HESI RN CASE STUDY EVOLVE PRACTICE TEST BSN
Antacids
• neutralize gastric acids and keep pH of 3.5 or above
Lactulose
• 2 or 3 soft stools per day is the indicated result
Digoxin
• For CHF
• ***ASSESS serum K POTASSIUM level before administering**
• VOMITING, ANOREXIA, ABDOMINAL PAIN are early indications of digitalis toxicity
• Combo with Lipitor increases digitalis toxicity (VOMITING req’s immediate intervention)
• Client @ GREATEST RISK FOR HYPOKALEMIA
Nitroglycerin
• Relieves chest pain
Captopril
• ACE inhibitor for CHF to reduce HF (decreases BP and prevents vasoconstriction)
• Report dizziness
Propylthiouracil (PTU)
• Hyperthyroidism tx
• Inhibits synthesis of T3 and T4 by thyroid gland
Carbidopa-levodopa (Sinemet)
• Lessens tremors
Warfarin
• Measure prothrombin time (PT/INR) regularly at discharge
Valsartan (Diovan)
• Reduces BP aka tx hypertension
• Angiotensin receptor blocker
Meperidine (Demerol)
• If adverse s&s, decrease IV infusion rate
Alendronate (Fosamax)
• Osteoporosis
• -Take med, go for 30 min walk, then eat breakfast
• (30 min before eating) remain upright for 30 minutes after taking d/t reflux
Metoprolol (Lopressor)
• Obtain BP
Procainamide (Pronestyl)
• 4 doses = q6h
Adenosine (Adenocard)
• Antiarrhythmic drug
• Cardiac monitoring
Dopamine and IV saline 50 ml/hr
• 20 ml/hr urine output = notify HCP
***Atorvastatin (Lipitor)
• Muscle pain and weakness make appointment with HCP *****
, • b/c serious s/e
• “myopathy” leg pain and weakness
Angiotensin-2 receptor antagonist
• Irbesartan
• Risk for injury
• Hypotension and dizziness
Clonidine (Catapres)
• Transdermal patch
• BP from 180/120 to 140/70
Methylprednisolone (Solu-Medrol) 40 mg
• Increase in serum glucose
• Hyperglycemia
Morphine and ketorolac
• Can be given together according to prescription
Isosorbide dinitrate (Imdur)
• If h/a still administer 60 mg dose but add acetaminophen (Tylenol)
Acetaminophen (Tylenol)
• Controls h/a
• Toxic can lead to liver damage
• Assess RUQ of abdomen
Aspirin and Pepto Bismol
• Caution taking high doses of aspirin for arthritis with bismuth subsalicylate (pepto bismol)
Aspirin
• Notify HCP immediately if ringing of ears
• Aka salicylate toxicity
• Discontinue med
Opioids
• Assess respiratory depression
• PCA pump stopped in rr below 12
Naloxone
• Effective if RR normal
• Reverses resp depression of opiates OD
Edrophonium chloride (tensilon)
• Decreases muscle weakness (MG)
• Short duration
Levodopa then Sinemet (already took levodopa 0800)
• Begin Sinemet this evening but DON’T take any more levodopa
Penicillin allergy
• Caution w/ Cephalosporins TOO
Ampicillin sodium (omnipen)
• Sinus infection
• Notify HCP if RASH occurs
Trough
• Obtain immediately before the next antibiotic dose is given
Albuterol
• If nausea, give with snack to minimize GI discomfort
Antacids
• neutralize gastric acids and keep pH of 3.5 or above
Lactulose
• 2 or 3 soft stools per day is the indicated result
Digoxin
• For CHF
• ***ASSESS serum K POTASSIUM level before administering**
• VOMITING, ANOREXIA, ABDOMINAL PAIN are early indications of digitalis toxicity
• Combo with Lipitor increases digitalis toxicity (VOMITING req’s immediate intervention)
• Client @ GREATEST RISK FOR HYPOKALEMIA
Nitroglycerin
• Relieves chest pain
Captopril
• ACE inhibitor for CHF to reduce HF (decreases BP and prevents vasoconstriction)
• Report dizziness
Propylthiouracil (PTU)
• Hyperthyroidism tx
• Inhibits synthesis of T3 and T4 by thyroid gland
Carbidopa-levodopa (Sinemet)
• Lessens tremors
Warfarin
• Measure prothrombin time (PT/INR) regularly at discharge
Valsartan (Diovan)
• Reduces BP aka tx hypertension
• Angiotensin receptor blocker
Meperidine (Demerol)
• If adverse s&s, decrease IV infusion rate
Alendronate (Fosamax)
• Osteoporosis
• -Take med, go for 30 min walk, then eat breakfast
• (30 min before eating) remain upright for 30 minutes after taking d/t reflux
Metoprolol (Lopressor)
• Obtain BP
Procainamide (Pronestyl)
• 4 doses = q6h
Adenosine (Adenocard)
• Antiarrhythmic drug
• Cardiac monitoring
Dopamine and IV saline 50 ml/hr
• 20 ml/hr urine output = notify HCP
***Atorvastatin (Lipitor)
• Muscle pain and weakness make appointment with HCP *****
, • b/c serious s/e
• “myopathy” leg pain and weakness
Angiotensin-2 receptor antagonist
• Irbesartan
• Risk for injury
• Hypotension and dizziness
Clonidine (Catapres)
• Transdermal patch
• BP from 180/120 to 140/70
Methylprednisolone (Solu-Medrol) 40 mg
• Increase in serum glucose
• Hyperglycemia
Morphine and ketorolac
• Can be given together according to prescription
Isosorbide dinitrate (Imdur)
• If h/a still administer 60 mg dose but add acetaminophen (Tylenol)
Acetaminophen (Tylenol)
• Controls h/a
• Toxic can lead to liver damage
• Assess RUQ of abdomen
Aspirin and Pepto Bismol
• Caution taking high doses of aspirin for arthritis with bismuth subsalicylate (pepto bismol)
Aspirin
• Notify HCP immediately if ringing of ears
• Aka salicylate toxicity
• Discontinue med
Opioids
• Assess respiratory depression
• PCA pump stopped in rr below 12
Naloxone
• Effective if RR normal
• Reverses resp depression of opiates OD
Edrophonium chloride (tensilon)
• Decreases muscle weakness (MG)
• Short duration
Levodopa then Sinemet (already took levodopa 0800)
• Begin Sinemet this evening but DON’T take any more levodopa
Penicillin allergy
• Caution w/ Cephalosporins TOO
Ampicillin sodium (omnipen)
• Sinus infection
• Notify HCP if RASH occurs
Trough
• Obtain immediately before the next antibiotic dose is given
Albuterol
• If nausea, give with snack to minimize GI discomfort
