Never hold the hormone for what patient?
patient who is NPO with mydexema<\/p>\n\n\n\n
Addison’s disease easy way to remember
Add a Sone (sone = steroid)<\/p>\n\n\n\n
Best default order for click and drag order questions?
Hold \u2026.. med
Assess \u2026.. what med does
Prepare \u2026\u2026 the correction
Call \u2026.. or notify<\/p>\n\n\n\n
Rarely if ever answer \u2026
call Doctor, NCLEX wants you to think critically<\/p>\n\n\n\n
INR lab values
2-3, critical value if off, potential for patient to bleed. Use default order for order ?’s (hold all coumadin, assess for bleeding, prepare Vit K (antidote for Coumadin), Call or notify<\/p>\n\n\n\n
Potassium lab values
3.5-5.3 If low it is a critical lab to worry about assess the heart and then prepare to give K
if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else involved! Dangerous!!<\/p>\n\n\n\n
If question says there is pitocin running and there are complications
stop pit first then LIONpit<\/p>\n\n\n\n
Pain meds in labor
know your peaks for IV, IM, PO, Subling. If baby is likely to be born when the pain med is peaking don’t give! Why? Respiratory depression in baby<\/p>\n\n\n\n
OB medications tocolytics
stop contractions, Brethine causes maternal tachycardia, Nifedipine (dipine – CCB) causes Hypotension and headache<\/p>\n\n\n\n
OB medications oxytocics
makes labor more intense, Pitocin, Methergine, Cervidil<\/p>\n\n\n\n
OB medications Fetal\/Neonatal Lung meds
Betamethasone, speeds the development of the baby’s lungs, given to Mom before baby is born, given IM, will increase the blood sugar of Mom<\/p>\n\n\n\n
Survanta (surfactant)
given to baby after baby is born given trastracheal through the airway develops lungs<\/p>\n\n\n\n
Med hints for IM injections
Look for 1’s in both parts (the 1 looks like an I), guage and length, 21 g, 1 inch means IM<\/p>\n\n\n\n
Med hints for SQ injections
look for 5’s in both parts (the 5 looks like an S), guage and length, 25 g, 5\/8 inch means SQ<\/p>\n\n\n\n
Drawing up Insulin rules
R then N, Draw up R then N, NRRN the whole process<\/p>\n\n\n\n
Pressurizing Insulin rule
put air into N then R , NRRN the whole process<\/p>\n\n\n\n
If 70\/30 insulin it is
70% N and 30% R, may have to make your own on boards, no 70\/30 on the floor<\/p>\n\n\n\n
Heparin is given IV or SQ NOT PO, info re: Heparin
works immediately, labs Ptt or any clotting or bleeding time, antidote: protamine sulfate, course: 21 days, pregnancy: YES (Class C pregnancy drug, use caution)<\/p>\n\n\n\n
Coumadin is given PO, info re: Coumadin
takes days to work, labs ONLY PT-INR, antidote: Vit K (think Koumadin), course: forever, prengancy: NO (never use)<\/p>\n\n\n\n
If a diuretic ends in the letter X it is a potassium
wasting drug plus Diurel<\/p>\n\n\n\n
Baclofen\/ Flexoril
muscle relaxant, think on your back loafin’! makes a patient drowsy, weak muscles, don’t drink, don’t drive, don’t care of kids under 12
Piaget’s stage Sensorimotor age 0-2, totally<\/p>\n\n\n\n
When can a child give themselves their own insulin shot?
7<\/p>\n\n\n\n
What 2 parts are always irrelevant in a prioritization question?
age and gender (NCLEX is testing discrimination against agism), age only important for peds<\/p>\n\n\n\n
All psych drugs cause
low BP and weight change (usually gain)<\/p>\n\n\n\n
Phenothiazines
all end in ‘zine Ex: Thorazine, Compazine, they are major tranquilizers so think safety<\/p>\n\n\n\n
‘Zines for the
Zanny<\/p>\n\n\n\n
In large doses Phenothiazines are
anti-psychotics<\/p>\n\n\n\n
In small doses Phenothiazines are
anti-emetics<\/p>\n\n\n\n
Side effects of Phenothiazines
Anticholinergic (dry mouth), Blurred vision, Constipation, Drowsiness, Extrapyramidal syndrome (parkinsons), Fotosensitivity, aGranulocytosis (low WBC’s)<\/p>\n\n\n\n
SAFETY<\/p>\n\n\n\n
Deconoate drug is
a long acting IM form given to non compliant patients<\/p>\n\n\n\n
Tricyclic Antidepressants are
mood elevators to treat depression<\/p>\n\n\n\n
Examples of Tricyclic anti depressants
Elavil, tofranil, aventyl desyrel<\/p>\n\n\n\n
Side effects of Tricyclic medications
Anticholinergic(dry mouth), Blurred Vision, Constipation, Drowsiness, Euphoria HInt: Elavil starts with E so this group goes through E<\/p>\n\n\n\n
How long does a tricyclic need to be taken before results are seen?
2-4 weeks<\/p>\n\n\n\n
Benzodiazepines are for
anti anxiety, they are minor tranquilizers, have ‘zep in the name, EX: Diazepam (Valium), plus Xanax, Often given pre op, muscle relaxant, alcohol withdrawal, seizures, facilitates mechanical ventilation<\/p>\n\n\n\n
Benzodiazepines works
quickly, must not take for 6 weeks, keep on Valium until Elavil kicks in<\/p>\n\n\n\n
Side effects for Benzodiazepines
Anticholinergic (dry mouth), Blurred Vision, Constipation, Drowsiness<\/p>\n\n\n\n
Number one nursing concern for patient taking Benzo’s is
also safety<\/p>\n\n\n\n
MAOI’s
antidepressants, happy pills<\/p>\n\n\n\n
Depression is caused by a deficiency of
norepinephrine, dopamine and serotonin in the brain<\/p>\n\n\n\n
Names of MAOI’s
MAR, NAR, PAR: Marplan, Nardil, Parnate<\/p>\n\n\n\n
Side effects of MAOI’s
Anticholinergic (dry mouth), Blurred vision, Constipation, Drowsiness<\/p>\n\n\n\n
How long can a person be on MAOI’s and how long before they work?
rest of life, 2-4 weeks<\/p>\n\n\n\n
MAOI’s interact with LOTS
Avoid all foods containing Tyramine, causes fatal hypertension<\/p>\n\n\n\n
Tyramine foods
Fruits and Veggies are okay except remember salad BAR, avoid Banannas, Avacados, Raisins, Grains are okay except for active yeast, no organ meats, no preserved meats, no dairy, no alcohol, tinctures, caffiene, chocolate, licorice, soy sauce<\/p>\n\n\n\n
Lithium
for bipolar disorder (manic depression) it decreases mania<\/p>\n\n\n\n
Side effects of Lithium
peeing, pooping, parasthesia<\/p>\n\n\n\n
Lithium Toxicity
2 or greater, tremors, metallic taste, severe diarrhea, number one intervention, give fluids, if sweating give electrolytes too<\/p>\n\n\n\n
Lithium monitor what levels
sodium, low sodium levels prolong lithium’s half-life, causing lithium toxicity, high sodium levels decrease the effectiveness of lithium<\/p>\n\n\n\n
Prozac
it an SSRI, similar to Elavil so same info as Tricyclic’s<\/p>\n\n\n\n
Prozac causes
insomnia, so give before noon, so if BID, give at 6A and 12N NOT at bedtime<\/p>\n\n\n\n
When changing the dose of Prozac for an adolescent or young adult, watch for
suicide<\/p>\n\n\n\n
‘zine, ‘zep, ‘zap
all tranquilizers<\/p>\n\n\n\n
a good guess about psych med weening
decrease the dose of the old drug<\/p>\n\n\n\n
Haldol
just like the Thorazine’s, also has a deconoate form<\/p>\n\n\n\n
Dose of Haldol for elderly patient should be
half of usual adult dose<\/p>\n\n\n\n
Clozaril (Clozapine)
‘zap’s, for schizophrenia<\/p>\n\n\n\n
‘zap’s, for schizophrenia
aGranulocytosis<\/p>\n\n\n\n
How often should WBC be drawn when pt is taking ‘zap’s for schizo?
1 time per week for 1 month, 1 month every month for 6 months then every 6 months<\/p>\n\n\n\n
Zoloft (sertraline)
also a SSRI like prozac, antidepressant, doesn’t cause insomnia so it can be taken at bedtime.<\/p>\n\n\n\n
Zoloft interacts with other medications like
St John’s wart (causes serotonin syndrome) – sweating, apprehension (impending sense of doom), dizziness (vertigo), headache, also with Coumadin so watch for bleeding<\/p>\n\n\n\n
Zoloft with Coumadin?
Question the order if the coumadin dose wasn’t lowered<\/p>\n\n\n\n
Never mix _<\/strong><\/em><\/strong> in children’s food If you know what a particular drug does, choose a side effect in the same _ ____<\/em><\/strong><\/em><\/strong> where the drug is working. If a medication is taken PO and you dont know what the drug does pick a __<\/strong> side effect If two answers say the same thing \u2026 If two answers are opposite, one of them is Names of uppers Do give aminoglycocides via PO in Peak level for sublingual Peak level for IV Peak level for IM Peak level for SQ Ventricular gets what med AsystolE gets what med Atrial Arrhythmias (same as supraventricular) medications Water Seal bubbling intermittently or a suction control chamber bubbling continously is Water Seal bubbling continuously or a suction control chamber bubbling intermittently is A Seal should not be What to do first if a water seal breaks? Never hold the hormone for what patient?patient who is NPO with mydexema Addison’s disease easy way to rememberAdd a Sone (sone = steroid) Best default order for click and drag order questions?Hold \u2026.. medAssess \u2026.. what med doesPrepare \u2026\u2026 the correctionCall \u2026.. or notify Rarely if ever answer \u2026call Doctor, NCLEX wants you to think […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[],"tags":[],"class_list":["post-111777","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111777","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=111777"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111777\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=111777"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=111777"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=111777"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
medications<\/p>\n\n\n\n
body system Ex: heart drug – tachycardia<\/p>\n\n\n\n
GI<\/p>\n\n\n\n
neither one is right EX: tachycardia and racing heart<\/p>\n\n\n\n
probably right (consider one of them)<\/p>\n\n\n\n
caffiene, cocaine, PCP\/LSD, Amphetamines\/meth, adderol\/ritalin<\/p>\n\n\n\n
hepatic encephalopathy & pre-op bowel surgery<\/p>\n\n\n\n
5-10 minutes after disolved<\/p>\n\n\n\n
15-30 min after finished<\/p>\n\n\n\n
30-60 min after drug is in<\/p>\n\n\n\n
diabetes peak levels apply here<\/p>\n\n\n\n
Lidocane (think of the V turning sideways to an L) & Amiodorone<\/p>\n\n\n\n
A for Atropine and E for Epinephrine \u2026 Epi is first though<\/p>\n\n\n\n
ABCD
Adenocard (push fast)
Beta Blockers (‘lol)
CCB’s
Digoxin<\/p>\n\n\n\n
GOOD<\/p>\n\n\n\n
BAD<\/p>\n\n\n\n
bubbling<\/p>\n\n\n\n
clamp<\/p>\n","protected":false},"excerpt":{"rendered":"