Med Math
A nurse is preparing to administer haloperidol 2mg PO q12h. The amount available is haloperidol 1mg/tablet. How many tablets should the nurse administer?
2mg X 1tab/1mg = 2 Tablets
Difference between type 1 and type 2 diabetes
Type 1 diabetics are insulin dependent and this can't be cured. The pancreas does not make insulin. Type 2 diabetes can be managed with diet changes, some oral medications, and lifestyle changes
Matching somatostatin, insulin, glucagon
hormone that increases blood glucose levels (restores starch in the liver)
promotes movement and storage of carbohydrate, protein, and fat
inhibits release of glucagon and insulin from pancreas
•Glucagon—hormone that increases blood glucose levels (restores starch in the liver)
•Insulin—promotes movement and storage of carbohydrate, protein, and fat
•Somatostatin—inhibits release of glucagon and insulin from pancreas
What are the most common fractures associated with children?
clavicles. type of fracture spiral/greenstick
When would you collect a CMP vs BMP?
BMP just looks at electrolytes and CMP looks at liver function also
A nurse is preparing to administer furosemide 80 mg PO daily. The amount available is furosemide oral solution 40mg/5ml. How many mL should the nurse administer? round to the nearest whole number
80mg X 5mL/40mg = 10mL
Hyperglycemia
What endocrine changes are associated with aging?
reduced glandular function
decreased hormone secretion
What are the 5Ps when assessing neurovascular status?
pain, pallor, pulselessness, paresthesia, paralysis
What progressive neurodegenerative disease is associated with too much ACH and not enough dopamine?
Parkinsons Disease
15,000units X 1mL/20,000units = 0.75= 0.8mL
lispro/humalog
regular
NPH
Lantus
lispro 15min
regular 30-60min
NPH 2-4 hr
Lantus 2-4 hr
What cells is insulin made in?
Islet cells
A patient is admitted to the hospital with manifestations including frequent fractures, short stature, blue sclera and spinal/long bone deformities, what congenital defect do they most likely have?
a) osteoporosis
b) osteomyelitis
c) Legg-Calve-Perthes Disease
d) osteogenesiis imperfecta
Explain the differences between inflammation and infection
Inflammation can be present without infection but an infection usually triggers inflammation.
A patient who weighs 60mg is getting a drug at 2mg/kg. The strength available is 40mg/2ml. How many mLs will the nurse administer?
60x2=120 120mg/40mg X 2mL = 3x6 = 6
What are some teaching points for people learning to administer their own insulin?
know sliding scale or doctors orders for amount of insulin. What signs to watch for hypo or hyper glycemia.
rotate insulin administration sites
sites commonly used are abdomen and upper arm
too much insulin can cause hypoglycemia so double check amount carefully
What age is considered early puberty for girls/boys?
before 8 for girls and before 9 for boys
A patient presents to the ED with digestive issues including weight loss, diarrhea, abdominal pain, and malabsorption. The doctor orders a colonoscopy/EGD to determine dx. On scan strictures and ulcerations are found. What do you think these symptoms are consistent with?
a) ibs
b) stomach flu
c) crohn's disease
d) pancreatitis
c) crohn's disease
What precautions would you take for someone admitted to the hospital with an MS flare up?
Fall risk due to muscle weakness-bed alarm, adequate lighting, nonslip socks
A provider orders 800mL of NS over 10hr. The drop factor is 20 drops per mL. How many drops per minute should be given?
800/10=80mL/1hr 80/60min=1.3333mL/min
1.33333mLX20gtt= 26.6= 27gtt/min
What are manifestations of hyperglycemia?
abdominal/chest pain
nausea/vomiting
fruity breath smell
decreased LOC
Kussmaul respirations
Graves Disease
What teaching would you give to older adults dealing with osteopenia? select all that apply
avoid risky lifestyle behaviors
vitamin D and calcium supplements
participate in weight baring activities such as walking
avoid use of tobacco/alcohol
All!
Explain immunity
protection from illness or disease that is maintained by the bodys physiologic defense mechanisms.