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| "International units" abbreviations |
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| "magnesium sulfate" abbreviation |
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| "greater than" and "less than" abbreviations |
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Definition
"greater than"
"less than" |
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| What is the mass of 1 mL of urine? |
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| Rounding rules for doses given as liquid |
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Definition
If greater than 1 mL, round to 1 place
If less than 1 mL, round to 2 places |
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| Rounding rules for doses given as a solid |
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Definition
If less than 1, round to 2 places
If between 1-10, round to 1 place
If greater than 10, round to whole number |
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Term
| Rounding rules for nondedicated IV drip rates |
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Definition
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| Rounding rules for medicated IV |
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Definition
If less than 1 mL, round to 2 places
If greater than 1 mL, round to 1 place |
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Term
| Name 3 examples of drugs that are measured in international units (in terms of their action) |
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Definition
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Term
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Definition
| grams of drug per 1 mL solution |
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Term
| When must you check the 7 rights of an MD order? |
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Definition
BEFORE accepting and processing the order
BEFORE administering |
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Term
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Definition
Right patient
Right drug
Right dose
Right timing
Right route
Date/time when written
MD signature |
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Term
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Definition
| FIrst initial. Last name, PUNS |
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Term
| 3 steps to take if medication administration error occurs |
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Definition
1. Check patient condition
2. Notify MD, supervisor
3. Document what was actually given |
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Term
| Which areas of the safe dose ranges do you administer vs. hold? |
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Definition
Below minimum: Administer
Between minimum and maximum: Administer
Greater than maximum: Hold and call MD |
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Term
| Maximum IM injection volume for deltoid |
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Definition
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| Maximum IM injection volume for dorsogluteal and ventrogluteal |
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Definition
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| Available sizes of insulin syringes |
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Definition
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| Where do you measure doses on syringes when drawing up? |
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Definition
| At flat ring of plunger closest to needle end |
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Term
| If a prefilled injectable syringe order calls for less than the supplied amount, what do you do? |
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Definition
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Term
IM needles:
Size, maximum volume, angle of injection |
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Definition
1-2 inches
20-23 gague
2-3 mL max
90 degree angle |
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Term
SubQ needles:
Size, maximum volume, angle of injection |
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Definition
0.5-1 inch
26-29 gauge
1 mL max
45 degree angle |
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Term
ID needles:
Size, max volume, angle of injection |
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Definition
1/2 inch or less
26-29 gauge
0.5 mL max
15-20 degree angle |
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Term
| What are your options if the MD order is too large for 1 injection? |
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Definition
1. Call pharmacy to see if another concentration is available
2. Split dose and give 2 injections (get 2nd RN) |
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Term
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Definition
0.9NS
LR
*D5W is isotonic but metabolized to hypOtonic |
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Term
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Definition
1/2 NS (0.45NS)
1/4 NS
1/3 NS |
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Definition
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| Maximum dextrose concentration that can be given through a peripheral line? |
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Definition
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| Macrodrip dop factor range |
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Definition
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Definition
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| When can the RN make corrections to a flow rate that has gone off course? |
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Definition
| ONLY if it is nondedicated. RNs don't have authority to change medication timing |
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| What requirements must the RN check on an MD order for titrations? |
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Definition
1. Titration parameters are within safe range
2. Clinical parameters are explained as to when dose should be changed |
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| When combining insulins in one syringe, which is drawn up first? |
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Humulin R
Novolin R
*Can be used IV* |
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Definition
Glargine (Lantus)
Detemir (Levemir)
**NEVER GIVEN IV** |
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Term
| What is the usual dose of heparin and when should an RN question an MD's heparin order? |
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Definition
Usual: 20,000-40,000 units/hr
Question if greater than 40,000 units |
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Term
| 2 formulae for body surface area (BSA)? |
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Definition
BSA = sqrt [ (kg x cm) / 3600]
BSA = sqrt [ (lb x in) /3131 ] |
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Term
| Formula for converting adult dose to pediatric dose |
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Definition
| Pediatric dose = adult dose * (child's BSA/1.73 square meters) |
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| Maximum volume for pediatric IM injection |
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Definition
0.5 mL for infants
1 mL for 1-2 year olds
0.5-2 mL according to size if older than 2 |
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| Maximum volume for pediatric SubQ injection |
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Definition
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Term
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Definition
Peripheral lines: 15 mL
Central lines: 20 mL |
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Term
| Elemental iron in iron tablets and liquid iron? |
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Definition
325 mg tablet = 65 mg elemental Fe
220 mg/5 mL liquid iron = 44 mg elemental Fe/ 5 mL |
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