Module 1
Signs of Vitamin A toxicity?
Irritability
Drowsiness
Vertigo
Delirium
Vomiting
Peripheral Line
Why might TPN not be available?
Order has to be in by noon
Lost the central line
When histamines are released
What category of drugs are used for non-productive cough?
Antitussives
Hypertension
Weakness
Dry mouth
Anorexia
Metallic Taste
N/V
How much dextrose can go into TPN?
10-50%
What labs do you run for a patient who has TPN and how often?
CMP
24 hours
What happens when the mast cells and basophils start to release Heparin while the patient is in anaphylaxis?
The patient will not recover
What is Fluticasone used for?
Nasal decongestant
Signs of Vitamin K toxicity?
Jaundice and Cardiac Irregularities
How much dextrose can go into PPN?
Less than 10%
What is a complication of PPN?
Fluid overload
IV site infiltration
What are the symptoms of anaphylaxis?
Hives
Angioedema
Wheezing
Tachycardia
Hypotension
GI problems
What are common symptoms of Asthma?
Wheezing
Coughing at night
Bronchoconstriction
Chest pain
Common Cold/Allergies
Labored breathing
Signs of Toxicity of Vitamin C?
N/V
Abdominal Pain
Headache
Increase change of stone formation in Kidney
What might a patient need TPN?
Non-working GI tact
Complete bowel obstruction
Oncology
Abdominal surgery
Can't have oral nutrients for more than 5 days
What should you monitor with both TPN and PPN?
Glucose
What is sedating antihistamine?
Benadryl
What causes intrinsic asthma?
Respiratory Illness
How is TPN put in?
Central Line
Why might a patient need PPN?
When TPN is not available
Short term use
Who would you not give cold medications to?
People taking antihypertensive
Kids under the age of 6
What is non- sedating antihistamine?
Claritin
Allerga
What causes Extrinsic asthma?
Allergens