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Mark Klimek NCLEX Pharm

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Mark Klimek NCLEX Pharm Never hold the hormone for what patient? Ans- patient who is NPO with mydexema Addison's disease easy way to remember Ans- Add a Sone (sone = steroid) Best default order for click and drag order questions? Ans- Hold ..... med Assess ..... what med does Prepare ...... th...

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  • March 23, 2023
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  • 2022/2023
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Mark Klimek NCLEX Pharm
Never hold the hormone for what patient? Ans- patient who is NPO with mydexema



Addison's disease easy way to remember Ans- Add a Sone (sone = steroid)



Best default order for click and drag order questions? Ans- Hold ..... med

Assess ..... what med does

Prepare ...... the correction

Call ..... or notify



Rarely if ever answer ... Ans- call Doctor, NCLEX wants you to think critically



INR lab values Ans- 2-3, critical value if off, potential for patient to bleed. Use default order for order ?'s
(hold all coumadin, assess for bleeding, prepare Vit K (antidote for Coumadin), Call or notify



Potassium lab values Ans- 3.5-5.3 If low it is a critical lab to worry about assess the heart and then
prepare to give K

if high, hold all K, assess heart (EKG), give D5W and reg insulin, call

if really high, hold, assess, prepare, call STAT Get someone else involved! Dangerous!!



If question says there is pitocin running and there are complications Ans- stop pit first then LIONpit



Pain meds in labor Ans- know your peaks for IV, IM, PO, Subling. If baby is likely to be born when the
pain med is peaking don't give! Why? Respiratory depression in baby



OB medications tocolytics Ans- stop contractions, Brethine causes maternal tachycardia, Nifedipine
(dipine - CCB) causes Hypotension and headache



OB medications oxytocics Ans- makes labor more intense, Pitocin, Methergine, Cervidil

, OB medications Fetal/Neonatal Lung meds Ans- Betamethasone, speeds the development of the baby's
lungs, given to Mom before baby is born, given IM, will increase the blood sugar of Mom



Survanta (surfactant) Ans- given to baby after baby is born given trastracheal through the airway
develops lungs



Med hints for IM injections Ans- Look for 1's in both parts (the 1 looks like an I), guage and length, 21 g,
1 inch means IM



Med hints for SQ injections Ans- look for 5's in both parts (the 5 looks like an S), guage and length, 25 g,
5/8 inch means SQ



Drawing up Insulin rules Ans- R then N, Draw up R then N, NRRN the whole process



Pressurizing Insulin rule Ans- put air into N then R , NRRN the whole process



If 70/30 insulin it is Ans- 70% N and 30% R, may have to make your own on boards, no 70/30 on the
floor



Heparin is given IV or SQ NOT PO, info re: Heparin Ans- works immediately, labs Ptt or any clotting or
bleeding time, antidote: protamine sulfate, course: 21 days, pregnancy: YES (Class C pregnancy drug, use
caution)



Coumadin is given PO, info re: Coumadin Ans- takes days to work, labs ONLY PT-INR, antidote: Vit K
(think Koumadin), course: forever, prengancy: NO (never use)



If a diuretic ends in the letter X it is a potassium Ans- wasting drug plus Diurel



Baclofen/ Flexoril Ans- muscle relaxant, think on your back loafin'! makes a patient drowsy, weak
muscles, don't drink, don't drive, don't care of kids under 12

Piaget's stage Sensorimotor age 0-2, totally

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