Hesi Milestone Exam 1 Progression
Best Study Guide 2023
Catheter - check for kinks -
Could cause infection and distension in the bladder
Painful
Eye drop admin -
-Lay supine unless contraindicated
-Wash away crust
-Cotton ball on check
-Instill drops into the conjunctival sac
-Repeat if missed or patient blinks
- Wait 5 minutes to administer a different medication
Allergic reaction -
Immune response type 1= swollen face or body part type 2=anaphylaxis
• depends on immune system not drug amount in system
• Patient's sensitivity to a drug can change over time
• Very few drugs cause severe allergic reactions
• Penicillin's are the most common
• Allergies may also be induced by sulfonamides
• Epi=anaphylaxis Benadryl=Mild
Tylenol
Lab check -
Checking for liver function and amount in system as some drugs may
have more positive or negative effect
-liver
-serum creatinine
-urinalysis
-lactic acid level
-arterial blood gas
-venous blood gas
-In order to provide additional mediation
Insulin Regular -
-short acting insulin
-Peak 1-5 hours
Isoniazid used for TB -
Can not have tyramine:
beers on tap or home-brewed
cured or smoked meats or fish, sausage or salami
strong or aged cheeses
, pickled products
Antacids -
With kidney failure antacids are unable to be excreted
Furosemide (Lasix) -
Furosemide can produce excessive loss of sodium, chloride, and water.
Dehydration can promote hypotension, thrombosis, and embolism. Hypotension,
Hypokalemia (because of excessive urination). Ototoxicity (rarely). Hyperglycemia.
Hyperuricemia.
Teach Tetracycline -
discolor developing teeth
pregnant, breastfeeding- Teragen Bone abnormality
photosensitivity
renal toxicity
Take all medication
Avoid milk or antacids
Thyroid
overdose signs -
Thyrotoxicosis
-tachycardia
-angina
-tremor
-nervousness
-insomnia
-hyperthermia
-heat intolerance
-sweating
Teach
Metronidazole -
Urine color change
Metallic taste
Hand Hygiene
Empty stomach
Allergic reaction
Steroids discontinue protocol -
Glucocorticoids taken chronically must be withdrawn gradually. Warn the
patient against abrupt discontinuation of treatment. Adrenals need time to start
working again
Oseltamivir
USE -
For flu within 2 days of symptoms and continue for 5 days
Antihistamine
Action -
Best Study Guide 2023
Catheter - check for kinks -
Could cause infection and distension in the bladder
Painful
Eye drop admin -
-Lay supine unless contraindicated
-Wash away crust
-Cotton ball on check
-Instill drops into the conjunctival sac
-Repeat if missed or patient blinks
- Wait 5 minutes to administer a different medication
Allergic reaction -
Immune response type 1= swollen face or body part type 2=anaphylaxis
• depends on immune system not drug amount in system
• Patient's sensitivity to a drug can change over time
• Very few drugs cause severe allergic reactions
• Penicillin's are the most common
• Allergies may also be induced by sulfonamides
• Epi=anaphylaxis Benadryl=Mild
Tylenol
Lab check -
Checking for liver function and amount in system as some drugs may
have more positive or negative effect
-liver
-serum creatinine
-urinalysis
-lactic acid level
-arterial blood gas
-venous blood gas
-In order to provide additional mediation
Insulin Regular -
-short acting insulin
-Peak 1-5 hours
Isoniazid used for TB -
Can not have tyramine:
beers on tap or home-brewed
cured or smoked meats or fish, sausage or salami
strong or aged cheeses
, pickled products
Antacids -
With kidney failure antacids are unable to be excreted
Furosemide (Lasix) -
Furosemide can produce excessive loss of sodium, chloride, and water.
Dehydration can promote hypotension, thrombosis, and embolism. Hypotension,
Hypokalemia (because of excessive urination). Ototoxicity (rarely). Hyperglycemia.
Hyperuricemia.
Teach Tetracycline -
discolor developing teeth
pregnant, breastfeeding- Teragen Bone abnormality
photosensitivity
renal toxicity
Take all medication
Avoid milk or antacids
Thyroid
overdose signs -
Thyrotoxicosis
-tachycardia
-angina
-tremor
-nervousness
-insomnia
-hyperthermia
-heat intolerance
-sweating
Teach
Metronidazole -
Urine color change
Metallic taste
Hand Hygiene
Empty stomach
Allergic reaction
Steroids discontinue protocol -
Glucocorticoids taken chronically must be withdrawn gradually. Warn the
patient against abrupt discontinuation of treatment. Adrenals need time to start
working again
Oseltamivir
USE -
For flu within 2 days of symptoms and continue for 5 days
Antihistamine
Action -
