Labs
What lab is drawn to monitor Heparin dosing?
aPTT and platelets
Before giving Misoprostol, what do we have to do?
Obtain a negative pregnancy test
What should patients on Cyclosporine be taught not to consume?
Grapefruit Juice
Fix this statement:
Acetaminophen treats pain and inflammation.
Acetaminophen treats pain and FEVER.
What would you tell a patient if they were to ask why they are going to receive Alteplase?
What levels will be low in patients with Megaloblastic anemia?
Vitamin B12 and Folic Acid
What should a patient be evaluated for before giving Loperamide?
Infection
*We do not want to stop the patient from having diarrhea if that means the infection will stay in the body
What can we not give to patients on Sucralfate within 30 minutes of administration?
Antibiotics or antacids
Fix this statement:
Interferon alfa 2b works to increase neutrophil production.
FILGRASTIM works to increase neutrophil production.
Pt teaching for administration of Fluticasone
Blow your nose beforehand
When giving a patient Epoetin Alpha, the hemoglobin cannot go above what?
11
Before giving Acetaminophen, what should be evaluated?
Why do patients taking Warfarin need to talk to their doctor before changing their diet?
If they increase the amount of Vitamin K rich foods (like leafy greens) they are eating, it will counteract the Warfarin
Fix this statement:
Patients taking Clopidogrel should report bruising and bleeding to their doctor.
Patients taking Clopidogrel should report EXCESSIVE bruising and bleeding to their doctor.
Smoking while on Theophylline
Do not stop smoking or decrease the amount you smoke without consulting your doctor first
What labs need to be checked before giving Etanercept?
CBC
Kidney function labs
PPD (TB test)
What do we have to be ready for before giving any vaccines or immune sera?
To care for the patient if they have an anaphylaxis reaction
What is an adverse effect with Aldesleukin and Interferon alfa 2-b that needs to be closely monitored for?
Suicidal ideations
Suicidal ideations
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Patients on Epoetin Alpha will commonly need B12 and Folic Acid supplementation.
Patients on Epoetin Alpha will commonly need IRON supplementation.
Patient education needed for patients with a new prescription for Acetylcysteine
How to use a nebulizer
Clean the medication off the skin to avoid breakdown
Keep this in the fridge and away from the light
What labs need to monitored in a patient taking Calcium Carbonate?
Calcium and Magnesium
Before giving any diuretic we want to do what?
Take the patient's blood pressure
What medication can a patient not take Saw Palmetto while on?
Finasteride
Fix this statement:
Acetazolamide is only given in rare situations because it works to on sugar molecules instead of sodium.
MANNITOL is only given in rare situations because it works to on sugar molecules instead of sodium.
Diet education for a patient on Ferrous Sulfate
Eat more fiber
Drink more water
Don't take this with eggs, milk, coffee, tea, or acidic foods
Take this with foods/drinks high in Vitamin C like orange juice