Antidote #1
apixaban (eliquis) + rivaroxaban (xarelto) antidote
what is AndexXa
dabigatran extexilate (pradaxa) antidote
what is praxbind
SULFA medication nursing considerations
Need another birth control, avoid sunlight, observe nausea/vomiting (deadly diarrhea), monitor kidney function (kidney/ear relation + tinnitus)
SKIN RASHES - Steven johnson
SS of infection post operatively - fix time -
Fever, chills, redness, discharge, inflammation, pain
INR Values (4)
Normal: 1.3-2.0; Treated: 2.0-3.0; Valve: 2.5-3.5; Critical: 4.0-5.0
Inhaler administration guidelines
Signs of hypoglycemia
What is fatigue, lightheaded, unsteady, slurred or incoherent speech, confusion
- Cold and clammy, need candy -
warfarin (coumadin)
what is vitamin K
heparin medication antidotes
what is protamine sulfate
Dilantin antidote
What is phentolamine
patient education regarding phenytoin (dilantin)
Digoxin therapeutic levels
0.5-2.0 lower for HF higher for a-fib
Pt has developed a erythematous rash that has spread through the body, the nurse recognizes the situation and next steps
If on Vanco it is a reaction, IV rate is too fast. Stop, may give EPI, wait 30 minutes and go again slowly. Watch for angioedema and other anaphylaxis signs.
KIS is an acronym for electrolytes found in the cells, it stands for?
What is potassium, insulin and sugar
- need all three, can use this in many situations to manipulate electrolytes in ER situations -
digoxin (lonaxin) antidote
magnesium antidote
calcium gluconate
Signs of an opioid overdose and the antidote given
Decreased respirations <12, confusion, shallow breathing, LOC, decreased O2
Naloxone (Inhaled then IV - story time -)
The proper preparation of phenobarbital
What is shaking for 5 minutes
_ is given for anticholinergic drug poisonings
what is physostigmine
Treatment of an asthma attack in the ER (what does each medication do)
What is nebulizer with albuterol (bronchodilator)
IV prednisone or other steroid (anti-inflammatory) pt should be weaned off asap (2 weeks max)
Signs of hyperglycemia
What is fruity breath, tachycardia, weakness, impaired mental state
- mucosa dry, sugar high -
metoprolol (lopressor) antidote
glucagon
cholingergic (muscarinic) antidote
The antidote for acetemetophin is _ without it there can be severe _ damage.
What is Acetylcysteine and liver damage
-cycline medications should never be
GIVEN IF EXPIRED
(also patients should watch for its interactions with calcium, renal toxicity, and sun exposure)
_ is given for a pt with a betablocker overdose
This should always be done before administering an inhalor
Check the expiration and how many puffs are remaining
- as a student you can never give an expired medication, in an emergency it could work
Short acting insulin, onset 15-30 minutes
What is insulin lispro (humalog) and insulin aspart (novolog)
epinephrine antidote
what is phentolamine
-stigmine antidote
what is atrophine
These 4 medications have multiple interactions and you should watch administration - FIX -
Erythromycin, Tagamet, Coumadin, Dilantin
Proper administration of nitro medication
Inhale/Under tongue at first sign of angina, give every 5 minutes 3 times. If no change call 911.
Stored in dark container, pills last 6 months, have a barf bucket ready
HB1C level to diagnose diabetes
> 6.5 %
5 is 97; add ~ 29 to go up another number
S/S of Steven Johnson syndrome AND medications that can cause it
Sore throat, blister/bruises, eyelid swelling
Penicillin, Sulfas, Some seizure meds, Allopurinol (gout attacks), Non-steriod anti-inflammatory medications
Long acting insulins
Insulin glargine (Lantus/Toujeo)
- story time on pt OD -