ATI pharm proctored exam latest 2022 graded A

Safe Medication Administration and Error Reduction: Identify a Situation Requiring an Incident Report (Active Learning Template - Basic Concept, RM Pharm RN 7.0 Chp 2) - Wrong medication or IV fluid - Incorrect dose or IV rate - Wrong client, route, or time - Administration of an allergy‐inducing medication - Omission of a dose or administration of extra doses - Incorrect discontinuation of a medication or IV fluid - Inaccurate prescribing - Inadvertently giving a medication that has a similar name Treatment of Malignant Hyperthermia-Ch.15 - Stop succinylcholine and other anesthetics. -Administer oxygen at 100%. -Initiate cooling measures including administration of iced 0.9% sodium chloride, applying a cooling blanket, and placing ice bags in groin and other areas. -Administer dantrolene to decrease metabolic activity of skeletal muscle. Substance Use Disorders: Treatment for Cocaine Toxicity(Active Learning Template - System Disorder, RM Pharm RN 7.0 Chp 12) Benzodiazephone (lorazepam, diazepam, chlordiazepoxide, oxazepam) naloxone watch glucose Adverse Effects, Interactions, and Contraindications: Using an Epinephrine Auto-Injector (RN QSEN - Patient-centered Care, Active Learning Template - Medication, RM Pharm RN 7.0 Chp 5) for anaphylactic shock tachycardia arrythmias (v. fib) can inject through clothes if necessary Antibiotics Affecting Protein Synthesis: Aminoglycosides and Adverse Effects(RN QSEN - Teamwork and Collaboration, Active Learning Template - Medication, RM Pharm RN 7.0 Chp 45) "Mycin" ototoxicity - hearing/balance loss nephrotoxicity - look @ bun, creatinine, i/o neuromuscular blockade- weakness, resp. depression hypersensitivity streptomycin = neurological disorder - optic nerve, tingling/numb, peripherial neuritis Airflow Disorders: Teaching About Theophylline (RN QSEN - Patient-centered Care, Active Learning Template - Medication, RM Pharm RN 7.0 Chp 17) Xanthines bronchodilator avoid caffeine missed dose doesnt mean doubling swallow whole will need levels monitores prriodic glucose monitoeing report toxicity - nausea, diarrhea, restlessnessIndividual Considerations of Medication Administration: Client Medication Interactions (RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0 Chp 45 erythomycin shouldnt mix with -antihistamines -warfarin -digoxin -thophylline -HIV protease inhibitors -verapamil -diltiazem (bc toxicity) penicillin and aminoglycosides cant mix inIV aminoglycosides and loop diuretics increase hearing/balance issues Antibiotics Affecting Protein Synthesis: Planning Care for a Client Prescribed Erythromycin Lactobionate(RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0 Chp 45 used if pt. has penicillin allergy IV if severe watch liver function if longterm administer with meals watch for hearing/balance issues Medications Affecting Coagulation: Over-The-Counter Products That Interact With Warfarin (RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0 Chp 25) aspirin, acetaminophen, glucocorticoids - increase effects of warfarin - increases bleeding Medications Affecting Labor and Delivery: Priority Findings for a Client Who Received Dinoprostone (RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0 Chp 32) (stimulates uterine contractions, softens cervix) watch for uterine tachysystole -excessive contraction