Who am I?
I am an antiemetic, with a pH around 3. At BH I can only be given PO, IM or IV. If given IV I need to be diluted in a minimum of 50mL diluent. Who am I?
Phenergan
What is a vesicant?
Highly corrosive agents. Ex: Potassium, levophed
There are 2 IV types that LPNs may access and take care of. What are they?
PIV and Midlines
When administering potassium through a peripheral line, what is the max concentration and the max rate?
-Max concentration of 10 mEq/100mL
-Max rate of 10 mEq/hour
*Anything higher requires a central line and telemetry*
When looking the MAR at a medication order, what does the red stop sign mean in the right hand corner?
Pharmacy still needs to verify
I am an important electrolyte in the body. I help with the transmission of nerve signals, muscle contractions, and fluid balance. When given as a replacement, I can cause burning at the site, and if given too fast or too much I may cause a lethal rhythm. Who am I?
Potassium
I am uncontrolled bleeding at the insertion site that forms a lump. Who am I?
Hematoma - This is caused when the catheter punctures the vein wall, the tourniquet is left on or is too tight or there is insufficient pressure on the IV site when removing the catheter.
To give the BH-approved IV medications, LPNs must complete what class?
LPN IV
When looking the MAR at a maedication order, what does the red stop sign mean in the right hand corner?
Pharmacy still needs to verify
What are safety features in place for look alike sound-alike drugs?
Tall man lettering, LASA drugs are segregated in storage areas, cautionary labels, and pop-up warnings in medication stations.
I am a broad spectrum antibiotic that is given IV piggyback. One of the biggest complications/risk is Red Man Syndrome. That lab needs to be checked regularly with administration?
Vanc trough
A common side effect of potassium is burning. Is it OK to stop or slow the infusion down?
NO- you must have an order to change the medication. Call the physician and notify them of the patient's symptoms.
If an antibiotic needs to be hung on a patient with a CVAD, is it ok to delegate this task to the LPN?
No, LPNs may not do any skills or give medication associated with a CVAD according to BH policies.
When administering diuretics what electrolytes need to be monitored?
Potassium and Magnesium
What are the conditions for a patient being allowed to drink alcohol while admitted in the hospital?
A physician's order, the family is responsible for bringing it, the alcohol is sent to the pharmacy and they will dispense it according to the physician's order.
I am an NSAID commonly given IV push. Dose may be ½ normal dosage for geriatric population. I am contraindicated in those with a kidney disorder or history of bleeding. Who am I?
Torodol
While giving an antibiotic your patient develops hives. What do you do?
Stop the medication, notify the physician and pharmacy, and complete a HERO
True or False: An LPN may verify blood as long as there is an RN as the initial nurse signing off on it.
TRUE
With this medication you should anticipate an increase in glucose levels and you need to be sure to push it slow.
Solumedrol
If a patient is receiving Parenteral Nutrition (TPN) what news to be changed every 24 hours?
Bag of TPN, tubing, filter, and needle less connector
I am a diuretic that can be given PO, IVP or hung as a drip. If I am administered too fast I can cause ototoxicity and renal failure. Who am I?
Forosemide
If your patient is on coumadin or warfarin what medications and type of foods do you need to be mindful of and why?
Foods high in vitamin k( Keep you vit k intake consistent) , limiting alcohol and cranberry juice * they can enhance the anticoagulant effect)
NSAIDS
According to BH policy, are LPNs able to give IV push medications to those under 18 years old?
No
If giving magnesium oxid (mag ox) through an NG tube/Peg tube, why should you call pharmacy to see if it can be given IVPB?
It will not dissolve
What is something that you can do to help ensure the patient receives their home medications?
Get the patients Medication History including the pharmacy that they use. Some campuses have a med rec technician .
It is the responsibility of the provider to complete the medication reconciliation.