Insulin/Hypoglycemia
What's considered a hypoglycemic event?
BG 70 or lower
<54= critically low
Severe= <70 with new cognitive impairment
What drug classification is Heparin
Anticoagulation
What is an Opioid antagonist?
Naloxone/Narcan
Protonix
Zofran
Pepcid
Reglan
Protonix- 2 min Dilute
Zofran- 2-5 min
Pepcid- Undiluted >2mins
Reglan- 10mg over 2 min
Drug compatibility not showing on lexicomp
Pharmacy(51171)
True or false: Humalog/Lantus >10units need to be double verified
TRUE
True or False: Double verification is not needed when titrating heparin infusion
FALSE
How do you give Naloxone/Narcan?
IM/IV/Nasal Spray
Atropine
Sodium Bicarbonate
Rapid during Codes
For non emergent situations- slowly.
Patient needs earbuds or reading glasses
Patient guest services
True or False: Pt has a hypoglycemic event- a provider needs to be notified
TRUE
True or false: heparin bolus is given IM
False
True or False: You have to double verify a rate change on a PCA pump
TRUE
Ativan/Lorazepam
2mg/min
Suicidal patient wont give up purse
Security
52222
Pt can have PO
Sugar is 54-70
Sugar is <54
54-70= 1/2 cup (4oz of apple juice)
<54= 1 cup (8oz of apple juice)
How often do you check an Antifactor Xa for a Heparin infusion?
6 hours
unless....
True or false: You do not need an EtCO2 monitor for PCA pumps.
FALSE
Potassium
NEVER!
Patient is in heart failure and before they are discharged they need HF education
Diabetic education
5CHF5
Kathy Mense (diabetic educator) 52072
Pt is NPO
Sugar 54-70
Sugar is <54
54-70= 25 ml IV 50% Dextrose
<54 = 50ml IV 50% Dextrose
Give this slow..
When someone is allergic to Heparin (HIT) what drug can you give instead for anticoagulation?
Argatroban
Labs (pTT)
When giving a patient PO or IV pain med, how long do you have to document whether the pain med worked or not?
30-120 min
Protamine
Heparin reversal agent
50mg/10min very slow
Patient needing spiritual and religious needs?
Pastoral 52265