Complications?
Hypoglycemia, Hypokalemia, Oliguria
What is Insulin?
In the event of a MI(myocardial infarction), Pulmonary Edema, HTN, or a HTN Crisis you would give this medication.
What is Nitrogylcerin?
Medications given to treat/prevent the formation of clots.
What are anticoagulants?
When giving Dobutamine, you should watch and monitor these parameters closely.
What is Blood Pressure and Urine Output.
Before starting these drips a baseline ptt/aptt are necessary.
What is Argatroban and Heparin?
Bradycardia, Hypotension, Elevated Liver Enzymes
What is amiodarone?
Your patient is experiencing angina, a-fib and is hypertensive.
What is cardizem?
What is an antiarrhythmic? What is amiodarone?
Both can cause bleeding, bruising, hemorrhagic strokes, and can cause the lysis of previous clots.
What is Heparin and Argatroban?
Specific orders are needed before implementing an insulin drip for a DKA patient.
What is fluids, blood glucose checks, k+ level, the protocol order set? (must verify these things are in place before starting the drip or immediately after receiving patient)
A significant drop in PLT(platelets) after starting Heparin can indicate this very serious complication.
What is HIT (Heparin Induced Thrombocytopenia)?
Your patient is experiencing low urine output and as a result is prescribed a low set rate of this medication.
What is dopamine? (low doses promote renal perfusion and will ultimately increase urine output as a result of increased blood flow to the kidneys)
Name the two Inotropes.
What is dopamine and dobutamine?
When a patient is on an insulin drip, I need to monitor these things closely. (what you're monitoring and how frequently)
What is BG every one to two hours based on protocol? What is BMP/CMP/K+/Anion Gap every 4hrs or per provider orders?
This light sensitive medication should be hung away from direct sunlight and possibly hung with a black/ brown bag hanging over it when being administered.
What is nitroglycerin?
Peripheral Edema, Bradycardia, Hypotension, Heart Block (increased risk if more than one BP medication is being used)
What is Cardizem?
Anticoagulant given in the presence of HIT
What is Argatroban?
Cardizem falls into two categories. What are they?
What is a CCB (calcium channel blocker) and an antiarrhythmic?
When giving Cardizem you should be monitoring for a few things.
What is Heart Rate, Blood Pressure and ECG changes?
When administering this medication, it can not be y-sited with dextrose containing solutions.
What is dobutamine?
Headache, Hypotension, Edema, Angina, Worsening of Right Sided Heart Failure
What is nitroglycerin?
Your patient recently had heart surgery, and is currently in Heart failure and is now showing signs of cardiogenic shock.
What is dobutamine?
Nitroglycerin typically affects the veins but also has affects on the coronary arteries.
What is a vasodilator?
This medication can cause tachyarrythmias (a-fib, vtach, or sinus tach), angina, palpitations, and tisue necrosis if extravasation occurs.
What is Dopamine?
1mg/min for 6hrs and then 0.5mg/min for 18hr minimum. Switch to PO form before discontinuing drip.
What is amiodarone?