What is the test we use for toxicity? Therapeutic range for this test?
INR
2-3
The nurse is planning to crush medications for a patient to administer via NG tube. What type of
Medication cannot be crushed?
Extended release
Enteric coated
Sustained release
Whole capsules
If a patients blood sugar is too high, we would use?
Rapid insulin eg Novalog
,Can we mix rapid acting insulin with long acting?
No, you can only mix regular and NPH
How to respond to patients in Respiratory distress?
Raise HOB
O2 stats assessment
Listen to lung sounds
CALL THE DOCTOR LAST
Post-operative care for a patient?
IV fluids
Wound care
Ted hose
Pain meds
Incentive spirometer
Ambulation
Vital signs
What is A red flag to question when reviewing a post op physicians order?
States to resume previous orders
No new orders
What signs should we watch for in a 5 hour postoperative patient?
Drop in respirations
Decrease in O2 stats
,Fever greater than 100 (normal to have a fever 99-100 after surgery) (check this)
What is normal to see in a patient who's had a hysterectomy? What is not normal?
Vaginal drainage
Large blood clots and excessive bleeding are not normal!
What are some benefits of ambulation?
Increases circulation
Helps with the GI system
Helps with pain
Care coordination
Deciding who takes priority, certain types of people discussed
Ex: Mentally ill, frail,elderly etc
What is happening when a patient has a hemorrhagic stroke?
A rupture of an artery or bleed in the brain
85 % of strokes are?
Clots, ischemic
15% of strokes are
hemorrhagic
, Metformin is commonly used for?
Type 2 diabetics
Lisinopril is given to what type of patient?
Hypertensive
It lowers blood pressure
You are working at a hospital making arrangements to transport a critical patient to a larger hospital.
Providing traditional care, what would you do?
Give report to the EMS that will be accompanying the patient by ambulance
Adverse event is? Give an example
Unintended harm, something harmful happened but not super extreme (giving the wrong med to
patient with no serious outcome)
Near miss event is? Give an example
Realizing that was a mistake BEFORE the error occurred
Someone came in for surgery and reveals she didn't stop taking warfarin, surgery was then rescheduled
Sentinel Event:
Unexpected harm happened and patient experienced extreme harm or died
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