Never hold the hormone for what patient?
patient who is NPO with mydexema
Addison's disease easy way to remember
Add a Sone (sone =
... [Show More] steroid)
00:04
01:17
Best default order for click and drag order questions?
Hold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
Rarely if ever answer ...
call Doctor, NCLEX wants you to think critically
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
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!!
If question says there is pitocin running and there are complications
stop pit first then LIONpit
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
OB medications tocolytics
stop contractions, Brethine causes maternal tachycardia, Nifedipine (dipine - CCB) causes Hypotension and headache
OB medications oxytocics
makes labor more intense, Pitocin, Methergine, Cervidil
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
Survanta (surfactant)
given to baby after baby is born given trastracheal through the airway develops lungs
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
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
Drawing up Insulin rules
R then N, Draw up R then N, NRRN the whole process
Pressurizing Insulin rule
put air into N then R , NRRN the whole process
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
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)
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)
If a diuretic ends in the letter X it is a potassium
wasting drug plus Diurel
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
When can a child give themselves their own insulin shot?
7
What 2 parts are always irrelevant in a prioritization question?
age and gender (NCLEX is testing discrimination against agism), age only important for peds
All psych drugs cause
low BP and weight change (usually gain)
Phenothiazines
all end in 'zine Ex: Thorazine, Compazine, they are major tranquilizers so think safety
'Zines for the
Zanny
In large doses Phenothiazines are
anti-psychotics
In small doses Phenothiazines are
anti-emetics [Show Less]