Titration
The meaning of titration is
What is adjusting an IV medication dose within ordered parameters.
Per Policy you can administer digoxin to a patient so long as the heart rate is greater than ____ beats per minute.
What is 50? (unless the order specifies different)
Anticoagulants are used to prevent
What is clot formation or clotting?
For patients receiving diuresis it is important to track their response to therapy using these 2 techniques.
What is Monitoring Strict I/O and Daily Weights?
If you have to hold or stop an IV drip infusion you must obtain
What is an order from the provider?
Frequently titrated IV infusions can only be administered in this care setting.
What is Critical Care (ICU) units
Adenosine cannot be administered outside the ICU or PCU except during this event.
What is a code blue or rapid response?
Your patient took Apixaban (Eliquis) at home and now you have to start them on a heparin drip. You would draw this lab to start the infusion.
What is aPTT for the first 48 hours then switch to anti-Xa.
When administering furosemide (Lasix) IV push if you give more than 40mg per 12 hours the patient must be placed on...
What is cardiac monitor/telemetry?
IV drip initiation and dose/rate changes are documented here?
What is the MAR?
The highest frequency of monitoring that can be ordered on a M/S level patient
What is every 2 hours.
Amiodarone is used for treatment of which common non life threatening arrhythmia?
What is Atrial fibrillation (A-Fib)?
What is the frequency of lab monitoring for a patient on a Heparin drip after initiation is
What is q6 hours?
Lasix IVP can be administered on any M/S unit. The drip can only be administered on ACCU if it is not...
What is titrated?
This resource can be used to look up medications and run IV compatibility reports
What is Lexicomp?
In emergent situations, a medication that requires ICU level monitoring can be initiated on a M/S unit with the support of these care teams
What is the Rapid Response and Code Blue Teams.
A special consideration for patients receiving IV amiodarone is
What is telemetry monitoring
These baseline labs must be drawn prior to heparin drip initiation if not drawn within the last 24 hours. Name 3.
What is aPPT/PT, INR, LFTs, and/or CNC with platelet count?
Milrinone (Primacor) is incompatible with this commonly used loop diuretic
What is furosemide (Lasix)?
Dobutamine (Dobutrex) is an inotrope that can only be given through this type of line.
What is central line?
According to policy MedSurg nurses can administer this titratable medication for treatment of diabetes on any M/S unit.
What is Regular Insulin
The bolus dose of amiodarone is usually _____ mg.
What is 150 mg?
After 2 consecutive therapeutic levels lab times can be adjusted to...
What is Daily (qAM)
Dr. orders milrinone (Primacor) 0.375mcg/kg/min for your patient. Pharmacy sends you milrinone 20mg in 100mls. Your patient weight is 79 kg.
What rate do you start your drip? (ml/hr)
What is 8.89 ml/hr?
Dopamine is a vasopressor that can be given in ACCU. If the dose is greater than this amount the patient must be transferred to ICU
What is 5mcg/kg/min?