Pass Point- Meds and IV Admin
The nurse is preparing to give a 9-year-old client a preoperative I.M. injection. Which size needle should the nurse use?
22G, 1½"
Hypertonic
A solution that causes fluids to be absorbed into the intravascular space until equal pressure is established on both sides of the blood vessel.
amlodipine [Norvasc] (Func)
Antianginal. Reduces chest pain and B/P
atorvastatin [Lipitor] (Func)
Antilipidemic, lowers cholesterol
A child with type 1 diabetes develops diabetic ketoacidosis and receives a continuous insulin infusion. Which condition represents the greatest risk to this child?
Hypokalemia (Insulin administration causes glucose and potassium to move into the cells, causing hypokalemia)
serum ammonia concentration
It decreases the number of ammonia-producing bacteria in the GI tract.
furosemide (SE)
Low serum potassium level. This drug is a potassium-wasting diuretic. As water and sodium are lost in the urine, blood pressure decreases, blood volume decreases, and urine output increases.
ibuprofen [Advil, Motrin]
NSAID, treats pain and fever
A client who has received an IM injection of ceftriaxone sodium calls the clinic and states "I think I am allergic to this medicine, there is a bump and it hurts at the injection site." What is the nurse's best response?
Place a warm compress on the area for 10 minutes (The nurse should advise the client that a warm compress may be applied to the area to help decrease the pain. This is an expected result of the injection and is not an allergic reaction)
subcutaneous (subQ) insulin injection sites
Relatively distant from bones and major blood vessels, include the lateral aspects of the upper arm, the anterior aspects of the thigh, and the abdomen.
Dystonia
Severe tonic contractures of muscles in the neck, mouth, and tongue
phenobarbital
a barbiturate that depresses the CNS. treats sleeplessness, anxiety, and seizures in emergency situtations
phenytoin [Dilantin]
anti-epileptic/anticonvulsant. does not treat all types of seizures
levodopa-carbidopa [Sinemet]
antiParkinsons
levofloxacin
antibiotic. treats UTI, and for pts who have been exposed to Anthrax
carbamazepine
anticonvulsant. absence of serizures
diphenoxylate/atropine [Lomotil]
antidiarrheal
cotrimoxazole
antiinfective. UTI
ciprofloxacin
antiinfective. for adult UTI
clindamycin
antiinfective. infections of staphylococi
quetiapine
antipsychotic. treats schizophrenia and bipolar disorder
risperidone
antipsychotic. treats schizophrenia, bipolar disorder, symptoms of irritability in children with Autism
enalapril (NC)
asses blood pressure after 1 hour. This drug treats high blood pressure
enoxaparin [Lovenox]
blood thinner
megestrol
progesterone hormone. treats symptoms of advanced cancer of the breast or uterus
nifedipine
calcium channel blocker. treats high B/P and chest pain
isotretinoin (PT teaching)
contraceptive precautions; even small amounts of are associated with severe birth defects
prednisone
corticosteroid/anti-inflammatory/immunosuppressant. treats allergic disorders
duloxetine [Cymbalta]
depressions, anxiety, muscle/bone pain
metformin
treats type 2 diabetes
misoprostol [Cytotec]
for treatment of a gastric ulcer, common SE is diarrhea
Progesterone
is a hormone used to treat amenorrhea or dysfunctional uterine bleeding (For a client who has just been diagnosed with breast cancer, the nurse should expect the health care practitioner to prescribe this medication)
salmeterol
long-acting beta-agonist bronchodilator. used more for pts with nighttime asthma or exercise induced asthma
baclofen
muscle relaxant for spinal cord injury or multiple sclerosis
rosiglitazone [Avandia]
treats type 2 diabetes.
ranitidine [Zantac]
reduces amount of acid in the stomach. treats and prevents ulcers in stomach and intestines
acetaminophen/hydrocodone [Vicodin]
relieves moderate to severe pain
Tinnitus
ringing or loss of hearing in the ear(s) is a sign of ototoxicity, which can occur when a client's dose is too high
metoclopramide [Reglan]
short term to treat heartburn. increases muscle contractions in upper digestive tract
epoetin
synthetic erythropoietin. helps in increase RBCs to treat anemia
lansoprazole [Prevacid]
treats GERD and stomach ulcers
diazepam [Valium]
treats anxiety disorders, alcohol withdrawals, muscle spasms
cyclosporine
treats chronic dry eye
donepezil
treats dementia
hydrochlorothiazide
treats high B/P
valporic acid
treats seizures, manic episodes r/t bipolar disorder
