Term
| Why should insulin not be given orally? |
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Definition
| If insulin is given orally, it would be destroyed by proteolytic enzymes. |
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Term
| Why is sodium bicarbonate contraindicated for use as an antacid? |
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Definition
| Sodium bicarbonate can not be ued as a antacid because it may cause systemic alkalosis. |
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Term
| What is the antidote for Heparin? |
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Definition
| Protamine sulfate is the antidote for Heparin. |
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Term
| What special considerations by the nurse are taken when administering liquid iron? |
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Definition
| The nurse should use a straw to administer liquid iron to avoid staining the patient's teeth. |
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Term
| What is Vitamin K used for? |
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Definition
| Vitamin K is the antidote for Coumadin. You should administer it as a deep IM. (It is a anti-coagulant.) |
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Term
| Signs and symptoms for hypoglycemia include: |
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Definition
Hypoglycemia signs/symptoms include:
hunger
sweating
blurred vision
tremor headache
irritability
confusion
seizures
coma |
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Term
| What are the signs/symptoms for hyperglycemia? |
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Definition
Hyperglycemia signs/symptoms include:
polyuria
polydipsia
polyphagia
blurred vision
headache
lethargy
abd. pain
ketonuria
coma |
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Term
| What are the signs of Digoxin toxicity? |
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Definition
Digoxin toxicity signs/symptoms include:
anorexia
nausea
abd. pain
headache
irritability
depression
insomnia
vision changes |
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Term
| What size needle would you use for a SQ injection? |
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Definition
SQ injection:
1/2 inch; no larger than 5/8 in.
25- 27 guage needle. |
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Term
| An irritating substance that is given by IM is contained in a rubber-stopped vial. What should the nurse do to avoid introducing the drug into the subcutaneous tissue? |
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Definition
| Change the needle after drawing up the irritating medication that is to be given IM to avoid induction of the drug into the subcutaneous tissue. |
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Term
What does this abbreviation mean?
qd |
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Definition
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Term
What does this abbreviation mean?
bid |
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Definition
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Term
What does this abbreviation mean?
tid |
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Definition
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Term
What does this abbreviation mean?
qid |
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Definition
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Term
What does this abbreviation mean?
q4h |
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Definition
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Term
What does this abbreviation mean?
ac |
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Definition
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Term
What does this abbreviation mean?
pc |
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Definition
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Term
What does this abbreviation mean?
hs |
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Definition
| hs= hours sleep (bedtime) |
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Term
What does this abbreviation mean?
stat |
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Definition
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Term
What does this abbreviation mean?
prn |
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Definition
| prn= as needed; as circumstances require |
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Term
What does this abbreviation mean?
qod |
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Definition
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Definition
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What does this abbreviation mean?
OD |
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Definition
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Term
What does this abbreviation mean?
SC |
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Definition
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Term
What does this abbreviation mean?
PO |
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Definition
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Term
What does this abbreviation mean?
OS |
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Definition
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Term
What does this abbreviation mean?
IV |
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Definition
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Term
What does this abbreviation mean?
SQ |
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Definition
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Term
What does this abbreviation mean?
OU |
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Definition
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What does this abbreviation mean?
IM |
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Definition
| 0.3937 inches = 1 centimeter |
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Term
What does this abbreviation mean?
z |
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Definition
z= drams
1 fl. dram= 5 mL= 1 tsp
1/2 fl. dram=2 mL= 1/2 tsp. |
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Term
What does this abbreviation mean? (measurement)
pt |
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Definition
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Term
What does this abbreviation mean?
t or tsp |
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Definition
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Term
What does this abbreviation mean?
gr |
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Definition
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Term
What does this abbreviation mean?
gtt |
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Definition
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Term
What does this abbreviation mean?
qt |
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Definition
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Term
What does this abbreviation mean?
oz |
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Definition
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Term
What does this abbreviation mean?
mcg |
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Definition
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Term
What does this abbreviation mean?
Kg |
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Definition
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Term
What does this abbreviation mean?
mL |
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Definition
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Term
What does this abbreviation mean?
m |
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Definition
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Term
| What is the best way to relieve stress from school? |
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Definition
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Term
| What is the formula for calculating gtt/min ? |
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Definition
gtt= amt solution (mL) x gtt factor
min time in minutes |
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Term
| What is the formula for calculating mL/hr? |
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Definition
mL= amt solution (mL)
hr time in hours |
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Term
D x Q = X
H
What does this mean? |
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Definition
Doseage ordered x quanity or volume = x
dosage on hand |
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Definition
| 1000 mL= 32 oz. (4 cups) (2 pt) (1 qt) (1 L) |
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Term
| What is the formula for converting Fahrenheit to Celsius? |
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Definition
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Term
| What is the formula for converting Celsius to Fahrenheit? |
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Definition
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Term
| [image][image][image][image] Who are these people? |
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Definition
| Sarah Geary and Nicole Mitchell. |
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| 1 lb= ____oz (dry weight) |
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Definition
| 1 lb.= 16 oz (dry weight) |
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Term
| 1 lb = ____oz (liquid weight) |
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Definition
| 1 lb= 12 oz (liquid weight) |
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Term
| Medication to be given SQ should not exceed ____mL. |
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Definition
| Medication to be given SQ should not exceed 2 mL. |
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Term
| What size needle would you use for an IM injection? |
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Definition
IM: 20-25 gauge
1-3 in (depending on the size of patient and iscosity of the drug) |
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Term
| Where would you give an IM? |
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Definition
IM should be given:
deltoid
dorsogluteal
vetrogluteal
vastus lateralis |
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Term
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Definition
- Dorsogluteal
- Draw an imaginary line from the posterior superior iliac spine to the greater trochanter.
- Insert the needle at a 90-degree angle above and outside the drawn line.
- You can administer a Z-track injection through this site. After drawing up the drug, change the needle, displace the skin lateral to the injection site, withdraw the needle, and then release the skin.
(always aspirate first) |
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Definition
- Deltoid
- Locate the lower edge of the acromial process.
- Insert the needle 1" to 2" below the acromial process at a 90-degree angle
- Always aspirate
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Term
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Definition
Vastus lateralis and rectus femoris sites
- Find the lateral quadriceps muscle for the vastus lateralis, or the anterior thigh for the rectus femoris.
- Insert the needle at a 90-degree angle into the middle third of the muscle, parallel to the skin surface.
- Always aspirate
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Term
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Definition
Ventrogluteal site
- With the palm of your hand, locate the greater trochanter of the femur.
- SSpread your index and middle fingers posteriorly from the anterior superior iliac spine to the furthest area possible. This is the correct injection site.
- Remove your fingers and insert the needle at a 90-degree angle.
- Always aspirate
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Term
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Definition
Sites for SQ injections
- Pinch (elevate) SQ tissue 1 in.
- Holding the syringe the way you would a pencil or dart, insert the needle at about a 45 degree angle to the pinched-up skin (the needle should be completely covered by skin). (90 degrees for heparin)
- Aspirate (unless giving heparin)
- inject
- massage site gently (unless contraindidcated as with heparin)
- No more than 2 mL
- adult 25 gauge 5/8 inch
- infant, child, elderly 25- 27 gauge 1/2 in.
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Term
| What position do you put the patient into for a rectal supository? |
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Definition
| Patient should be on his Left side in a Sims position, drape appropriately. |
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Term
| How much medication can you give by IM? |
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Definition
| IM: Up to 5 mL can be given. If over 3 mL is given- consider administering 2 separate injections |
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Term
| What angle do you inject an IM at? |
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Definition
| IM- 90 degrees (always aspirate first) |
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Term
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Definition
| Z-track: method of IM injection to prevent leaking (tracking) of medication into the SC tissue. Use z-track when administering medications that will irritate and discolor the tissue (i.e. iron) |
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Term
| When should you use z-track? |
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Definition
Use z-track when administering medications that will irritate and discolor the tissue (i.e. iron)
This IM method prevents leaking/ tracking of medication into the SC tissue.
Use 2 20 gauge needles- at least 2 in.
Use large muscle mass- gluteal |
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Term
| What steps do you use when preparing medication for injection by z-track? |
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Definition
- Use 2 20 gauge needles (at least 2 inches)
- draw up medication with 0.2- 0.5 mL of air
- remove first neelde and replace with unused second needle (prevents irritation to sc tissue as needle is inserted.
- choose a large muscle mass - gluteal
- displace the skin laterally by pulling it 1 in. away from injection site.
- Inject deeply at a 90 degree angle
- ASPIRATE
- Inject slowly
- wait 10 seconds before withdrawing needle
- Withdraw (slowly???)
- Release displaced skin and sc tissue
- do not massage
- encourage ROM or walk to facilitate absorption
- Alternate sites
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