Other 1
What is the best way to prevent infection
Hand washing
adverse effects sympathetic NS
Mild tremors
Tachycardia
Palpitations
Nervousness
What is important to teach when teaching someone to self administer insulin
Rotating sites
What would you say if you were educating someone on their A1C?
represents average BG over the last three months. Helps determine if someone has DM
Why do we give more than one med when someone has TB?
Help to get rid of TB faster
works at TB from different angles until we know what bacteria is causing the infection
When should I give abx in relation to blood cultures?
After obtaining the culture (wound swab, blood culture)
give the ABX before the results come back (can take 72 hours)
What do antacids treat?
Peptic ulcers, stress ulcers, ht burn
What do you do if you mess something up when giving a medication?
Assess patient
Stop infusion if infusing
treat immediate S/S
Tell MD
Which medications cause increased BG as an adverse effect
corticosteroids
What is Myasthenia gravis
Neuromuscular disorder which leads to weakness of skeletal muscle
What happens if the antibiotic prescribed does not work?
Change the antibiotic being given
Why is it important to educate patients on self medicating antacids
It can cover up underlying causes and continue to cause damage to the esophagus.
Continue to cause peptic ulcers -> GI bleed
What do I give if someone is hypoglycemic
Orange juice
sugar
glucagon
D50
reassess BG in 15 min, monitor S/S
Which insulin can you give IV?
regular insulin only
What is Pyridostigmine (Mestinon) given for?
improve muscle strength and is used to relieve the symptoms of myasthenia gravis
What are neutropenic precautions?
Reverse precautions, keeping the patient safe from infections brought into them from you/outside world
Why would you give more than one medication to treat cancer?
Increase cancer-killing cells
Someone is diabetic and is now NPO. They still have orders to give insulin. What do I do?
Contact the MD and see if they want the medication still given, if so, how much
tell them the current BG
When do you give rapid-acting insulin? Tell me what you would do as a nurse when giving this med
within 15 min of eating
subQ
Make sure they have a meal in front of them and they are going to eat
What is a major adverse effect of flomax
Orthostatic hypotension
What are healthcare-associated infections?
Infections obtained in the hospital setting. Are harder to treat, need multiple or stronger abx
72 hours after being in hospital
What are the normal/adverse effects of chemo?
Why does this happen?
hair loss, bleeding/bruising, GI disturbance
kills rapid growing/changing cells
What would you say when educating a patient about the adverse effects of uncontrolled DM?
peripheral neuropathy
Scarring vascular - BF occlusion
Kidney damage
What difference can the medications be given to type 1 Dm and type 2? Why
DM1 - insulin
DM2- PO and insulin (need to stimulate the insulin receptors)
Why would Phentolamine be given?
when leaking out around IV site and giving vasoconstrictor
used to prevent vasoconstriction at site if exacerbation occurs