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N242 > Skills test! > Flashcards

Skills test! Flashcards

1
Q

what therapeutic class is glycopyrrolate

A

Antipasmodics (suppresses muscle spasm)

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2
Q

what pharmacological class is glycopyrrolate

A

anticholinergics (blocks acetylcholine NT’s - inhibit parasympathetic nerve impulse)

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3
Q

what is the indications for glycopyrrolate

A

inhibits salivation & excess respiratory secretions when given preoperatively or for palliative care.
(Reverses some of the secretory & vagal actions of cholinesterase inhibitors used to treat non depolarizing neuromuscular blockade) (Adjunctive management peptic ulcer disease)

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4
Q

What is the action of gylcopyrrolate

A

Inhibits the action of acetylcholine @ postganglionic sites located in smooth muscle, salt. glands & CNS. Low doses decrease sweating, salivation & respiratory secretions. Intermediate doses increase HR & large doses decrease GI & GU motility.

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5
Q

what is the therapeutic effect of glycopyrrolate

A

Decreased GI & resp secretions. Not well absorbed orally. Crosses placenta

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6
Q

Onset of glycopyrrolate

A

15-30 minutes or longer

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7
Q

peak of glycopyrrolate

A

30-45 minutes or longer

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8
Q

duration of glycopyrrolate

A

2-7 hours

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9
Q

half life of glycopyrolate

A

~2 hours

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10
Q

when is glycopyrolate contraindicated

A

hypersensitivity, glaucoma, hemorrhage, tachycardia, ulcerative colitis, toxic megacolong

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11
Q

what are side effects of glycopyrollate

A

headache, congestion, tachycardia, dry mouth, vomiting, urinary hesitancy, flushing

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12
Q

interactions of glycopyrollate

A

increased GI mucosal lesions with oral potassium chloride, may alter absorption of oral drugs by slowing motility

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13
Q

what to assess before giving glycopyrolate

A

HR, BP, RR, Intake/output in geriatric, bowel sounds, LBM, may cause decreased uric acid

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14
Q

what is the antidote for glycopyrolate

A

Neostigmine

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15
Q

What should you teach the patient

A

will decrease respiratory secretions. Avoid extreme temperatures, may cause dizziness, notify if eye pain.

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16
Q

what is the T class of dimenhydrinate

A

Antiemetics, antihistamines

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17
Q

what is the indication for dimenhydrinate

A

N/V, Dizzy, vertigo w/ motion sickness

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18
Q

what is the action of dimenhydrinate

A

Inhibits vestibular stimulation, significant CNS depression, anticholinergics, antihistaminic, antiemetic

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19
Q

what is the therepeatuci effect of Dimenhydrinate

A

decrease vestibular stimulation - prevent motion sickness

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20
Q

what is the onset of dimenhydrinate

A

20-30 minutes

21
Q

what is the peak of dimenhydrinate

A

1-2 hours

22
Q

what is the duration of dimenhydrinate

A

3-6 hours

23
Q

what is cautioned for dimenhydrinate

A

glaucoma, seizure, prostatic hyperplasia

24
Q

what are the side effects of dimenhydrinate

A

Drowsiness, anorexia, hypotensioon, diarhea, dry mouth

25
Q

what are the interactions of dimenhydrinate

A

increased CNS depression w/ antihistamines alcohol or opiod

26
Q

what is the normal dose of dimenhydrinate

A

50 mg Q 4 hours

27
Q

what should you assess for dimenhydrinate

A

N/V, Bowel sounds, abdominal pain, emesis, input, output, dehydration, avoid alcohol & may cause drowsiness

28
Q

what T class is insulin

A

Antidiabetics, hormones

29
Q

what P class is insulin

A

Pancreatics

30
Q

What indication is insulin

A

control hyperglycaemia

31
Q

what is the action of insulin

A

lower bg by stimulations. glucose uptake in skeletal muscle & fat, inhibit gluconeogenisis, lypolysis, proteolysis, enhances protein synthesis

32
Q

what is the therapeutic effect of insulin

A

control hyperglycaemia

33
Q

what should be known about insulin requirements

A

stress increases requirements
beta blockers, clonidine, resepin mask hypoglycememia symptoms
alcohol decreases insulin requirements

34
Q

what should you assesss for

A

Hypoglycemia ( Anxiety, restless, tingles, chills, sweat, confusion, drowsy, hungry, headache, nervous, tachycardia

35
Q

All about lispro

A 
Onset: 10-15 minutes
Peak: 60-90 minutes
Duration: 3-5 hours 
Give immediately before meals 
can be mixed
36
Q

all about NPH

A

onset: 1-3 hours
peak: 5-8 hours
duration: 12-18 hours
don’t give IV
can be mixed with rapid or reg

37
Q

storing insulin

A

28 days once open - don’t forget to label

keep out of sunlight & heat

38
Q

how long to label tubing for

A

96 hours (4 days)

39
Q

how much fluid to flush `

A

3-5mls

40
Q

what gauge for sub cut

A

25

41
Q

what length for sub cut 90 degrees

A

1/2 or 12 mm

42
Q

what length for sub cut 45 degrees

A

5/8 inch of 16mm

43
Q

what amounts to grasp for different angles

A

5cm to do 90, 2.5 cm to do 45

44
Q

storage of insulin

A

28 days room temp
unopened in the fridge
void heat & sun
less pain at room temp

45
Q

what gauge needle for IM

A

20-25 gauge needle for aqueous, 18-21 for oil

46
Q

what is the max volume sub cut

A

1-1.5 ml

47
Q

what is the mac volume for IM

A

2-3 is ideal, can do up to 5

48
Q

what length needle IM

A

1-1.5 inch but usually 1.5

N242 (6 decks)

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