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Med Pass
| Question | Answer |
|---|---|
| Brand name for humalin R | Regular Insulin |
| Classification of humalin R | |
| Action of humalin R | Lowers blood glucose |
| Major side effect of humalin R | Hypoglycemia |
| How should humalin R be given | Sub Q |
| Onset time for humalin R | 30 mins |
| Peak time for humalin R | 2-4 hours |
| Duration of humalin R | 6-8 hours |
| What must be checked before administering any insulin? | blood glucose level |
| Normal blood glucose level | 60-100 mg |
| Brand name for humalin N | NPH insulin |
| Classification for humalin N | Pancreatic hormone |
| Action of humalin N | lowers blood glucose |
| major side effect of humalin N | hypoglycemia |
| Onset time for humalin N | 1 1/2 hours |
| Peak time for humalin N | 6-8 hours |
| Duration time for humalin N | 24 hours |
| T/F humalin N is a cloudy insulin that is mixed by shaking the vial | False, must be rolled in between your hands |
| Brand name of warfarin | Coumadin |
| Classification of warfarin (Coumadin) | Anticoagulant |
| Action of warfarin (Coumadin) | "thins" blood, prevents clots |
| major side effect of warfarin (Coumadin) | hemorrhage |
| How is warfarin (Coumadin) administered to the patient | PO |
| Which lab test must be checked before administering warfarin (Coumadin)? | PT/INR |
| Normal INR range | 2-4 |
| Antidote for warfarin (Coumadin) | Vitamin K |
| Classification of Heparin | Anticoagulant |
| Action of Heparin | "thins" blood, prevents clots |
| Major side effect of Heparin | Hemorrhage, can cause bruising at site of injection |
| How is Heparin administers to patients? | SQ or IV |
| Which lab test must be checked before administering Heparin? | PTT |
| Antidote for Heparin | Protamine Sulfate |
| Brand name for enoxaparin | Lovenox |
| Classification of enoxaparin (Lovenox) | Low-molecular weight heparin, Anticoagulant |
| Action of enoxaparin (Lovenox) | "thins" blood, prevents clots |
| Major side effect of enoxaparin (Lovenox) | Hemorrhage, can cause bruising at site of injection |
| How is enoxaparin (Lovenox) administered to the patient? | SQ off to the side of abdomen |
| Do you need to check any blood test prior to administering enoxaparin (Lovenox)? | No |
| Brand name of furosemide | Lasix |
| Classification of furosemide (Lasix) | Loop Diuretic |
| Action of furosemide (Lasix) | decreases edema |
| Major side effect of furosemide (Lasix) | dehydration, hypokalemia |
| Which blood test must be checked before administering furosemide (Lasix)? | Potassium (K+), furosimide is a potassium depleting diuretic |
| Normal level for Potassium (K+) | 3.5-5 |
| Brand name of hydrochlorothiazide | Hydrodiuril |
| Classification of hydrochlorothiazide (Hydrodiuril) | Antihypertensive, diuretic |
| Action of hydrochlorothiazide (Hydrodiuril) | lowers B/P and reduces edema |
| Major side effect of hydrochlorothiazide (Hydrodiuril) | hypotension and hypokalemia |
| Which blood level should be checked before administering hydrochlorothiazide (Hydrodiuril)? | Potassium (K+), Potassium depleting diuretic |
| T/F: You can give hydrochlorothiazide (Hydrodiuril) to a pt that is allergic to thiazides | False |
| Brand name for digoxin | Lanoxin |
| Classification of digoxin (Lanoxin) | Cardiotonic |
| Action of digoxin (Lanoxin) | slows rate and strengthens heart beat |
| Major side effect of digoxin (Lanoxin) | bradycardia |
| What action must be done before administering digoxin (Lanoxin)? | check apical for full minute. If pulse below 60 bpm, hold med and notify provider |
| Classification of morphine sulfate | Schedule II narcotic analgesic |
| Action of morphine sulfate | decreases pain |
| Major side effect of morphine sulfate | Respiratory depression, drowsiness, constipation |
| What should you monitor when administering morphine, especially in the elderly? | Respiration and allergies |
| Brand name for meperidine | Demerol |
| Classification of meperidine (Demerol) | Schedule II narcotic analgesic |
| Action of meperidine (Demerol) | decreases pain |
| Major side effect for meperidine (Demerol) | seizures, drowsiness, constipation, monitor for respiratory depression |
| Why is meperidine (Demerol) not given as much? | can cause seizures and not as effective for pain as morphine |
| Which Schedule II narcotic analgesic is the 1st choice to give? | morphine |
| Classification for codeine | Schedule II, III, VI narcotic analgesic depending on how much is added with another med |
| Major side effect of codeine | drowsiness, very constipating |
| What does the #3 indicate when codeine is added to Tylenol? | the amount (mg) of codeine added |
| Action of codeine | decreases pain |
| What medication is given if the patient has an allergy to Tylenol and not codeine? | aspirin (Empirin) |
| Classification of erythromycin | anti infective |
| Action of erythromycin | used to tx upper respiratory infections if patient is allergic to penicillin |
| major side effect of erythromycin | GI upset |
| T/F erythromycin should be taken with food | True |
| What is another name for Bactrim? | Septra DS |
| Classification of Bactrim | anti infective |
| Action of Bactrim | used to tx UTI's if patient is allergic to penicillin |
| major side effect of Bactrim | GI upset |
| Should Bactrim be taken with or without food? | With food |
| T/F: A patient with an allergy to sulfa cannot take Bactrim | True |
| Brand name for hydroxyzine | Vistaril |
| Classification of hydroxyzine (Vistaril) | Anti emetic and anti anxiety |
| Action of hydroxyzine (Vistaril) | Decreases anxiety, nausea and itching |
| Major side effect of hydroxyzine (Vistaril) | IM form can be irritating to the tissue |
| What method is used when administering IM injections to prevent irritation? | Z-track |
| Which narcotics is hydroxyzine (Vistaril) compatible with? | Morphine and Demerol (meperidine) |
| Classification of MVI w/ Iron | Vitamin |
| Action of MVI w/ Iron | aids in healing and building up hemoglobin (which carries oxygen) |
| Major side effect of MVI w/ Iron | GI upset, diarrhea or constipation depending on the person |
| What should you advise the patient taking MVI w/ Iron can happen to their stools? | It can make stools black and tarry |
| Classification of Potassium | Electrolyte |
| Action of Potassium | Assists in muscle contractions |
| Major side effect of Potassium | Cardiac dysrhythmias, weakness, hyperkalemia |
| 3 type of injections | IM (intramuscular) SQ (subcutaneous) ID (intradermal) |
| Example of meds given IM | Antibiotics, some pain meds, etc |
| Example of meds given SQ | Insulin, Heparin, Lovenox |
| Example of meds given ID | TB test, allergy testing |
| Type/size of syringe for IM injections | 3 mL |
| Type/size of syringe for SQ injections | 1 mL for Heparin, Lovenox etc, 100 unit for insulin |
| Type/size of syringe for ID injections | 1 mL TB syringe |
| Type/size of needle used for IM injections | 18-22 gauge, 1â-1.5â |
| What does Gauge indicate in needle size? | Width |
| What does (âÂ)indicate in needle size? | Length |
| Type/size of needle used for SQ injections | 25-29 gauge, 1/2â-5/8â |
| Type/size of needle for ID injections | 25-29 gauge, 1/2â-5/8â |
| What should you do after injecting needle into IM site? | Aspirate to make sure needle is not in blood vessel. If no blood returned, administer medication |
| Where is TB test administerd? | Forearm with palm side up, approx 2-3â below elbow |
| 5 different IM sites | Deltoid, Posterior Gluteal, Ventral Gluteal, Vastus Lateralis, Rectus Femoris |
| Where/how to find Deltoid site | 3 finger widths below the acromion process |
| Where/how to find Posterior Gluteal site | Divide the gluteus into forths and then divide the upper outer quadrant into forths again. Give injection in the upper outer quadrant of the upper outer quadrant. |
| Where/how to find Ventral Gluteal site | Place hand on Greater trochanter with thumb pointing towards umbilicus. Place Index finger on the Anterior Superior iliac Spine (A-S-S) and middle finger on Posterior iliac crest. Give injection in V-shaped area between index and middle finger |
| Where/how to find Vastus Lateralis site | Side of thigh, place one palm on greater trochanter and the other on the patella with fingers of both hands pointing towards each other. Give injection in area somewhere in between fingertips |
| Where/how to find Rectus Femoris site | Top of thigh, place one palm on greater trochanter and the other on the patella with fingers of both hands pointing towards each other. Give injection in area somewhere in between fingertips |
| Why is the Posterior Gluteal site contraindicated? | Can cause possible damage to sciatic nerve |
| Amount of medication that can be give in Deltoid Site | No more than 1 mL |
| Amount of medication given in Ventral Gluteal | No more than 3 mL |
| Amount of medication given in Vastus Lateralis and Rectus Femoris | No more than 3 mL |
| Angle for giving IM injection | 90 degree |
| Angle for giving SQ injection | 45-90 degree |
| Angle for giving ID injection | 15 degree |
| S/S of hyperglycemia in Type I Diabetics | 3 Pâs- Polyuria, Polydipsia, Polyphagia |
| S/S of hyperglycemia in Type II Diabetics | Fatigue, wt. gain, numbness in extremities |
| 6 rights for med administration | right Patient, right Drug, right Dose, right Route, right Time, right Documentation [Mnemonic: Patients Do Drugs Round The Day] |
| Sites for SQ injections | Back of upper arm, abdomen, top of thighs |
| Which insulin should be drawn up first when mixing NPH and Regular insulin? | Regular insulin, Clear to Cloudy |
| Which medications should be verified or wasted with another nurse? | Insulin should be verified & narcotics should be wasted with another nurse |
Created by:
grdrgz92
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