Medications Helps and Hints

Question 1

Whats is Humulin 70/30?

Answer 1

Mix of R and N insulin
N = 70%
R = 30%

Mulitply .7 for 70% and .3 for 30%

Remember the higher number is the numerartor which starts with “N” therefore N is always 70%.

Question 2

Can you mix insulin in the same syringe?

Answer 2

Yes.
Mix R first (clear) then N (cloudy).

” RNs do it that way!”

Question 3

For pressurizing the vile which one would you inject air first?

Answer 3

1. N
2. R
3. R
4. N

Question 4

Which needle would you use to give a I.M and Sub Q?

Answer 4

For I.M. pick the answer that has x2 # 1s i.e 21 1/8

Sub q. pick the answer that has x2 # 5. i.e 25 5/8

Question 5

Describe Heparin vs. Coumadin

Answer 5

Heparin

1. Given I.V. or Sub Q
2. Works Immediatly
3. Don not give longer than 3 wks - Except Lovenox!
4. Antedote - protamine sulfate
5. Lab tests PTT
6. Can give to pregnant women

Coumadin

1. Only given P.O.
2. Takes a few days to a week to work.
3. Given for life
4. Antedote - Vitamin K
5. Lab test PT from which INR is derived
6. Do NOT give to pregnant women.

Question 6

What is the only anti psychotic drug that you can give to a pregnant women?

Answer 6

Haldol

Question 7

What is the rule with K wasting and K sparing Diuretics?

Answer 7

Any Diuretic ending in X….x’s out K, Plus Diarol! Therefore wastes K. If it does not end in an X and its not Diarol then its a SPARER!

Question 8

What are 2 side effects of muscle relaxers.

Answer 8

1. Fatigue

2. Muscle weakness

Question 9

What are the 3 things you teach a pt. who’s is on muscle relaxers?

Answer 9

No Drinking
No Driving
No Heavy machines

Question 10

Name 2 types of muscle relaxants

Answer 10

1. Baclofen - “ when you are on your baclofen, you are on you Baclofen”.
2. Flexerol

Question 11

Describe the 4 stages of Piagets theory for kids thinking.

Answer 11

Stage 1: 0-2 yrs old, stage of sensory motor thinking, this age group lives in the present and does not think about the past or future, just the present. i.e. tell them what your doing while your doing it” This is the age group you pre-teach parents not the child.

Stage 2: 3-6 yr old, pre-operational they are fantasy orientated, they are imaginative, illogical, their thinking obeys no rules, you cannot reason with the preschooler. If they can think it, it can happen. They understand both past and future. Teach shortly before - either the morning of, or day of, or 2 hrs prior to. What do you teach them? teach them what you are going to do through play, book, dolls, equipment etc.

Stage 3: 7-11 yr old concrete operational (7/11). Rule oriented they live and die by the rules they cannot abstract. They think there is only one way to do things, which is the first way they have been shown. Teach days ahead, teach what your going to do, plus skills! Teach by using age appropiate reading and demonstration.

Stage 4: 12 > Formal Operational - can abstract ( make decisions) and think cause and affect, they are able to manage their own care. i.e. listening for bruie.

Question 12

What are the phase of relationships when answering psych questions?

Answer 12

1. Pre-interaction
2. Introduction
3. Orientation
4. Working
5. Determination phase

Question 13

When dealing with a psyc pt. do not give advice instead answer with…..?

Answer 13

“What do you think you should do?”

Note: med surg you can give advice

Question 14

If a patient says something the best answer to pick in the one that keeps them?

Answer 14

Talking - its never wrong to get a Pt. to talk.

Do not pick answers that refer them to a social worker.

Question 15

Don’t use slang and don’t tell an upset pt. to chill out b/c psyc pt. will take you _________and __________.

Answer 15

Literal and concrete

Question 16

What is the 4 step process to answering empathy questions?

Answer 16

1. Recognize its an empathy question: Empathy questions always have a quote in the question and each of the answers is a quote.
2. Put yourself in the pt. shoes and say their words as if you really, really mean them - role play it.
3. How do the words make you feel?
4. Pick the answer that represents what they are feeling not what they are saying. Empathy ignores what they said and goes with how they are feeling.

Example:
PT: Your a “Brince la vic”
Nurse: Im a what? responds to what they have said - this is WRONG.
Nurse: “ I see your angry” responds to how they feel - right answer.

PT: you are all killers! you killed my mother.
Ask: How does the PT. feel? scared/angry. Therefore pick the answer that represents feeling scared or angry.

Watch for the sucker answer that describes how pt. is being concerned about her mother.