Answers
Uncompensated pH is abnormal and either CO2 or HCO2 is normal
compensated pH is normal and both CO2 and HCO3 is abnormal
partially compensated pH, CO2 and HCO3 are all abnormal
warfarin (coumadin) anticoagulant
used to prevent and treat DVT, MI, stroke and pulmonary edema
what lab do we monitor for warfarin and what is the PT/INR
therapeutic range? 2-3
what is the black box warning for warfarin? bleeding
what can coumadin cause? purple toe syndrome and agraphylocytesis (low WBC in blood)
what is the antidote for coumadin? vitamin K
heparin anticoagulant used to prevent/treat DVT, MI, DVT, embolization with atrial
fibrillation
make sure patient avoids use of electrical razor, soft toothbrush use
also used to keep venous devices open and dialysis ports
which lab do we monitor for heparin and what is the PTT
therapeutic range? 25-35
what is the antidote for Heparin? protamine sulfate
, what do we watch for with someone taking heparin? abnormal bleeding->hemorrhage
what is HIT? heparin induced thrombocytopenia (low platelets)
lorazepam (ativan) benzodiazepine used for anxiety, insomnia, sedation for procedures, status
epilepticus and CIWA
schedule 4 drug
what drug schedule is lorazapam? schedule 4- addiction forming
what is CIWA? Clinical Institute Withdrawal Assessment for Alcohol
scoring tool for alochol
lorazepam black box warning don't administer this medication with other CNS depressants, avoid use of
heavy machinery
lorazepam common side effects dizziness
confusion
orthostatic hypotension
blurred vision
what are serious side effects of lorazepam? ECG changes, tachycardia, cardiac arrest, apnea
diazepam (valum) benzodiazepine
can be given rectally for seizures in addition to PO, IV,IM
what are serious side effects of diazepam? respiratory depression
what can diazepam cause? phlebitis or thrombosis at the iv site which can occur frequently
augmentin (PO) broad spectrum ineffective
amoxicillin/clavulanate
what are serious side effects of augmentin? CDAD, seizures and bone marrow depression
monitor platelets
what is a stopcock? a device that controls the flow of a solution with manual manipulation of the
valve
why does the INS prefer we do not use a stopcock? they increase the risk of infection
how much solution does macro tubing deliver? 10-20gtts/mL
how much solution does micro tubing deliver? 60gtts/mL
What is a backcheck valve? device that functions to prevent retrograde flow of the fluid
what is a elastomeric pump? a balloon that uses positive pressure to deliver medication when the tubing is
unclamped
what is a multichannel pump? a pump that delivers multiple solutions simultaneously from bags, bottles, or
syringes