Movers and Shakers
2 things to teach for phenytoin
take at same time, gum care, signs of toxicity
Treatment for H. Pylori must include
PPI and antibiotics
signs of too much levothyroxine
insomnia, sweating, anxiety
signs of c diff, and how do we prevent it?
Signs: recent ATB, foul odor, liquid stools, orange stool, mucousy stool
Prevention: probiotics, self-isolating if immunosuppressed
2 indications for lactulose
constipation and hepatic encephalopathy/liver disease (to decrease ammonia levels)
How to give phenytoin IV
Slow, only with NS
Ondansetron side effects
dizziness, lightheadedness, headache, sweating, irritability
labs to monitor for levothyroxine
T4, TSH
consider what we want the labs to do
pt teaching for constipation
fiber, water, exercise, normal bowel patterns
how does metoclopramide work
increases gastric emptying and GI motility
2 indications for gabapentin
seizures, neuropathic pain
bismuth subsalicylate interactions
antacids, ASA, caution with other meds that cause bleeding
anti-thyroid med teaching
avoid iodine, alcohol. Report signs of bleeding or infection
meds for bowel prep example
osmotic laxatives like polyethylene glycol or mag citrate
slow, dilute with NS
most important teaching for all seizure meds
Take them!
indications for sucralfate
Ulcers
levothyroxine teaching
same brand, take am on empty stomach, no meds with it
treatment advice to patients on antibiotics with diarrhea
probiotic
Locations for IM injections
deltoid, ventrogluteal
Drug of choice for status epilepticus
Give an example of a patient who would get IV nausea med instead of PO
Intubates, Bowel Obstruction, Throwing up
fludrocortisone side effects
postural hypotension, sweating, increased hair growth
directions for fiber laxatives
take with full glass of water, expect results in 24-72 hours, may take daily
Order: Give 4 L of NS over 24 hours. First bag is hung at 10 am, what time will the nurse expect the second bag be hung? (use 24 hour/military time)
1600