Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Compounding Exam II
Dr. Payam Material
| Question | Answer |
|---|---|
| Iv Push are pushed directly into______and can be pushe over_____Minutes | Into the the vein;2 - 5 minutes |
| Iv infusion. The least amount of time you can infuse a medication | 15 minutes |
| Normal Saline | 0.9% of Na Cl and 154meq in 1 liter fluid bag |
| 1/2 Saline | 0.45 % of NaCl and 77meq in 1 liter fluid bag |
| 1/4 Saline | 0.225% of Na Cl and 38.5 meq in 1 liter of fluid bag |
| Lactaded Ringer | normaly used to patient hydrated especially good for pregnant women contain all electrolyte |
| Anything with a Postive Charge | CAN KILL YOU |
| II Electrolyte | |
| Sodium | ECF Measure in Meq Lab Value 135-145 meg/L |
| Three forms of Sodium | 1. NaCl 2. Na Acetate 3. Na Phosphate |
| -Na Cl 3% is reserved for | Sever Hyponatremia < 125 mEQ/L |
| Rule of thumb for NaCl | 100ml/hr over 5 hours; stop then check sodium levels |
| -Na Acetate | reserved for TPN; b/c Bicarbonate can not be given. acetate is converted to bicarb in the body. |
| -Na Phosphate | Low Phosphate level replacement |
| Potassium | ICF Mesured in Meq Lab value: 3.5-5.5 |
| DO NOT___________Potassium | PUSH; It must be infused |
| Peripheal Potassium | 10meq/hour/100ml |
| Central Potassium | > or = 100ml amount of volume over 40-80 min |
| 3 forms of Potassium | 1. Kcl 2.kAcetate 3. K Phosphate |
| Magnesium | MEASURED IN GRAMS lab value: 1.5 -2.2 grams |
| Magnesium CAN ONLY BE PUSHED FOR CODE ASSOCIATED WITH | QT Prolongation and PVT - not used for replacement of magnesium |
| Magnesium Sulfate is the ____ | Injectable form 1-4 grams in 50 -250 ml of fluid for 1 - 4 hours; lowest infusion rate is 60 min if pt is not coding |
| Magnesium and ______Correlates | Potassium |
| If Mg not present in Kidney _____is excreted. If you have low Mg level check ______level and vise versa | Potassium |
| Calcium | |
| You can IV ______ Calcium for code in the unit and ER. Nurse must be ______certified. Must monitor_____Level. Important because Calcium binds to it. It is used for ______in codes | Push;ACLS; Albumin;Asystole |
| Calcium 1amp=1vial= | 1 GRAM |
| 2 forms of Calcium | 1.Calcium Gluconate 2. Calcium Chloride |
| Calcium Chloride is not giving for ______ Calcium and _______ combined can cause a precipate. This form is only used safely on a _____cart | Replacement;Magnesium;Crash |
| Phosphate | |
| DO NOT _____ Phosphate | PUSH |
| Form of Phosphate | NaPhosphate 2.5 of 4 Meq |
| use phosphate 2.5 meq for | IV fluid |
| Phosphate is Use for ______Replacement | TPN |
| Phosphate and ________do put together will cause percipitate | Calcium |
| Phosphate 1amp=1vial= | 50meq |
| Bi Carb | 1amp=1vial=50meq |
| Bi Carbcan be IV_____in codes,units, and ER during_____ or Sever Metabolic Acidosis; other than that it must be infused | Pushed;Sepsis |
| forms of BiCarb | Sodium BiCarb 1 2meq/ml-for IV infusion 2 4meq/mlo for TPN |
| Banana Bags Contains: | Folic Acid 1 mg Thiamine 100 mg Multi Vitamin 1amp add Kcl MgSO4 |
| IV pain | |
| 1mg Dilaudid = | 7mg morphine |
| MAX of Dilaudid is____mg and the MAX mg of Morphine at 1 time is ____mg | 2;10 |
| Allergies to both Dilaudid and MOrphine require change to | Fentanyl |
| Fentanyl is the strongest______opioid and is usually dosed in ____ | IV;mcg |
| Demerol not a good choice becuase of it lower the _____treshold and is not used ____term | seizure;long |
| All Cephlasporins and Penicillins______infused over 30 min | CAN BE |
| ZYVOX is infused over ___hours;___mg_____day MOA: inhibit ability resulting in _____syndrome when given with an SSRI | 2;600,BID;Serotonin |
| Doxycline can be infused over__min Dose is ____mg BID. Can be used to treat ____ | 60;100;MRSA |
| Vancomycin__gram infused over __min CrCl >65ml/min NonSevere infx:___mg/kg q 12hours Severe infx: __mg/kq q 12 hours | 1;60;15;20 |
| Vancomycin can treat a. b. c. | Pneumonia Osteomyelitis Sepsis |
| Infusion of VANCO 1-1.5 is over___min >1.5g is infused over__hours. Trough should be ___mg and for severe infection____mg | 90;2;10-15;15-20 |
| Daptomycin(Cubicin) is indicated for a. b. | MRSA VRE |
| Daptomycin is weight based dosed regular infx __mg/kg/day sever infx __mg/kgday | 4;7 |
| Daptomycin can not be used in the treatment of______b/c surfactant in the lungs binds to cubicin and inactivates it. It takes ___min to unfreeze | Pneumonia;30 |
| Tigecyclin is indicated for ______ just like levaquin but better for MRSA. Major SX is ______ | MRSA;N/V |
| Tigecil Dose is ___mg * 1 dose then ___mg q __hours. Use antiemetic medication ___Tigecil | 100;50;12;before |
| Clindamycin is infused over___min | 60 |
| Clindamycin cover Gram___ and _____ | +;anaerobes |
| other medication that cover Anaerobe | Zosyn;Unasyn;Irbapenem;Penecillin( no Pseudomonas coverage) |
| Intra abdominal Infections worry about____ | anaerobes |
| Clindamycin indications____ Dose is __:___ ratio | MRSA;1:1 |
| Carbapenems: Mirapenime,Imipenime,Dorapenem all cover _____ and can be infused over ____min | Pseudomonas;30 |
| Primaxin reduces _____treshold; not safe to use in people who drink and has hx of ____ | Seizure;epilepsy |
| Azactam covers GRAM____ only and cover pseudomonas. This can be used in _____allergic patients | Negative;penicillin |
| Fluoroquinolones Levaquin is ____dosed and is indicated for ___. 250 and 500 are infused over___min and 750mg infused over__min | Renally;CAP;60;90 |
| Cipro IV Dose is ____mg BID over___min | 400;60 |
| Microlide Zithromax IV is ____mg over 24hours infused over___min | 500;60 |
| PPI Pt are put on PPI Prophylaxis for _______ Protonix and Nexium can be _____pushed | Stress Ulcers;IV |
| Protonix/Nexium IV Push 40mg PO and IV ___mg/hr drip is for ____bleed. Octreotide is given ___mcg bolus then ___mg in 100cc NS and fo 5 ms and hours which is 50mcg/hour | 8;GI;50;1 |
| Phenergan MAX IV dose is ____mg/dose due to acidity causing limb burn form extravasation. Start at _____mg/dose | 12.5;6.25 |
| Chlorpromazine off label use for _____ Thorazine can not be IV PUSHED Dose ___mg in 100cc over __min | hiccups;100;15 |
| Prochlorperazine use to treat ______induced N/V ___mg can be IV pushed | Migraine;10 |
| Spinal Cord Protocol RX _______;3 drips must be given STAT to prevent spinal cord inflammation MAX pushed is____mg IV | SoluMedrol;125 |
| Tylenol Overdose Treatment is ______ Prefered route route is IV Dose: __bags and all 3 must be given | Mucomyst;3 |
| Most IV soulutions can be given PO True or False | True |
Created by:
jashoyo
Popular Pharmacology sets