALE, CLOSE MOUTH AROUND SPACER, then press/inhale/hold for 10/pursed exhale like with MDI
Dry Powder Inhaler Instructions DPI= DONT SHAKE!!,shorter breath hold, clean DPI: (Like MDI w/ Spacer EXHALE FIRST and lips around)--> deep breath, hold for 5-10 sec, remove from mouth, pursed exhale. CLEAN the MACHINE
2 Opiod Analgesics Morphine, fentanyl
Heroine belongs to what schedule? Schedule 1 : NO MEDICAL USE
Morphine/Duramorph belongs to what schedule? Schedule 2 : Highly controlled!
Phenobarbital (Luminal) belongs to which schedule? Schedule 5 : "loosest" schedule there is
Digoxin Actions --> Toxicity decreases HR, CardioToxicity signs: dysrhythmias r/t hypokalemia
Drop Factor Formula for IV administration Volume to Infuse/ Time in MINUTES[x] dropfactor
IV complication: INFILTRATION (liquid leakage) pale, damp dressing,DECREASED skin temp; STOP AND REMOVE CATH, elevate, ROM, Warm compress; restart distally; (prevent by choosing a good secure site to start with!)
IV complication: PHLEBITIS/THROMBOFLEBITIS (enflammed vein) REDHOTLINE w/ PALPABLE MASS,SLOW INFUSION,swell/throb/burn/pain at site, HOT skin temp;STOP AND REMOVE!, elevate, warmcomp, restart proximal, CULTURE?; (prevent by rotating sites q 72h, cleanliness, use UPPER extremities!
IV complication: HEMATOMA (bruising/buildup) bruise;STOP AND REMOVE!; NO ALCOHOL, elevate,warmcomp, CULTURE, ADMIN: antibiotics, analgesics, antipyretics; (prevent by: "short tournee, long post-pressure")
IV complication:CELLULITIS (skin/tissue infection) REDSTREAKS,FEVER/CHILLS; STOP AND REMOVE!, elevate, warmcomp, culture, admin antibiotics, analgesics,antipyretics; (prevent just like phlebitis: q72h site rotation, no lower extrems, cleanliness!)
IV complication:FLUID OVERLOAD crackles, distended neck veins, increased BP/HR, SOB, edema; STOP INFUSION!, Raise HOB, monitor vitals, adjust rate/diuretics(?); (prevent by using pump and watching I&Os)
IV complicaton:Catheter Embolus (broken piece of lumen traveling through vessels!) pain w/migration, but "not w/not", missing cathtip when DIC; Tournequet high on extrem to slow venous flow back to heart!, prep for removal (surgery/xray), save cath/determine cause; (prevent by NOT reinserting needle into cath!)
CVC complication: AIR EMBOLISM (intra-thoracic pressure change when, during tubechange, air is sucked into neg-pressured vein) Rapid onset SOB, increased Resps, diaphoresis; place pt in Trendelenburg/L-side lying position to trap air so RN can ASPIRATE IT!
Created by: ajkrudy
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