Shock Meds
*** TWO-PART QUESTION
1. A patient who has septic shock related to a bacterial infection of the bladder should be treated with _________.
2. This particular antibiotic is commonly used across various units and must be ran for at least an hour and a half in pediatric due to the risk of acquiring "Red-Man Syndrome."
What are antibiotics? What is vanco?
This short-acting bronchodilator is the rescue medication used in times of acute asthma attacks. It has side effects such as tremors and tachycardia which could exacerbate any pre-existing cardiac compromise.
***TWO-PART QUESTION
1. What are [3] important vitals to reassess prior to giving opioids?
2. Respiratory depression is indicated when the resps fall below _____ breaths.
What are respirations and blood pressure, HR? What is 12?
The first level of anxiety.
What is mild?
A doctor orders you to give 2mg of Lorazepam (Ativan) to a patient who needs to be sedated for aggressive, physical behavior. The vial of Ativan reads 1mg/0.5mL. What is the amount of medication needed to be administered in mL?
What is 1mL?
***TWO-PART QUESTION
1. This medication used for anaphylaxis will help relieve any pruritus (itching) and acts against the chemical known as histamine. Give the GENERIC name of this medication.
2. What are the anticholinergic effects of this med? Name FOUR.
What is Diphendhydramine? What is urinary retention, blurry vision, dry mouth and constipation?
Not necessarily a respiratory medication. However, it is an antidote that is used to reverse any toxicity that interferes with breathing caused by opioids.
What is Naloxone (Narcan)?
Pain is a ________ experience that varies across each patient and should be treated accordingly.
What is subjective?
*** TWO-PART QUESTION
1.The second level of anxiety.
2. Name the antidote that reverses toxicity caused by medications that treats anxiety.
What is moderate? What is Flumazenil (Romazicon)?
*** TWO-PART QUESTION
1. The doctor orders the RN to give a patient with CHF 40mg of Lasix IV push. The vial of Lasix contains 80mg/mL. What is the amount that we have to push in the patient's IV in mL?
2. The SPECIFIC drug class Lasix belongs to. Be HIGHLY SPECIFIC.
What is 0.5mL? What are loop diuretics?
This medication is a positive inotropic drug, meaning it strengthens myocardial contractility, and is the INOTROPE OF CHOICE for the mgmt. of cardiogenic shock.
What is dobutamine?
***TWO-PART QUESTION
1. This medication is classified as a Leukotrine Receptor Antagonist (LTRA). This specific medication appeared in a question in the ATI targeted practice.
2. Give an example of another LTRA besides the one that appeared in the ATI targeted practice.
What is montelukast? What is zafirlukast?
What are FLACC and FACES?
This last level of anxiety requires more invasive management techniques such as sedation.
What is panic?
In the med room, you have Alprazolam that contains 20mg per tablet. The order from the psychiatrist told you to give 60mg to the client. How many tabs do you have to give?
What is 3 tabs?
This pharmacologic agent is not recommended for treating acidosis related to shock.
What is sodium bicarb (NaHCO3)?
BONUS --- T or F: I am Prof. Ige's favorite in the whole, wide world.
This medication is an antitubercular (against TB) drug that tends to turn any body fluids into an orange color.
What is rifampin?
***TWO-PART QUESTION
1.The maximum dose in ONE day for the nonopioid med known as Acetaminophen (Tylenol).
2. Rationalize why we cap the dose at that certain number.
What is 4000mg (4g) and tendency to cause liver toxicity?
Benzodiazepines, such as Diazepam (Valium), Lorazepam (Ativan), Alprazolam (Xanax), and Midazolam (Versed) may cause what adverse effects?
What are urinary retention, sedation, hypotension?
A patient with anemia requires a blood transfusion. The provider requests the RN to administer 250mL of blood over a duration of 4hrs. The drip factor is 20gtt/mL. How many drops per min. (gtt/min) do we need in order to properly administer this medication? Give answer in nearest whole #.
What is 21gtt/min?
A pharmacological agent used to treat bradycardia r/t neurogenic shock. Starts with A, has anticholinergic properties, held if bowels are hypoactive, and y'all are (or should be) familiar with it already.
What is Atropine?
Patients should be instructed to do this after using a corticosteroid inhaler due to the risk of developing oral thrush.
What is rinse their mouth?
*** TWO-PART QUESTION
1. Pain that is confined to the organs is classified as this kind of pain.
2. Back pain is this kind of pain.
What is visceral pain? What is somatic?
***TWO-PART QUESTION
1. Lexapro, the trade name for _________, showed up in the ATI case study for anxiety and has suicidal ideation (SI) as one of its adverse effects.
2. Specific antidepressant drug class of the drug named above.
What is Escitalopram? What are SSRIs?
You are an ICU RN with a patient who requires sedation due to intubation and ventilation. The intensivist orders Midazolam (Versed) to be given at 50mcg/min. What's on hand is Versed 2.5mg/mL. At what rate does the RN program the pump at? Give your answer in mL/hr and round the answer to the nearest tenth.
What is 1.2mL/hr?