quick tips Flashcards
1
Q
insulin
A
- humalin 70/30 = 30% regular and 70% NPH
- you can mix insulin in the same syringe: clear before cloudy (regular before NPH): inject air into NPH, inject air into the regular, draw up regular, draw up NPH
2
Q
heparin
A
- given IV or SQ
- works immediately
- cant be given for more than 3 weeks (except for lovenox)
- antidote: protamine sulfate
- Labs: aPTT
- can be given to pregnant women
3
Q
coumadin
A
- given only PO
- take a few days to a week to work
- antidote: vitamin K
- lab: PT/INR
- cannot be given to pregnant women
4
Q
injections
A
- IM: 21 gauge/inch ( i in inch looks like 1)
- SQ: 25 guage/inch (s in SQ looks like 5)
5
Q
k= wasting vs sparing
A
- any diuretic ending in x, x’s out k+ (wastes it) + diuril
- all others are sparing
6
Q
muscle relaxants
A
- fatigue/drowsiness/muscle weakness
- teach not to drink/drive/operate heavy machinery
- baclofen and flexeril
7
Q
present oreinted
A
- 0-2 years
- present
- teach verbally while you do it
- pre teach parents
- dont understand future or past
8
Q
pre operational
A
- 3-6
- pre school for pre teaching
- fantasy oriented
- pick answer with “morning of/day of/two hours before”
- teach what you are going to do (future tense) through play
- imaginative
- nO SKILLS TEACHING
9
Q
concrete operational
A
- 7-11
- rule oriented
- teach days ahead
- teach what you are going to do + teach skills with age appropriate reading and demonstration
- they cant make decisions and there is only one weay of doing things
10
Q
formal operations
A
- 12+
- can think abstract (cause and effect)
- adult medsurg question
- teach like and adult
- can manage their own care
- can make decisions
11
Q
psych
A
- do not give/accept gifts
- don’t give advice
- dont guarantee anything
- best answer is the one that keeps them talking (open ended)
- dont use slang and dont use the dumb word they used
- acknowledge feeling (dont pick soemthing that says “don’t worry)
