Calcium Channel Blockers
Check these vital signs before administration
What is the blood pressure and heart rate.
All ace inhibitors end in this
What is "Pril"?
Check these before administration of a beta blocker.
What is the blood pressure and heart rate?
What is the abdomen, the thighs and the back of the arms?
Check this therapeutic lab level before administration of Coumadin.
What is the INR 2.0-3.0?
What is dizziness, headache, weakness, fatigue, syncope, blurred vision, nausea, vommitting.
This life threatening condition requires immediate attention.
What is angioedema?
The nurse reads the pt has a history of asthma but during a med review notes the patient has been newly prescribed labetolol. The nurse knows to report this concern to the HCP.
A history of asthma is a contraindication for the use of beta blocker medications due to the potential for airway constriction; therefore, this finding should be reported to the HCP.
You need to give a regular and NPH insulin in one syringe. Tell us the procedure
Cloudy (air) , clear (air, aspirate), cloudy (aspirate)
Nicole (NPH air)
Richy (Regular Air)
Registered (Regular aspirate)
Nurse (NPH aspirate)
Stay away from green leafy vegetables because....
What is vit K is the antidote?
The nurse educates the patient that drinking this can potentiate the effects of cardiac drugs.
What is grapefruit juice?
This symptom is caused by smooth muscle constriction causing bronchospasm. The pt should be educated to not stop taking the medication and speak with their MD if this symptom becomes unbareable.
What is a dry cough?
Check these before administration of a beta blocker.
What is the blood pressure and heart rate?
Your patient’s blood glucose level is 215 mg/dL. The patient is about to eat lunch. Per sliding scale, you administer 4 units of Insulin Lispro (Humalog) subcutaneously at 1130. As the nurse, you know the patient is most at risk for hypoglycemia at what time?
What is 1230?
Onset: 15 minutes
Peak: 1 hour
Duration: 3 hours
Teach the patient to look for at least 3 signs and symptoms of bleeding.
What are tarry stools, bleeding gums, ecchymosis, purpura, petechiae, hematoma, bruising, coffee ground emesis?
A side effect that a nurse may see around the ankles.
What is calcium channel blocker related edema?
What is 3.5-5.0 meq
Tx of a MI is MONA B. Tell us what MONA B stands for.
What is Morphine, Oxygen, Nitroglycerin, Aspirin and Beta Blocker?
Explain how the procedure for high alert and how it relates to insulin.
2 licensed nurses must verify the correct dose and insulin. The insulin syringe must be in the insulin vial for proper identification of the correct dose and type of insulin.
The nurse completes the medication reconcilliation and has cause for concern when the pt is taking coumadin and (name at least 2 other meds which could be contraindicated)
What is aspirin, heparin, Plavix, Eloquis? Or any other antiplatelet/anticoagulant
Describe the sequence of changing positions to prevent orthostatic hypotension.
What is lying to sitting, dangle feet, ask for any complaints of dizziness, then go to standing and assess for the same.
You may not have lab results but need to recognize s/s of hyperkalemia. Name 2 signs and symptoms of hyperkalemia.
What is chest pain, sob, palpitations?
Review this black box warning with the patient so they do not make this mistake.
What is Abrupt withdrawl may cause MI, Ventricular dysrhythmias, myocardial ischemia : must taper dose over 7-14 days?
AC and HS
What is before meals and at night?
The nurse cautions the patient that injury could cause hemorrhaging and mortality. Name at least 3 interventions the pt should take to remain safe.
What is keep area free from clutter, use a call light when they need assistance, use a electric shaver, use a soft bristle toothbrush, wear a helmet, wear a seatbelt, stay away from high impact sports, do not miss MD appts so levels remain WNL.?