Answers Already Graded A+
Agonist - ANSWER produce an action
i.e. when the muscles relax
morphine is an opioid agonist in CNS receptors
Antagonist - ANSWER oppose/reduce an action
i.e. work against the muscles
competitively block the action of opioid
MDI - ANSWER shake device 5/6 times
take deep breath 3-5 seconds before inhaling
hold breath for 10 seconds before exhaling
DPI - ANSWER dry powder inhalation
do not shake device
IM injection for child under 2 - ANSWER vastus lateralis
ventrogluteal
IM injection amount to give - ANSWER max of 2ml in vastus lateralis &
ventrogluteal
max of 1ml in deltoid
ID - ANSWER low volume < 0.1ml
5-15 degree angle
bevel up
Sub-Q - ANSWER needle 3/8 - 5/8 "
25 - 27 gauge needle
45-90 degree injection
IM - ANSWER needle length 1 - 1 1/2 "
22-25G
90 degree angle
Z-track method (iron)
IV - ANSWER 20g size catheter standard
16g trauma pts
18g surgery pts
22-24g kids/elderly pts
How often to change peripheral IV lines - ANSWER q72h
, IV infiltration - ANSWER fluid (non-vesicant) outside of veins
pallor
local swelling
decrease temp at site --cooler
stop infusion
elevate extremity
extravasation - ANSWER infiltration of vesicant type medication
pain
burning
redness
swelling
notify provider
hematoma - ANSWER ecchymosis at site
warm compress
elevate extremity
catheter embolus - ANSWER missing catheter tip
can cause pulmonary embolism
needs x-ray or surgery for removal
phlebitis/thrombophlebitis - ANSWER edema
throbbing
burning
increased skin temperature (warmer)
erythema
d/c infusion, remove catheter
elevate extremity
apply cold compress, then warm to increase circulation
cellulitis of iv therapy - ANSWER pain
warmth
edema
induration on skin
red streaking
systemic symptoms (fever, chills, malaise)
administer antibiotics, antipyretics
fluid overload symptoms - ANSWER distended neck veins
increased b/p
tachycardia
crackles in lungs
edema
slow iv rate
raise HOB
diuretics given
what to avoid when pregnant - ANSWER DO NOT GIVE: