Med Math -_-
Order: Morphine 7.5 mg PO now
Available: Morphine 15 mg tablets
Q: How many tablets will you administer?
A: 0.5 tablet
Needle angle for SC injections?
45–90 degrees
Needle angle for IM injections?
90 degrees
Which oral meds should never be crushed?
Extended-release or enteric-coated
Priority assessment before giving an opioid?
Priority assessment before giving an opioid?
Order: Prednisone 20 mg PO daily. Available: 5 mg tablets. How many tablets do you give?
4 tablets
Maximum volume for most SC injections?
0.5-1ml
Max fluid per IM injection: deltoid?
1 mL
Where should transdermal patches be applied?
Transdermal patches should be applied to clean, dry, intact, and hairless skin on a flat surface, such as the chest, back, upper arm, or flank, to ensure proper absorption. Rotate application sites to prevent irritation, avoiding areas with scars, burns, or excessive ha
Name 3 symptoms of hypoglycemia and 3 symptoms of hyperglycemia
Hypoglycemia (low blood sugar) causes rapid, acute symptoms like shakiness, sweating, fast heartbeat, hunger, and dizziness. Hyperglycemia (high blood sugar) usually brings gradual symptoms, including extreme thirst, frequent urination, fatigue, blurry vision, and headaches.
A child is prescribed Amoxicillin 250 mg PO q8h. Available: 125 mg/5 mL. How many mL will you administer per dose?
Solution: 125 mg / 5 mL → 25 mg/mL
250 ÷ 25 = 10 mL
Answer: 10 mL
What is the priming volume for SC med port? Saf Intima
0.3mls
Max fluid per IM injection: ventrogluteal?
2-3mls
You have 3 medications to give via G-tube. How should you administer them?
Crush as needed, give one at a time, flush with ordered flush volume (pre and post flush with fluid) (check doctors orders) between each medication
What drug reverses opioid overdose?
narcan
Hydromorphone 1.5 mg sc q4h PRN pain. Available: 2 mg/mL. How many mL do you give?
0.75 mL
Why is site rotation important for SC injections?
To prevent tissue damage and ensure consistent absorption
Patient is tense for a painful IM injection. How do you minimize discomfort?
Z-track, slow injection, correct site, distract patient, inform patient
A patient’s G-tube is clogged after giving a medication. What is your immediate nursing action?
A patient’s G-tube is clogged after giving a medication. What is your immediate nursing action?
A patient uses a metered-dose inhaler (MDI) incorrectly and complains that it “doesn’t work.” What is your nursing action?
Re-teach proper technique, provide a spacer if needed, observe the patient using it again
Order: Digoxin 0.125 mg PO daily. Available: 250 mcg tablets. How many tablets do you give?
0.5 tablet
You mix insulin: NPH (cloudy) and Regular (clear). Which do you draw up first?
Clear insulin (Regular) first
When giving an injection into the deltoid what is the needle gauge most often used.
20-25g/2.5-3.8 cm
21-23 g most common
Call pharmacy, state that you need a liquid formulation of medication, you can't crush enteric coated meds
You are teaching a patient about a new inhaler, and they ask, “Do I need to hold my breath after I breathe in?” What do you say?
Yes, instruct them to hold breath for 10 seconds after inhalation to improve absorption