CAUTION!!
LABS
SIDE EFFECTS
ACTION!
WHAT DO I DO NOW?
100

A kind of medication that cannot be crushed, broken in half or chewed!!

What is Extended-Release Medications?

100

This lab value monitors the therapeutic treatment of IV Vancomycin and is scheduled to be drawn 30 minutes before the next dose for pharmacy to review and adjust as needed. 

What is a Vanc Trough?

100

Dialysis patient and patients taking narcotics frequently are at risk for developing this common side effect. 

What is Constipation?

100

A medication administered subcutaneously inhibits coagulation in factors and is often gi9ven as VTE prophylaxis to patients in the hospital and after a surgical procedure. 

What is Lovenox or Heparin?

100

You gave your patient oral oxycodone at 1500. At 1530 they call again saying they are still in pain and would like their IV Morphine now. You educate your patient that it may take up to this long to take effect. 

What is 1 hour?

200

TPN Must be given through this type of line. 

What is a Central Line?

200

This lab must be drawn prior to starting antibiotic therapy on patients that meet sepsis criteria.  

What is Blood Cultures?

200

Patients are at an increased risk for developing C. diff while taking this type of medication. 

What are Antibiotics?

200

Levothyroxine is ordered for patients with this diagnosis.  

 What is Hyperthyroidism or overactive thyroid gland?

200

Your patient has LR running continuously at 75ml/hr. They have IV Ciprofloxacin due, and you are unsure if these are compatible to run together. 

What is Utilize Micromedex?

300

You patient has 80mg of Lasix to be given IVP. This is the amount of time it should take to administer the medication.

What is 8 minutes?

300

This lab value is closely monitored while patient is ordered IV Lasix.

What is Potassium and/or serum electrolytes?

300

If your patient is taking this medication the nurse should be more aware and cautious the patient's blood sugar levels especially if they are Diagnosed with Diabetes. 

What are Steroids?

300

Your patient is NPO for surgery. Their morning POC glucose was 75. They are scheduled to receive 20 units of glargine insulin.  

What is Call the Provider?

300

You have a new patient with a diagnosis of Congestive Heart Failure. You notice there are no daily weights ordered. 

What is call the doctor for daily weight order. 

400

You see a warning on the MAR that says "**HAZARDOUS DRUG** Handle according to local facility process". Where would you go to find out the process you need to follow. 

What is Policy Tech or References on the MAR?

400

Your patient's POC glucose is 56 and they are unable to swallow. What medication and dosage would you expect to see based off the critical lab value. 

What is 12.5g of D50?

400

Due to the risk of liver damage, acetaminophen is limited to this mg amount per day from all sources combined. 

What is 3,000?

400

Your patient's POC glucose was checked at 1040. It is now 1145 when you go in to administer their correctional dose of Humalog.

What is Recheck the POC Glucose or Blood Sugar?

400

Your patient received IV Dilaudid an hour ago. At your 30-minute reassessment, you noticed their respiratory rate is now 7 and they arouse only to painful stimuli. 

What is call a RAPID RESPONSE and Administer Narcan?

500

Name 2 classification of medications you would NOT hold prior to a patient going to surgery. 

What are Proton Pump Inhibitors and Beta Blockers?

500

Your patient c/o chest pain with an abnormal EKG. You would expect to see this timed lab draw. 

What is a troponin? 

500

This is a likely serious side effect of Morphine. 

What is hypotension or bradycardia?

500

Metoprolol is due for your patient. Vitals are checked and are as follows: HR-64 and BP-96/40. 

What is Hold Medication?

500

You have a patient that has Digoxin ordered. When checking their pulse, it is <60. 

What is Hold Medication and contact physician?