medsurg
Which vein is most commonly used for peripheral IV therapy in adults?
Cephalic
What is the purpose of an antagonist drug
Blocks or reduces the effects of neurotransmitters, hormones and other drugs.
PH- 7.22 PaCO2- 49 HCO3- 24 What is this patient in? Is this compensated?
Respiratory Acidosis uncompensated b/c my HCO3 is in normal range
What is the best action for a nurse assessing a 2yo child to ensure comfort?
Allow child to sit on parents lap while perfoming assessment.
What gauge IV is commonly used in surgery with adults?
18 gauge
20 gauge
How does the antagonist medication work?
By binding to receptor cells without activating them.
PH- 7.42 PaCO2- 32 HCO3- 18
Fully compensated respiratory alkalosis
Which behavior expected for a 3 yo in the hospital?
They may believe their illness is a punishment for past behavior.
When preparing for venipuncture, the nurse should apply the tourniquet...
Apply the tourniquet 3-6 inches above the insertion site.
What is the difference between an agonist drug and antagonist drug?
They have opposite actions. Agonist triggers receptors to produce a natural response. Antagonist blocks the natural action or response of the receptor.
PH- 7.37 PaCO2- 33 HCO3- 17 What is this patient in?
Partially compensated metabolic acidosis
A 3 yo with croup has a heart rate of 90, a respiratory rate of 44, and a temp of 98.8 f. Which finding is abnormal?
Respiratory rate, normal 20-30
If an IV flow is sluggish the nurse should...
Reposition the extremity
What are some example agonist medications?
Morphine, codeine, Heroin, Oxycodone, Fentanyl, Meperidine
PH- 7.40 PaCO2- 47 HCO3- 25
What is this patient in?
What disease process do we see with this ABG?
Fully compensated respiratory acidosis
COPD patient
An infant weighs 7.5kg and is ordered to receive ampicillin 25mg/kg I.V. How many milligrams should the nurse administer per dose?
187.5 mg (25 mg X 7.5 kg
If blood backs up into the IV tubing the nurse should?
Elevate IV bag to restore gravity flow pressure.
What are the top 5 prescribed agonist medications for chronic diseases?
Atorvastatin, Metformin, Lisinopril, Amlodipine, Levothyroxine
What are the 4 markers for sepsis?
Elevated body temp
Elevated heart rate
Elevated respiratory rate
Abnormal white blood count high (leukocytosis) or low (severe leukopenia, poor prognosis)
A child is taking Lasix for congestive heart failure. What should the nurse teach the parents regarding this medication?
It's a diuretic that helps remove excess fluid.