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67 Cards in this Set
- Front
- Back
Theophylline – don’t eat chocolate while on it
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24 mcg/mL serum level is toxic, normal is 10-20 mcg/ml to induce bronchodilation
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If the order has an unsafe dose
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– refuse to administer it!
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Nitrogylcerin –
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take with chest pain, up to 3.
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Inhalers –
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be sure to rinse mouth out after taking them
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Coumadin –
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can cause a nosebleed. Antidote = Vitamin K
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Protamine
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– give for too much heparin
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Flush IV line
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so all medicine goes through
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Nolvadex
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– monitor Calcium
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Mucomyst –
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suction
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Ketoacidosis
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– usually occurs in DM 1, give NPH regular insulin to relieve
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Z track –
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pattern to give injections on body, prevents seeping of injections
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Sucralfate –
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take 1 hr before meals
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KCL
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monitor urine output
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Epoetin alpha –
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makes more RBCs, watch pt’s BP
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Lopressor
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– don’t stop abruptly
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INH
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– can cause paresthesia, give vitamin B to treat
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Pernicious anemia
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– vitamin B12 deficiency
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If a pt with cirrhosis is taking lactulose
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– expect blood ammonia levels to decrease.
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Lovenox –
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don’t massage after injection
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PCN G –
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can cause urticaria (hives)
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Estrogen
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– assess for calf tenderness (howman’s sign DVT)
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Retrovir (antiviral for HIV, aka AZT)
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– most serious side effect is anemia
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Tylenol –
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can cause liver damage
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Fungizone –
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increases creatinine
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Zofran
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– take for nausea
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Zyloprim –
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decreases uric acid (treatment for gout)
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Claritin –
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can cause blurred vision
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Aspirin –
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inhibits prostaglandins
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Phenobarbitol –
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depression of CNS
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Adriamycin –
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adverse effect is reddish orange urine
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Robinul –
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decreases secretions
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Bumex –
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diuretic, can cause hearing loss
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NSAIDs –
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monitor liver
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Digoxin –
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assess heart rate
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Nystatin –
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for thrush, dissolves in mouth
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2. Microdrip IV administration administers how many drops/mL?
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a. 60 drops/mL (memorize this)
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1. Which of the following abbreviations indicates that a medication should be given four times a day?
a. Every 4 hours b. Bid c. Qid |
c
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2. A patient is to receive ampicillin, one gram. The ampicillin comes in 500 mg tables. How many tablets should be given?
a. 4 b. 2 c. 1 |
b
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3. Pt is to receive 1000 ml of IV fluid in 6 hours. The infusion pump should be set to deliver:
a. 150 ml/hr b. 167 ml/hr c. 200 ml/hr |
b
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4. If you are teaching a pt who is taking antihypertensive meds, you should instruct them toL
a. Rest after taking if dizziness occurs b. Report any dizziness as they may need a dose change c. Skip the next scheduled dose if dizziness occurs |
b
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5. A nurse giving meds in a long term care facility where residents done wear ID bands should:
a. Identify the resident using the photo id in the MAR b. Call out the name of the resident c. Ask the resident their name, prior to administering the med |
a
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6. When a pt refuses to take a narcotic analgesic that has been prepared, you should:
a. Encourage the pt to take it anyway b. Label the med and place in cart for use at a later time c. Discard the med in presence of witness and chart accordingly |
c
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7. Steroids given in PO form should be given
a. Before meals and bedtime b. Every 6 hrs c. After meals and bedtime |
c
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8. A pt receives a transdermal hormone every day. The nurse administering this med should:
a. Place the transdermal patch over the old one b. Remove the old patch, wiping away any excess ointment from the skin and rotate the site c. Reapply the old patch if there is any ointment left on the skin |
b
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9. Which of these doses is the smallest
a. 0.075 mg b. 0.1 gm c. 10 mg |
a
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10. If an oral med comes supplied as 50 mg per mL, how many ml would deliver a dose of 200 mg?
a. 2 ml b. 3 ml c. 4 ml |
c
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1 kg
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1000 gm
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1 gm
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1000 mg
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1 gm
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=1,000,000 mcg
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1 mg
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0.001 g
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1 mg
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=1000 mcg
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1 L
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= 1000 ml
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1 ml
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1 cc
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60 grains
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1 dram
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8 drams
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1 ounce
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1 ounce
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30 ml
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2.2 lbs
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1 kg
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1 meter
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1000 mm
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safety meausres
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check the label 3 times
1. when you reach for it 2. before opening 3. when replacing |
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5 rights
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right med
right patient right dosage right route right time |
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7 parts of med order
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full name
date and time order written name of drug administered dosage of drug administered route frequency prescribers signature |
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intradermal
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use 25-30 gauge, 1/4-1/2 " long needle
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sub q
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use 25-30 guage, 5/16-1 inch needel
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IM
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21-23 guague, 1 1/2" needle
ztract |
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beconase (beclomehtasone)
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nasal spray for allergies, may take 3 weeks for peak affect
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ripseridal - showing signs of parkinsonimism
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contact physician
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folic acid for
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pregnancy, alcholism, liver disease
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