Check Labs
What lab should you check with Lithium?
Sodium
If sodium is low patient will not excrete Lithium, and patient will suffer from lithium toxicity
What organ is affected with Tylenol?
Liver
Patient has pain 6 out of 10
pain of a 8-10 can get narcotics
Patient taking Tetracycline should avoid
MILK
Your patient is taking 20mg of Atorvastatin. MD calls patient and tells patient to increase the Atorvastatin to 40mg. Patient has on hand 20mg tablets. How many tablets should the patient take?
40mg=doctors order
divided by
20 mg supply on hand
Answer=2 tablets
What labs should you check for patient that have liver failure?
LFT's (liver function test)=
AST and ALT
What organ is affected with ibuprofen?
Kidneys
Patient has high cholesterol
medications that end with STATIN
Ex: Atorvastatin, simvostatin
Patient taking Tylenol should avoid eating
Grapefruit juice
You have an order to administer 40 mg of methadone (Dolophine) SC for opioid detoxification. You have on hand 30 mg/mL. How much should you draw into the syringe? Fill in the blanks. Record your answer using one decimal place.
40mg/30mg x 1 ml=1.3ml
Answer=1.3 ml
What lab should be check for patients with kidney issues
Creatinine (checks kidney funtion)
What organ is affected by Atorvastatin
WITH STATIN'S you need to check LIVER FUNCTION
Patient is having an asthma attack
Albuterol (bronchodilator)
Atrovent (clears out mucous)
Steroids (ex: prednisone)
With asthma 3 things occur. Patients bronchioles get inflammed/mucous builds up in the lungs/and muscles around the bronchioles tighten
patient taking iron should avoid eating
milk
A health care provider orders Heparin 7,855 units subq bid; Available: Heparin 10,000 units per ml. How many mL will you administer? Fill in the blanks. Record your answer using two decimal places.
7855 divided by 1000=0.7855
round to 2 decimal places
Answer=0.79ml
What labs are important to checking when patient is taking furosemide (Lasix)?
ESPECIALLY POTASSIUM!, Sodium
Anti-seizure medications such as
Carbamazepine, Dilantin, lamotrigine
affect with organ?
Liver
Patient is having an anaphalactic reaction
EPI
Benadryl (reverse histamine reaction of the body)
Steroids (help with inflammation)
Put patient on a cardiac monitor and monitor HR, BP and Respiration
Patient may rebound (meaning symptoms make come back) when EPI wears off. Therefore, patient should be monitored for at least 2-4 hours after EPI administration
Patient taking an MAOI should avoid eating
foods with tyramine
(aged cheese, pepperoni, chocolate, avocado, wine, yeast, beer)
A health care provider prescribes meperidine (Demerol) 50 mg IVP q 6 hr prn pain. Available on hand is meperidine 75 mg/1.3 mL. How many mL will you administer? Fill in the blanks and record your answer using two decimal places.
50/75 x 1.3= 0.866666667
Round to 2 decimal places
Answer=0.87ml
What lab should be monitored for a patient taking Digoxin?
Potassium
If patient has low potassium (hypokalemia) patient will retain digoxin and suffer from digitalis toxicity.
Diuretics like hydrochorothiazide, furosemide, and spironolactone affect with organ
kidneys
Patient has chest pain
Aspirin = platelet aggrevator (will not let clots increase in size and will prevent other clots from forming)
Oxygen!
Morphine=to help decrease cardiac output (prevent heart from working so hard)
Nitroglycerin=vasodilator (CONTRAINDICATED IF PATIENT IS TAKING SEXUALLY ENHANCING DRUGS)
Ex: green leafy vegetables
A primary healthcare provider ordered ceftriaxone (Rocephin) for a 4-year old child with lower respiratory tract infection. The dose required is 20 mg/kg/day divided twice a day, administered per dose via IV. The child’s weight is 44 lbs. The drug comes prediluted in a concentration of 10mg/ml. How much of the medication will you administer in mL? Fill in the blank and record your final answer using one decimal place.
44lbs=20 kg
20kg x 20mg=400mg PER DAY!
400mg per day is a total of 40ml
order wants for BID so calculate PER DOSE
40ml/2 (BID) =20mls per dose!