Competency Drugs

Question 1

Toradol (ketorolac)

Answer 1

NSAID ANALGESIC

Route: IVP over 15 seconds
Dose: 30 mg undiluted

SE: anaphylaxis d/t hypersensitivity, nausea, GI bleeding, sedation, hypotension, rash, headache, edema

Question 2

RhoGAM

Answer 2

immunoglobulin

Route: IM
Dose: 300 ug

within 72 hours
blood details

SE: headache, chills, fever, decreased hemoglobin

Given to Rh- moms at 28 wks, 72 wks, & after delivery

Pt teaching: may cause drowsiness or dizziness

Question 3

MMR vaccine

Answer 3

Route: SQ
Dose: 0.5 ml

SE: soreness, fever, rash, pain, & joint stiffness

Question 4

TDAP vaccine

Answer 4

Route: IM
Dose: 0.5 ml

SE: pain, redness, swelling, n/v/d, muscle aches & pain

Question 5

Ancef (Cefazolin)

Answer 5

ANTIBIOTIC

Route: IVPB
Dose: 500mg-2g every 6-8 hours

SE: seizures, rash, cramps, SJS, n/v/d

Question 6

Vitamin K injection

Answer 6

BABY

Route: IM
Dose: 0.5-1 mg 
(0.25-0.5 ml) 
within 2 hours of birth
-can be repeated if newborn shows bleeding tendencies

SE: edema, erythema, & pain at injection site occur rarely
-hemolysis, jaundice & hyperbilirubinemia have been reported - particularly in preterm infants

Question 7

Hep B vaccine

Answer 7

BABY

Route: IM
Dose: 0.5 ml (10 mcg)
(at 0, 1, & 6 mos)

SE: pain at injection site - mild to moderate fever and chills

Question 8

Eye prophylaxis

Answer 8

BABY
ophthalmic anti-infective (to prevent chlamydia)

given within 1 hour of birth

1. a line of ointment 1-2 cm long is placed in the lower conjunctival sac
2. gently massage closed eyelids to aid in absorption and dispersion of ointment
3. after 1 minute, remove any excess ointment from eye using sterile gauze
4. do not rinse

SE: edema, inflammation, & discharge for 24-48 hours