PREPARATION PACK KEY MEDICATION SAFETY
DOSAGE CALCULATIONS AND ADVERSE
EFFECTS WITH SAMPLE QUESTIONS
◉ Patient Dx with bipolar-how to know if meds are effective.
Answer: Family states patient is doing better with manic phases
◉ Patient on Heparin going for surgery in a.m.,-priority. Answer:
Assess patient for bleeds
◉ Best time to give patient Abx (I think). Answer: Time was like
1000, 1400, 1200, and 0400...best to give around the
clock
◉ Medication calculation-patient weighs equal to 16kg-order for
Tamiflu
45mg BID. Answer: Must round up-answer is 3.8ml
◉ Peptic ulcer med-what action. Answer: Histamine 2 agonist
,◉ Patient on folliculitis medication-what to teach. Answer: Drink
with full glass of water
◉ Rapid-Lispro (Humalog) and Aspart (Novolog) Onset: 5-15
minutes
Peak: .75-1.5 hours
Short acting- regular (humulin) Onset: 30-60 minutes Peak: 2-3
hours
(IV ok)
Intermediate acting- NPH Onset: 1-2 hours Pea:k 6-12 hours
Long acting- Glargine (lantus) Onset: 1.1 hour Peak: 14-20 hours
(DO
NOT MIX). Answer:
◉ Chlamidia. Answer: Tetracycline
◉ Trichomoniasis. Answer: Flagyl
◉ Candidiasis. Answer: Nystatin
◉ Herpes Simplex 2. Answer: Acyclovir
◉ Parkinson's disease. Answer: Levodopa/Carbidopa
, ◉ Phenobarbitol. Answer: Seizures
◉ Preparing to administer a drug to a pt with an infection. Answer:
The drug will destroy the microorganism
◉ RN is teaching a pt about a new drug... what's most important to
teach
the pt to improve the intensity of the response to the drug. Answer:
Take the prescribed dose
◉ A nurse is giving morphine 2 mg IV to a pt after surgery and she
has
followed the "six rights of administration".... Answer: Know the
possible reactions to morphine
◉ RN doesn't understand why a pt is to receive a prescribed med.
Answer: Verity the reason with the prescribing healthcare provider
for use
◉ Administration of schedule IV drug, the RN understands. Answer:
The drug has acceptable medical application with low potential for
abuse