Female and Male Reproductive
This is the reason adolescents taking testosterone must have x-ray testing.
What is early closure of skeletal epiphyses?
You need to review ALL the patient teaching for testosterone
When ADH is not produced at an appropriate rate this medication is needed
Desmopressin
Remember fluid and electrolytes must be monitored
This is the antidote for narcotic medication.
What is naloxone?
Know this medication and review the pre-, intra-, and post-administration implications for the nurse.
This is the therapeutic serum level for phenytoin (Dilantin).
What is 10-20 mcg/mL?
Must not consume this while taking metronidazole
Alcohol
A female patient taking oral contraceptives to prevent pregnancy was just prescribed tetracycline (an antibiotic). What patient teaching would be important to review?
What is "use a back up method of birth control"?
See ppt slide 15 - there are medications that decrease the effectiveness of oral contraceptives
When the patient is on Metformin and has a CT ordered this must be done.
Stop Metformin 48hours before and after the CT
What is Reye's syndrome?
This medication is given to treat malignant hyperthermia.
What is dantrolene?
After being on ART the CD4 count is increasing and the viral load is decreasing this indicates
ART is effective
Oral contraceptives with higher doses of estrogen increase the risk for this complication.
What is thromboembolism? Thromboembolisms can cause myocardial infarction, stroke, and DVT
Your patient is on Levothyroxine you must educate them to
Take this medication in the morning on an empty stomach and with only water.
Remember this is for hypothyroidism. If the patient levels get to high have s/s of hyperthyroidism
Acetaminophen (Tylenol) has a max out dosage and the nurse must be aware of this! Too much acetaminophen can lead to this deadly consequence.
What is liver failure?
This drug class is the first line treatment for status epilepticus (remember the patient is actively seizing).
Make sure you can name which drugs in this class are used to treat status epilepticus.
These patients should not take any live vaccines.
Pregnant women, immunosuppressed patients, and transplant patients
What is decreased bone density?
This can lead to osteoporosis! Educate the patient on weight-bearing exercise and calcium/vitamin D supplementation
A long acting cloudy insulin and rapid acting clear insulin are mixed you will do this to mix them
Draw up clear and then draw up cloudy
Migraine medication can be abortive or preventative. What is the difference between abortive and preventative?
Abortive means the medication is taken when a migraine starts happening, while preventative is taken on a daily basis to prevent the migraine from happening.
Sumatriptan is the one you need to know. Make sure you know how to educate the patient on when to take it, side effects, and adverse reactions.
What does the AWAKE acronym stand for when learning about Modafinil?
Arrhythmias, Wakefulness, AST/ALT, Know to take in the morning and Eliminate alcohol.
Be sure to review this medication and the side effects.
The patient must take these medications to avoid rejection of transplant
Cyclosporine and Sirolimus
Remember Corticosteroids may be added if needed.
Review Clinical judgement for these
What does ACHES stand for when reviewing the serious complications of oral contraceptives?
See the slide listing further details and assessment for each
Hypoglycemic treatments include
The 15-15 rule give 15 grams of carbs and repeat sugar in 15 min.
Only give patient oral intake if alert and awake
Use glucagon if the patient is unresponsive
Review PowerPoint slide 24 for chapter 50
This medication treats gout by blocking xanthine from becoming uric acid.
What is allopurinol?
A patient is ordered to receive levetiractam (Keppra) IV dose of 1000 mg q day. The medication is available 1000 mg in 100mL. The infusion must be given over 15 minutes. What would the nurse set the pump infusion rate in mL/hr? (Round to the nearest whole number)
What is 400 mL/hr?
Rationale: We know 100mL/hr would be ONE hour
Take 100mL divided by 15 minutes
Then times by 60 minutes (because 60 minutes in one hour)
OR
100/0.25 = 400
(0.25 because 15 minutes is one-fourth of an hour)
Dr. Behr offers Med Math Tutoring on Tuesdays or by appointment.
If you need more help:
Education in these areas must be provided to avoid infection with neutropenia
Hand hygiene, Food prep, gardening vaccinations, Signs of infection.
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