Term
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Definition
onset: 15-30 min
peak: 30-90 mins
Duration: 3-5 hours
covers insulin needs for meals eaten at the same time as the injection |
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Term
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Definition
onset: 30-1hour
Peak: 2-5 hours
Duration: 5-8 hours
covers insulin needs for meals eaten within 30-60 mins. |
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Term
intermediate-acting
NPH (N)
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Definition
onset: 1-3 hours
Peak: 4-10 hours
Duration: 10-16 hours
covers insulin needs for about half the day or over night. combined with raid or short acting insulin |
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Term
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Definition
Onset: 1 hour
Peak: No peak time, insulin is deliever at a steady level.
Duration: 20-24 hours
covers insulin needs for about one ful day. |
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Term
|
Definition
- anticoagulant for prevention of clot formation
- DVT prevention
- stop further clot formation or enlargement
- cardiopulmonary bypass for heart surgery
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Term
What way do you NOT want to inject heparin?
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Definition
| intermuscular; it can be given SC or IV |
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Term
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Definition
| very short so needs to be repeated throughout the day, is 1-2 hours |
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Term
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Definition
Best type of injection as absorption is best
dont massage, totate abdominal sites, |
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Term
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Definition
- used to prevent futher clot formation and prevent current clots from becoming larger
- Does NOT dissolve clots, it prevents futher clots
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Term
| Nursing Diagnoses for Heparin |
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Definition
Risk for injury r/t potential for thrombosis
Risk for injury r/t increase bleeding risk
Deficient knowledge r/t drug therapy |
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Term
| Heparin induced Thrombocytopenia syndrome I |
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Definition
low platelet <100,000
most likely in surgicaland medical patients |
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Term
|
Definition
- immune mediated disorder characterized by the formation of antibodies against the heparin-platelet factor 4 complex.
- serious side effect of heparin
- occur while a patient is taking heparin or up to three weeks after its discontinuation.
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|
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Term
|
Definition
this heparin is: 5000u sc every 8 or 12 hours
most commonly used for: post-abdomina, thoracic, orthopedic or gynecologic sugery. used if previous history of DVT prevents colts from forming |
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Term
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Definition
| this type of heparin: 10,000u sc per dose or continuous IV infusion. most often used for acute DVT or arterial thrombi. usually for 4-5 days coumadin started simultaneously. Prevents clots from becoming larger, does not dissolve clots |
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Term
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Definition
| this type of heparin: is used to maintain patency of IV lines, usually 10-100units per flush. not considered anticoagulation therapy. |
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Term
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Definition
- This is an oral anticagulant for prevention of thrombi, need to obtain therapeutic level before removing a patient from high-dose heparin therapy.
- specifically used to prevent heart attacks and strokes, as those can be caused by blood clots.
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|
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Term
| don'ts of low dose heparin therapy and LMWH |
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Definition
do or dont's?
- inject heparin with 2 inches of the umbilicus to avoid the large umbilical veins?
- inject into a muscle?
- aspirate?
- rub the injection site?
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Term
| Do's of low dose heparin therapy and LWMH |
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Definition
do or don't?
- assess your patient for contraindications of using SQ heparin
- Discuss site for administration with patient
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Term
|
Definition
| area that is preferred for heparin injection for most absorption |
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Term
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Definition
| This is a fluid released by the adrenal gland. it is important for the bodies response in emergancy situations. The fight-or-flight response of the body is initiated by the secretion of this |
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Term
| Why epinephrine is a high alert medication |
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Definition
| epinephrine is considered this because it bears a heightened risk of causing significant patient harm when used in error |
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Term
| Systemic anaphylactic reactions |
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Definition
- Swelling in the mouth, on the lips or face, hands, feet, and in the throat
- Tingling sensation in the mouth or throat
- Itching with or without hives redness or rash
- Sudden digestive problems, such as nausea, vomiting, or diarrhea
- Difficulty breathing, wheezing, hoarseness, restricted air flow
- Heart palpitations
- Feeling of warmth
- Confusion, feeling of doom or sudden fear
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|
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Term
| typical allergens that cause anaphylatic shock |
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Definition
| food allergies, drug allergies, insect bites/stings |
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Term
| actions a nurse should take when a patient goes into anaphylaxis |
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Definition
- ensure patent airway
- remoe insect stinger if present
- administer high-flow oxygen
- place recumbent and elevate legs
- keep warm
- monitor vital signs, respiratory effort, oxygen saturation, level of consciousness.
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Term
| medications used for anaphylaxis |
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Definition
Antihistamines- best for treating rhinitis and urticaria (regular seasonal allergies)
Sympathomimetic drugs- (epinephrine) which is the drug of choice to treat an anaphylactic reaction. relaxes and smooth muscle, vasoconstriction of peripheral blood vessels
corticosteroids- very effective in relieving the symptoms of allergic rhinitis
antipruritic drugs- topically applied antipruritic drugs are most effective when the skin is not broken. protect skin and provide relief from itching. |
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Term
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Definition
| vaccine information statement; provides information to properly inform the adult vaccine recipient or the minor child’s parent or legal representative about the risks and benefits of each vaccine |
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Term
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Definition
| the staff of the CDC write these |
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Term
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Definition
| Before a healthcare provider vaccinates a child or an adult with a dose of any vaccine containing diphtheria, tetanus, pertussis, measles, mumps, ru- bella, polio, hepatitis A, hepatitis B,etc |
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Term
| Superficial thrombophlebitis |
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Definition
| inflammation of a vein due to a blood clot in a vein located just below the skin's surface. |
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Term
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Definition
| occurs when a blood clot, or thrombus, develops in the large veins of the legs or pelvic area |
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Term
| Treatment of superficial thrombophlebitis |
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Definition
The goals of treatment are to reduce pain and inflammation and prevent complications.
To reduce discomfort and swelling, support stockings and elevation of the affected extremity are recommended.
antiinflammition drugs/painkillers |
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Term
|
Definition
- Sitting for long periods of time, such as when driving or flying.
- inherit blood clot disorder
- prolong bed rest
- cancer
- injury or sugery
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Term
| serious events that can happen if DVT develops/breaks off |
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Definition
if it breaks off it can travel in the blood and block blood vessels in the lungs
damage valves in the leg vein
can kill people very quickly |
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Term
| Non-pharmacologic measure used to prevent DVT |
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Definition
| Early ambulation of patient and the use of SCD or TEDS |
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Term
| Pharmacologic meaures to prevent DVT |
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Definition
| heparin low dose/high dose , LMWH, Coumadin |
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Term
| patient/family need to know on anticoagulant therapy |
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Definition
they should be be careful of minor cuts because they could bleed out easily
they should be aware of waht this medication is for and what it is preventing for the patient. |
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