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Drug Schedules I-V
Schedule I: street drugs with no medical use.
Schedule II: narcotics approved for medical use. Opiod analgesics/Adderall, Ritalin
Schedule III: anabolic steroids, low dose codeine, hormone supplements.
Schedule IV: benzodiazepines, sleeping mediactions
Schedule V: cough suppressants, anti-diarrheal, anti-vomiting medications
Diabetic foot care
No hot water, podiatrist cut toe nails, no lotion or powder between toes, no filing
NG tube insertion
1. check order, gather equipment, introduce yourself, identify Pt., provide privacy,
explain procedure, hand hygiene, gloves.
2. Assess abdomen for bowel sounds (5-25 in each quadrant)
3. Assess gag reflex and mental status
4. Measure tube from nose, ear, xyphoid process, tape tube after measured.
5. Place pt in high Fowler's position
6. Assess naries for patency. Determine which nostril to use.
7. Wrap tube around fingers to loosen it.
8. Lubricate
9. Instruct pt to extend neck back while inserting tube (curved end downwards),
advance towards ears.
10. Stop once past nasopharynx, allow rest period.
11. Instruct pt to tuck chin and take sips of water. Advance tube with each swallow. (Dry
swallows if NPO or aspiration risk)
, 12. Stop at tape, tape tube to nose and cheek.
13. Get verification of placement with chest X-ray. 5 vital signs
temperature, pulse, respiration, blood pressure, pain
Decreased O2 (hypoxia)
O2 therapy (no more than 2 liters and nasal canula only for COPD pts), high Fowler's
position/orthopneic position, breathing treatments
O2 Safety Precautions
No pertroleum jelly, highly flammable, no smoking
Obtaining ABG
Radical artery (most common)
3-5 ml
Heparinized syringe
Apply pressure for 5 min following procedure (20 min if pt is on anticoagulants)
Place on ice immediately metabolic alkalosis causes
HCO3 above 26 AND pH above 7.45
Sever vomiting
Prolonged suctioning Too
many antacids
Metabolic alkalosis s/s
Irritability, twitching, picking, confusion, N/V, diarrhea
Metabolic alkalosis NI
Treat underlying cause
Stop suctioning metabolic
acidosis causes
HCO3 below 22 AND pH below 7.35
Sever diarrhea
Diabetic ketoacidosis (DKA)
Dehydration
Anorexia