Insulins
3 characteristics of insulin
onset, peak, duration
available forms of oral potassium chloride
Elixir (liquid), effervescent tablets, capsules, tablets
Anticoagulant Drugs
warfarin (Coumadin) – it’s a Vitamin K antagonist
Unfractionated heparin IV or SQ – indirect thrombin inhibitors
Low molecular weight heparin SQ – indirect thrombin inhibitors
F&E excreted by Lasix
Water, sodium, chloride, magnesium, potassium & calcium
Cardiac glycoside uses
A-fib, HF
4 main classifications(types) of insulin
Rapid Acting, Short Acting, Intermediate Acting, Long Acting
IVP potassium
NO. Can IVPB
PT/INR results
max dosage of Lasix/day
600mg/day
Measurement form used with digoxin(Lanoxin)
mg or mcg
0.125 mg = 125 mcg
IV insulin
Regular
Peaked T waves and muscle cramps
Hyperkalemia
Benefits of anticoagulant therapy
To prevent extension of existing clot
To prevent formation of new clots
PreAssessment with Lasix adminstration
assess current BP, lab work and trends trends for BP, lab work PRIOR to administering Lasix?
IV digoxin requirement
cardiac monitor
Insulin(s) given per Sliding Scale
Regular(short acting)
Maximum infusion rate per hour for IV potassium
10mEq/hour
heparin antidote
Protamine sulfate
Lasix effect on vital signs
Drops blood pressure
therapeutic range of digoxin(Lanoxin)
0.8-2ng/ml
Minutes before consuming meal Rapid acting vs Regular acting insulin
5-10mins rapid
30 mins regular
Treatment for hyperkalemia
Insulin & glucose or Kayexalate
Heparin onset
Immediate
Usual dosage for furosemide
20-80mg/day
Toxicity of digoxin(Lanoxin)
Abd. pain, anorexia, nausea & vomiting, visual disturbances, bradycardia, conduction defects (AV nodal blocks