Cardiac
1. Digoxin – client teaching, side/adverse effects, normal Digoxin levels and s/s of Digoxin toxicity
2. Potassium levels, considerations and precautions related to levels, and when taking with HCTZ or potass
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Cardiac
1. Digoxin – client teaching, side/adverse effects, normal Digoxin levels and s/s of Digoxin toxicity
2. Potassium levels, considerations and precautions related to levels, and when taking with HCTZ or potassium supplements
3. ACE Inhibitor: lisinopril (Zestril)-client teaching All end in -pril
Client Teaching:
Monitor BP following first dose.
Report dry, non-productive cough is continued for long period.
4. Calcium channel blockers (nifedipine) – client teaching
Use: Controls HTN and angina. Dilates coronary arteries, decreases HR, BP.
5. Nitroglycerin – client teaching, side/adverse effects, contraindications
Use: Reduce angina. Short acting for acute, long acting for severe recurrent episodes.
6. Beta-blockers atenolol (Tenormin), metoprolol (Lopressor, Toprol-XL) – nursing considerations, side effects
7. Alpha-adrenergic blocker – client teaching (prazosin (Minipress)
8. Heparin – lovenox (Enoxaparin), fragmin (Dalteparin), innohep (Tinzaparin) use, client teaching, normal PTT for client not on/on heparin, nursing considerations, antidote
Antidote for heparin is Protamine Sulfate
Normal PTT for client not on/on heparin:
9. Coumadin – warfarin (Coumadin) use, client teaching, normal PT/INR for client not on/on warfarin, nursing considerations, antidote
Nursing Considerations:
Monitor PT/INR levels frequently
10. Lidocaine – indications for use
11. Diuretics – types/examples, timing of dosing, client teaching
Timing of Dosing:
Give Diuretics in the morning to prevent nocturia
Client Teaching:
12. Lipitor – atorvastatin (Lipitor) client teaching, side/adverse effects
13. IV atropine – atropine (Atro-Pen) indication for use, what to monitor for, nursing considerations
Respiratory
14. Steroids – client teaching, side/adverse effects, potential effects on CHF, directions specific to inhalers (beclomethasone (QVAR))
15. albuterol (an adrenergic inhaler) – indication for use, mechanism of action, client teaching
Client Teaching:
Rescue inhaler should be followed up with maintenance meds.
16. ipratropium (Atrovent) (an anticholinergic) – side effects, client teaching
17. salmeterol (Serevent) – indications for use, timing of dosing, client teaching
18. montelukast (Singulair) – indications for use, directions for use, client teaching
19. guaifenesin (Robitussin) with dextromethorphan or codeine – indications for use 20. theophylline (Theo-24) – side/adverse effects, client teaching
NARROW THERAPEUTIC WINDOW
21. Sequences of inhaler use
Prime inhaler. Press down to make sure you will get a full spray. Spray about 4 times.
22. metoclopramide (Reglan) – indications for use, mechanism of action 23. promethazine (Phenergan) – side effects/adverse effects with prolonged use 24. ondansetron (Zofran) – use, client teaching, nursing considerations, pregnancy teaching 25. atropine (Lomotil) – side/adverse effects, precautions, contraindications, nursing considerations, know what conditions it may make worse Assess for frequency and consistency of stools and bowel sounds prior to and throughout therapy. 26. MOM – side/adverse effects, precautions, nursing consideration s 27. Management of hyperacidity and constipation in clients with renal failure – best choices for treatment 28. pantoprazole (Protonix), omeprazole (Prilosec) PPI (proton pump inhibitors) – indications for use, mechanism of action, client teaching , timing of dosing 29. OTC antacids and laxatives/stool softeners - client teaching, mechanism of action 30. sucralfate (Carafate) – client teaching, timing of dosing Math – one calculation question involving a bottle of powder that was reconstituted, and how much to give for the ordered dose and concentration available after reconstituted. Practice Question 1:
The physician orders cefazolin sodium 0.5g IM every 8 hours. The nurse has to reconstitute from a powder. The vial contains 1g with directions “add 2.5 mL sterile water and shake.” Provides a volume of 3 mL (333mg/mL). How many mL of medication will the nurse administer? ___________________
Practice Question 2:
The provider has ordered Rocephin 0.5g IM every 8 hours. The nurse has to reconstitute from a powder, a vial containing 1 g with directions to “add 2.3 mL sterile water and shake to create a 1,000 mg in 2.6 mL solution.” How many mL of medication should the nurse administer? _______________
Practice Question 3:
The physician orders cefazolin sodium 0.25g IM every 8 hours. The nurse has to reconstitute from a powder. The vial contains 1g with directions “add 2.5mL sterile water and rotate.” This provides a volume of 3 mL (330mg/mL). How many ML of medication will the nurse administer? ____________________
Answers to practice questions:
1) 1.5mL
2) 1.3mL
3) 0.75ml
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