lOMoARcPSD| 62788957
ATI LIVE REVIEW
ATI LIVE Review - PDF Guide
for Exit Exam Prep
MISC.
- Surgery o Pre-op, includes prophy antibiotics within 60 mins of incision
o Post-op, anticoagulants, pain meds o Highest risk for infection or thrombus emboli
o Laparoscopic, post-op abdominal pain/distention referring to the shoulder is normal
- Rheumatoid arthritis o Treated with methotrexate, check pregnancy in
women (-)
o Adverse eLects: low WBC, low PLT, weight loss due to stomatitis, pancytopenia o
Vitamin replacement of folic acid is needed
- Urine specific gravity/osmolarity: focus on concentration, urine low =
no call to hcp, diluted
ROLES
- LPN: cannot EAT or start/initiate IVs, can do drips, no IV push, given stable patient, data
collection, REINFORCE teaching
- UAP: ADLS, VS, weight, I/O, safety, cannot do anything sterile
- RN: given unstable patient, assess, teach, plan
- Epiglottitis: caused by H Influenza B
- POA trumps advance directives
- 8oz Ice is 120mL
- Newborn meds: eyes and thighs, 25 gauge (5/8th in) o Okay to massage the area after the
injection o Vitamin K- in the thigh
- Diabetes Mellitus: blood sugar <70, hyper >250 o Goal: A1c <5.7%, 6.5% A1c to diagnose, if
diagnosed the goal is <7% o Type II: can be managed with oral DM o Insulin
Pump needed for short and rapid-acting acting:
Rapid- “Rapid LAG” Lispro, Aspart, Glulisine. Given 5-10 min
a meal or while eating before
Short-acting:
Long-acting: glargine, Levemir. Peaks in 6-8hrs, given before bedtime
Mix: regular and NPH
IV ONLY regular
1
, lOMoARcPSD| 62788957
ATI LIVE REVIEW
DKA – if BP is low, fluids first, then insulin, blood sugar should only be lowered
50-75mg/dL/hr via an insulin pump. Keep anion gap <12
o Criteria for oral meds to insulin: pregnancy, non-compliance, or adherence
- Thyroid o Hyperthyroidism: graves, weight loss, heat intolerance (sweating), tachycardia
Methimazole/Propylthiouracil: monitor WBC o Hypothyroidism: Hashimoto’s,
constipation, brittle hair/nails, depression, weight gain
Levothyroxine: taken early AM, take on an empty stomach, dosage changes over
time based on age/weight
HEMATOLOGY
- Blood products o Packed RBCs: severe or hemolytic anemia, hemoglobinopathy,
erythroblastosis fetalis
o Monitor Hgb, normal F: 12-16g/dL, M 14-18g/dL o
Second nurse needed to verify o Stay with patient
first 15-30mins
- Platelets o Active bleeding, thrombocytopenia, aplastic anemia, bone marrow
suppression o Monitor platelets, normal 150,000-400,000mm3
- Albumin o Expand vascular volume, hypovolemia, hypoalbuminemia, burns,
severe nephrosis, newborn hemolytic disease
o Monitor albumin 3.5-5g/dL
- FFP (fresh frozen plasma) o Hemorrhage, burns, shock, thrombocytopenic
purpura, bleeding from warfarin o Prothrombin time, normal 11-12.5 seconds
Reactions:
- Hemolytic o chills, fever, lower back pain, tachycardia, tachypnea, hypotension o
occurs during 50mL of infusion
o STOP infusion, maintain NS IV
o A feeling of “impending doom”
o DO NOT discontinue IV, only tubing
o Send tubing to the lab, collect a urine sample to test for RBCs and bilirubin
- Anaphylactic o Anxiety, wheezing, urticaria shock, cardiac arrest o STOP infusion,
maintain NS IV o CPR
o IM epi
- Febrile o Increase of 1oC over 101.4F
MEDICATIONS
- Albuterol lower airways , Nebulizer Epi croup - Medication monitoring
o Digoxin: potassium, interacts with medications,
initial sign of toxicity GI symptoms/nausea, Apical HR 60 adult, 70 children, 90 baby
o Acetaminophen: temperature, max adult dose is 4g
2
, lOMoARcPSD| 62788957
ATI LIVE REVIEW
o Glipizide: blood glucose, causes given 30 min before meals
hypoglycemia, o Morphine:
, itching is normal
respiratory rate, blood pressure
o Prednisone: delayed wound healing, blood glucose. Treatment for Addison’s (ADD the
steroids), and Cushing’s (d/t too much)
o Warfarin: INR, normal 2-3
o Zolpidem: sleep patterns, take before bedtime o Olanzapine: mood
o Levofloxacin: culture and sensitivity, stocked up for inhalation anthrax outbreaks (along
with Doxy/Cipro)
- ACE inhibitors, remember “ACE” o A-angioedema o C- cough o E- elevated K+
- Beta-blockers: pulse and BP, not for asthmatics and bronchospasms
- Calcium channel blockers: “A Very Neat Drug”, do not give with history of CHF o
A- amlodipine o V- verapamil o N- nifedipine o D- diltiazem
- Adenosine: short half-life, makes your heart stop briefly
- Dutasteride: used in conjunction with tamsulosin for BPH
Phenytoin : - can cause hyperplasia
Metronidazole - : for trichomoniasis, avoid alcohol/cologne/perfumes, metallic taste in
the mouth
- Cyclobenzaprine: for muscle spasms, don’t take with opioids
- Trazadone: anti-depressants, oL-label use for insomnia, can cause priapism
(painful persistent erection), can cause falls or sedation
- Hydrocodone with acetaminophen (short-hand APAP): Vicodin, for pain control
- Montelukast: 2hr before exercising, prevent bronchospasms
- Dilaudid: caution dosing
- Tramadol: not for patients with history of seizures
- Methylergonovine : BP, a major potent
eclampsia/eclampsia ( watch for asthma) vasoconstrictor. Not good for
pre
- Nitroglycerin
o Reduced preload, decreased afterload o Hypotension, headache, reflex tachy, tolerance
- Heparin vs. Warfarin o Heparin: IV/SQ, immediate onset
Monitor aPTT (1.5-2) and platelets (watch for HIT, heparin-induced
thrombocytopenia, life-long)
Antidote protamine sulfate
o Warfarin : oral, onset in 3-5
days Monitor INR
Antidote vitamin K
- Anticoagulant o Interferes with the clotting process
Rivaroxaban, Apixaban, heparin, warfarin o Supplements may increase
bleeding risk (“No Gs”, garlic, ginger, ginkgo)
- Antiplatelet o Interferes with platelet aggregation o ASA, clopidogrel
3
ATI LIVE REVIEW
ATI LIVE Review - PDF Guide
for Exit Exam Prep
MISC.
- Surgery o Pre-op, includes prophy antibiotics within 60 mins of incision
o Post-op, anticoagulants, pain meds o Highest risk for infection or thrombus emboli
o Laparoscopic, post-op abdominal pain/distention referring to the shoulder is normal
- Rheumatoid arthritis o Treated with methotrexate, check pregnancy in
women (-)
o Adverse eLects: low WBC, low PLT, weight loss due to stomatitis, pancytopenia o
Vitamin replacement of folic acid is needed
- Urine specific gravity/osmolarity: focus on concentration, urine low =
no call to hcp, diluted
ROLES
- LPN: cannot EAT or start/initiate IVs, can do drips, no IV push, given stable patient, data
collection, REINFORCE teaching
- UAP: ADLS, VS, weight, I/O, safety, cannot do anything sterile
- RN: given unstable patient, assess, teach, plan
- Epiglottitis: caused by H Influenza B
- POA trumps advance directives
- 8oz Ice is 120mL
- Newborn meds: eyes and thighs, 25 gauge (5/8th in) o Okay to massage the area after the
injection o Vitamin K- in the thigh
- Diabetes Mellitus: blood sugar <70, hyper >250 o Goal: A1c <5.7%, 6.5% A1c to diagnose, if
diagnosed the goal is <7% o Type II: can be managed with oral DM o Insulin
Pump needed for short and rapid-acting acting:
Rapid- “Rapid LAG” Lispro, Aspart, Glulisine. Given 5-10 min
a meal or while eating before
Short-acting:
Long-acting: glargine, Levemir. Peaks in 6-8hrs, given before bedtime
Mix: regular and NPH
IV ONLY regular
1
, lOMoARcPSD| 62788957
ATI LIVE REVIEW
DKA – if BP is low, fluids first, then insulin, blood sugar should only be lowered
50-75mg/dL/hr via an insulin pump. Keep anion gap <12
o Criteria for oral meds to insulin: pregnancy, non-compliance, or adherence
- Thyroid o Hyperthyroidism: graves, weight loss, heat intolerance (sweating), tachycardia
Methimazole/Propylthiouracil: monitor WBC o Hypothyroidism: Hashimoto’s,
constipation, brittle hair/nails, depression, weight gain
Levothyroxine: taken early AM, take on an empty stomach, dosage changes over
time based on age/weight
HEMATOLOGY
- Blood products o Packed RBCs: severe or hemolytic anemia, hemoglobinopathy,
erythroblastosis fetalis
o Monitor Hgb, normal F: 12-16g/dL, M 14-18g/dL o
Second nurse needed to verify o Stay with patient
first 15-30mins
- Platelets o Active bleeding, thrombocytopenia, aplastic anemia, bone marrow
suppression o Monitor platelets, normal 150,000-400,000mm3
- Albumin o Expand vascular volume, hypovolemia, hypoalbuminemia, burns,
severe nephrosis, newborn hemolytic disease
o Monitor albumin 3.5-5g/dL
- FFP (fresh frozen plasma) o Hemorrhage, burns, shock, thrombocytopenic
purpura, bleeding from warfarin o Prothrombin time, normal 11-12.5 seconds
Reactions:
- Hemolytic o chills, fever, lower back pain, tachycardia, tachypnea, hypotension o
occurs during 50mL of infusion
o STOP infusion, maintain NS IV
o A feeling of “impending doom”
o DO NOT discontinue IV, only tubing
o Send tubing to the lab, collect a urine sample to test for RBCs and bilirubin
- Anaphylactic o Anxiety, wheezing, urticaria shock, cardiac arrest o STOP infusion,
maintain NS IV o CPR
o IM epi
- Febrile o Increase of 1oC over 101.4F
MEDICATIONS
- Albuterol lower airways , Nebulizer Epi croup - Medication monitoring
o Digoxin: potassium, interacts with medications,
initial sign of toxicity GI symptoms/nausea, Apical HR 60 adult, 70 children, 90 baby
o Acetaminophen: temperature, max adult dose is 4g
2
, lOMoARcPSD| 62788957
ATI LIVE REVIEW
o Glipizide: blood glucose, causes given 30 min before meals
hypoglycemia, o Morphine:
, itching is normal
respiratory rate, blood pressure
o Prednisone: delayed wound healing, blood glucose. Treatment for Addison’s (ADD the
steroids), and Cushing’s (d/t too much)
o Warfarin: INR, normal 2-3
o Zolpidem: sleep patterns, take before bedtime o Olanzapine: mood
o Levofloxacin: culture and sensitivity, stocked up for inhalation anthrax outbreaks (along
with Doxy/Cipro)
- ACE inhibitors, remember “ACE” o A-angioedema o C- cough o E- elevated K+
- Beta-blockers: pulse and BP, not for asthmatics and bronchospasms
- Calcium channel blockers: “A Very Neat Drug”, do not give with history of CHF o
A- amlodipine o V- verapamil o N- nifedipine o D- diltiazem
- Adenosine: short half-life, makes your heart stop briefly
- Dutasteride: used in conjunction with tamsulosin for BPH
Phenytoin : - can cause hyperplasia
Metronidazole - : for trichomoniasis, avoid alcohol/cologne/perfumes, metallic taste in
the mouth
- Cyclobenzaprine: for muscle spasms, don’t take with opioids
- Trazadone: anti-depressants, oL-label use for insomnia, can cause priapism
(painful persistent erection), can cause falls or sedation
- Hydrocodone with acetaminophen (short-hand APAP): Vicodin, for pain control
- Montelukast: 2hr before exercising, prevent bronchospasms
- Dilaudid: caution dosing
- Tramadol: not for patients with history of seizures
- Methylergonovine : BP, a major potent
eclampsia/eclampsia ( watch for asthma) vasoconstrictor. Not good for
pre
- Nitroglycerin
o Reduced preload, decreased afterload o Hypotension, headache, reflex tachy, tolerance
- Heparin vs. Warfarin o Heparin: IV/SQ, immediate onset
Monitor aPTT (1.5-2) and platelets (watch for HIT, heparin-induced
thrombocytopenia, life-long)
Antidote protamine sulfate
o Warfarin : oral, onset in 3-5
days Monitor INR
Antidote vitamin K
- Anticoagulant o Interferes with the clotting process
Rivaroxaban, Apixaban, heparin, warfarin o Supplements may increase
bleeding risk (“No Gs”, garlic, ginger, ginkgo)
- Antiplatelet o Interferes with platelet aggregation o ASA, clopidogrel
3
