Pharmacy Foundations 1 - NAPLEX Best Exam Questions With 100% Accurate Solutions Latest Update
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Course
Pharmacy Foundations 1 - NAPLEX
Institution
Pharmacy Foundations 1 - NAPLEX
Main types of parenteral drug administration - ANS-IV
IM
SQ
Intrathecal adminstration (into brain) is contraindicated with - ANS-Vincristine - chemo agent. It can be fatal
A catheter into the vein is called - ANS-A venous catheter or a line
Now pt has IV access
What are the 2 types of l...
Pharmacy Foundations 1 - NAPLEX Best
Exam Questions With 100% Accurate
Solutions Latest Update
Main types of parenteral drug administration - ANS-IV
IM
SQ
Intrathecal adminstration (into brain) is contraindicated with - ANS-Vincristine - chemo
agent. It can be fatal
A catheter into the vein is called - ANS-A venous catheter or a line
Now pt has IV access
What are the 2 types of lines and what is each used for - ANS-Peripheral line ie:
peripheral venous catheter : put in smaller veins. It is less expensive and less
complicated but more limited
Central line: empties into larger veins. Contents are quickly diluted and it provides
secure, long term access
Used for highly concentrated drugs, long term antibiotics, drugs with a pH or osmolality
that is not close to that of the blood ie: parenteral nutrition
What is the most common vein used for peripheral venous catheters - ANS-Cephalic
vein in the arm
SEs from administering drugs into peripheral lines - ANS-It can cause:
Phlebitis - vein irritation
Thrombosis - clots
, Fluid extravasation- when catheter is dislodged from the vein and the infusion contents
enter surrounding tissues
Ways to place a central line - ANS-1. Directly into a large vessel ie: superior vena cava
2. Place into a smaller vein and then push it through until the tip is in the superiors vena
cava = PICC: Peripherally inserted central catheter
What is a vesicant and what line should be used - ANS-A drug that will cause severe
tissue damage if the catheter tip falls out of the vein
Central line is better bc its less likely to be dislodged
Name some drugs that are common vesicants - ANS-Vasopressors - dopamine and NE
Anthracyclines - doxorubicin
Vinca alkaloids - vincristine, vinblastine
Which drug can cause such severe tissue injury that some hospitals even removed it
from the formulary and what are the guidelines for safe use and the preferred route -
ANS-Promethazine
Minimally you must:
NOT give it to children < 2
Dilute the drug
Limit the dose and concentration
Be very careful
IM is the preferred route but it still has risks of tissue injury
What are the primary compatibility and stability resources for IV drugs - ANS-Handbook
on Injectable Drugs - AKA Trissel's
King Guide to Parenteral Admixtures
Package insert
Databases:
Micromedex
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