Exam 2 Flashcards
Narcan indications
reverse the effects of narcotics, particularly respiratory depression (pinpoint pupils, apnea)
Narcan dosage adult
2mg total
1mg/cc per, intranasal
0.4mg doses up to 2mg, IV
D50 indications
symptomatic hypoglycemia
Cardiac arrest with pulseless electrical activity (PEA) or asystole, or with a history of diabetes
Glucometer reading less than 70mg/dL
Generalized hypothermia
D50 dosage adult
1gm/kg, up to 25gm
D50 complications
tissue necrosis
phlebitis
Full name for Narcan
Naloxone Hydrochloride
Full name for D50
50% Dextrose in water
D50 dosage pediatric
25% dextrose 1gm/kg
empty half, fill half with NS
Narcan dosage pediatric
0.1mg/kg
Types of shock
Hemorrhagic Septic Anaphylactic Neurogenic Obstructive Cardiogenic
Definition of shock
inadequate tissue perfusion
AEIOU
Alcohol Epilepsy Insulin Overdose Uremia, Underdose
TIPS
Toxins, Trauma
Infections
Psychological disorders
Shock, Stroke
Uremia
Severe kidney failure resulting in the buildup of waste products within the blood. Eventually brain functions will be impaired.
Minimum BP to obtain in trauma patient
90mm/systolic
Where is insulin produced
Islets of Langerhans beta cells, pancreas
D50 dosage infants
10% dextrose 1gm/kg
2ml dextrose, 8ml NS
Which IV sites are best for large bore catheters
AC, antecubital
aka Cephalic & Basilic
Convert pounds to kilograms
(# / 2) - 10%
drip rate calculation
Volume x Drip set / Minutes
i.e. 800ml x 15gtts / 60 minutes
early s/s of shock
tachypnea tachycardia weak, thready, or absent radial pulse cool, diaphoretic pallor, circumoral cyanosis slow capillary refill
troubleshooting IVs
check IV fluid check administration set check the height of IV bag check type of catheter used check constricting band
selecting IV sites
avoid bifurcations
avoid valves
avoid the anterior portion of the wrist
selecting catheter size
reason for IV
age of patient
location of IV
