Oxygen/Head Injury
If a client i sitting at 91% oxygen and has chest pain and SOB, what do you do?
Give oxygen
What is the first, second, and third line of treatment for MI?
1. Aspirin
2. Nitroglycerin
3. Morphine sulfate
Which one is a priority?
PRIORITY = deep tendon reflex impairment
hypotension, bradycardia, respiratory depression
What medication is given when pt arrives unconscious from an known drug?
Naloxone
When giving glucagon, how does the nurse know that administration has been effective?
Coma is resolved
blood sugar starts to return to normal (from hypoglycemia)
When is oxygen needed for pts?
If O2 sat is 92% (or below) and has chest pain and SOB, give oxygen
True or False: you should give high performance CPR before giving cardiac drugs
TRUE !
Adverse effects of Amiodarone
What should you do if pt has these AEs?
hypotension, bradycardia
Decrease the dose
What should you always monitor when giving cardiac drugs?
Continuous cardiac monitoring
What are the different types of shock?
brownie points if you can name the drug to treat each one ;)
- Hypotensive shock (1st line: dopamine and dobutamine, 2nd line: norepinephrine)
- Anaphylactic shock (epinephrine, albuterol, diphenhydramine)
- Insulin shock (dextrose 50%, glucagon)
What drug is used to treat cerebral edema and reduces ICP?
Mannitol
Adverse effects of Nitroglycerin and what should you do?
Hypotension, bradycardia, tachycardia
Notify the physician
What med contraindicates nitroglycerin?
Erectile dysfunction meds
When giving a verbal order during an emergency situation, what should the nurse do prior to administering the dose?
Read the order back and confirm it
Pull med and check to make sure it matches the order
Two nurse check if required
Administer and document
Side effects of epinephrine
Excitability, fear, anxiety, restlessness
What should you do if serum osmolality exceeds 310-320?
HOLD MANNITOL
What is the first, second, and third line of treatment for supraventricular tachycardia?
1. Adenosine
2. Diltiazem
3. Procainamide
What should you monitor when administering lidocaine?
Monitor for lidocaine toxicity
Continuous cardiac monitoring
What is the antidote for…
1. All opiate drugs
2. Benzodiazepines
3. Ingested toxins
1. Naloxone
2. Flumazenil
3. Activated charcoal
Adverse effects of albuterol
AEs: tachycardia, tremor, nervousness, dysrhythmias, HTN
What should you do if O2 sat is 100%
Titrate down to avoid over oxygenating
How should you administer morphine sulfate?
Adverse effects?
PUSH SLOW over 1-5 minutes, repeat if chest pain is not relieved
AE: respiratory depression and hypotension (Naloxone is antidote)
s/s of lidocaine toxicity
What should you do if pt has lidocaine toxicity?
confusion, drowsiness, hearing impairment, cardiac conduction defects, myocardial depression, muscle twitching, seizures
Notify the physician
How should a pt take aspirin for chest pain?
Chew the tablet
What should you monitor while giving Albuterol?
Monitor breath sounds and subjective feelings of respiratory depression