Prep 1 Flashcards
What size needle is recommended for a subcutaneous injection?
25G
True or False:
You should massage skin after an intradermal injection
False.
Can irritate the site and interfere with results
Technique for administering intradermal injection includes…
Hold the syringe almost flat against the patients skin (15 degrees) with the bevel up
How does a mother know her new born is getting enough milk?
6-8 wet diapers
What does APGAR stand for?
Activity, Pulse, Grimace, Appearance, and Respirations
Normal response to Moro Reflex?
Moro reflex may involve the infant suddenly splaying their arms and moving their legs before bringing their arms in front of their body.
A nurse has obtained packed red blood cells from the blood bank to administer to a client. The nurse should begin to administer the blood product within
30 minutes
The nurse is caring for a client who needs a medication to decrease the acidity of the stomach. What class of medications would the nurse expect to use?
Proton pump inhibitors, antacids, Histamine 2 blockers
A nurse is preparing to administer a dose of warfarin to a client. Based on the nurse’s knowledge of this drug, the nurse knows to monitor for which of the following side effects?
Signs of bleeding, and Black stools (manifested by blood in GI system)
Warfarin is an anticoagulant medication that prevents blood clots. Because of its anticoagulant effects, the risk of bleeding is also increased. The nurse should teach the client to watch for signs of bleeding, which in the gastrointestinal system can manifest as black stools
The nurse is caring for a client who has become lethargic. A friend at the bedside reports that the client takes alprazolam. The nurse should prepare which medication?
Romazicon Alprazolam is a benzodiazepine. Romazicon is the antidote to reverse the effects of this class of drugs.
client is prescribed a selective serotonin re-uptake inhibitor and the nurse knows that a benefit of taking an SSRI over other anti-depressants is
An SSRI affects only one neurotransmitter instead of several
Tricyclic antidepressants affect norepinephrine and serotonin neurotransmitters. MAOIs affect norepinephrine, epinephrine, serotonin, and dopamine. SSRIs selectively affect the neurotransmitter serotonin, which means SSRIs have less side effects than MAOIs and tricyclic antidepressants.
A client has a family history of myocardial infarction and has been experiencing multiple episodes of chest pain. The client is prescribed a medication to prevent heart attacks. Which class of medications is appropriate for this condition?
Beta blockers
Cycloplegic – eye drop that causes paralysis of the ciliary muscle, resulting in loss of accommodation for 2-48hrs. Doctors use this to allow them to..
measure pts vision problems
Miotic – eye drop does what? used to treat?
that constricts the pupil. Used to treat glaucoma.
Mydriatic – eye drop does what? used to for/treat?
dilates the pupil. Used for certain eye exams and tx of eye inflammations
What is the THerapeutic class of donepezil (Aricept) pharm class- cholinergics (cholinesterase inhibitors)
anti-Alzheimers’s agents
what is the therapeutic class of erythropoietin (Eprex) – (Epoetin)
antianemics
fluoxetine (Prozac) is an SSRI - what is its therapeutic class? other treatments used for?
antidepressants
• Major depressive disorder.
• Obsessive compulsive disorder (OCD).
• Bulimia nervosa.
• Panic disorder.
• Acute treatment of depressive episodes associated with bipolar I disorder (when used with olanzapine).
• Treatment-resistant depression (when used with olanzapine).
• Premenstrual dysphoric disorder (PMDD).
Factors affecting metabolism are: (4)
Liver failure
Genetics
Environment and other drugs
Age
adrenergic receptors produce what kind of effect in the ANS?
Cholinergic receptors produce what kind of effect in the ANS?
1)Produce fight or flight response; Mimics sympathetic neurotransmitters (epinephrine and norepinephrine)
2)mimic the parasympathetic neurotransmitter acetylcholine.
Direct-acting (muscarinic agonists): Directly bind and activate nicotinic and muscarinic receptors eventually increase smooth muscle tone.
What are some possible side effects of iron supplementation?
Constipation and can decrease absorption of vitamin
• What vitamin is given with calcium to enhance absorption?
vit D
• What are some side effects of magnesium? What GI issue may it be used to treat?
- Used as a laxative for constipation. Side effects may include diarrhea.
Differences between thrombolytic drugs, anti-platelets, and anti-coagulants.
o Anticoagulants prevent clot formation
o Antiplatelet suppress platelet aggregation
o Thrombolytic are clot busters
Hypothyroidism is treated by
by replacement therapy with T3 or T4.
standard replacement regimen consists of levothyroxine (T4; Eltroxin, Synthroid), although combined therapy with levothyroxine plus liothyronine (T3; Cytomel) is an option
Hyperthyroidism Medications given to reduce secretion of
thyroid hormones (thiomides)
what are glucocorticoids used to treat? examples
Anti-inflammatory: suppresses acute inflammatory response by preventing cell –mediated immune reaction. oExamples: short-acting: hydrocortisone intermediate-acting: prednisone long-acting: dexamethasone
-These medication are given frequently in autoimmune diseases or condition where inflammation are dangerous
what is the appearance (Clear or cloudy) and the peak for Short-acting/Regular insulin (Humulin R) ?
clear, peak 2-4hrs
what is the appearance (Clear or cloudy) and the peak for intermediate-acting (Humulin N)?
cloudy, peak 5-8hours
what are often the first-line medications for HTN because they have few side effects and can control minor to moderate hypertension?
diuretics
What are the S&S of septic shock?
• Cool, pale arms and legs, high or very low temperature, chills, little or no urine, low BP especially when standing, palpitations, rapid heart rate.
• What is the antigen-antibody relationship?
o Antibodies bind with the specific matching antigen, destroying it. This specificity of antigen for antibody, similar to a key opening a lock, is a significant factor in the development of immunity to various diseases
Lymphocytes (primary cells in the immune response) : B-cells vs T-cells?
1- A B lymphocyte is a type of white blood cell that develops in the bone marrow and makes antibodies.
2-Type of white blood cell that is involved with the immune system. T lymphocytes mature in the thymus and differentiate into cytotoxic, memory, helper and regulatory T cells.
urinalysis: Proteinuria, albuminuria indicates
- Proteinuria (albuminuria) is a condition of having too much protein in the urine which results from damage within the kidneys. Proteinuria in diabetes will usually be the result of either long term hyperglycemia (high blood sugar levels) or hypertension (high blood pressure).
- -(had before: leakage of albumin or mixed plasma proteins due to inflammation and increased glomerular permeability)
urinalysis: Bacteria – bacteriuria – and pus – pyuria – indicates
UTI
urinalysis: Very low specific gravity (dilute urine) Indicates
kidney/renal failure
urinalysis: Glucose and ketones present indicates
uncontrolled diabetes
What is Blood Urea Nitrogen? What does it test for?
o BUN test measures the amount of nitrogen in your urine. It evaluates kidney function.
What is Creatinine? What does it test for?
o Creatinine tests kidney function. Creatinine is a chemical waste. Creatine is a substance that is found naturally in muscle cells. It helps your muscles produce energy during heavy lifting or high-intensity exercise
• What is dialysis?
o “artificial kidney” Dialysis is a procedure that performs many of the normal duties of the kidneys, like filtering waste products from the blood, when the kidneys no longer work
Medical term for broken bone?
Fracture. Break in the rigid structure and continuity of a bone
What is a soft tissue injury to the tendon called?
What is tendon connective tissue for?
STRAIN
- connects muscle to bone and is capable of withstanding tension