test 5

Question 1

Medications ordered in units/hour or mg/hour formula

Answer 1

(desired)(mL)/
(have). =ml/hr

e.g.
(units or mg/hr)(mL)/
(have in units or mg). =mL/hr

Question 2

concentration formula

Answer 2

amount of drug/
amount of fluid in mL =concentration

Question 3

advanced IV medications are

Answer 3

very potent medication

Question 4

small changes to the infusion rate can greatly affect

Answer 4

the body’s physiologic response

Question 5

who prepares advanced IV medications

Answer 5

pharmacy

Question 6

how are advanced IV medications administered

Answer 6

pump

Question 7

pump aka

Answer 7

smart pump

Question 8

many pumps can deliver

Answer 8

rates less than 1 (e.g. 0.5)

Question 9

what does the pump calculate

Answer 9

how much medication the patient recieves

Question 10

what does the nurse have to program into the pump

Answer 10

drug amount, patient weight, & time

Question 11

advanced IV medications used in critical care
HIGH ALERT MEDS e.g.

Answer 11

heparin and insulin drip

Question 12

IV anticoagulant

Answer 12

heparin

Question 13

why is insulin a high alert med

Answer 13

any error can lead to death

Question 14

why is IV anticoagulant (heparin) a high alert med

Answer 14

can cause severe bleeding

Question 15

heparin requires

Answer 15

a PTT to check the level

Question 16

insulin drips require

Answer 16

a blood sugar (glucose) level to titrate appropriately

Question 17

if the PTT is high

Answer 17

the blood is too thin and you can not give heparin

Question 18

if the PTT is low

Answer 18

the patient is prone to clotting

Question 19

what is the only kind of insulin that can be given continuous IV infusion

Answer 19

regular insulin

Question 20

insulin drips are given to patients with

Answer 20

hyperglycemia

NEVER GIVE INSULIN TO PATIENT WITH BS UNDER 60

Question 21

heparin protocol can

Answer 21

differ per facility

Question 22

titration

Answer 22

adjusting med dosage for max benefit without adverse effects

Question 23

heparin titration is based off of what lab result

Answer 23

PTT levels

Question 24

heparin purpose

Answer 24

prevent blood clots (anticoagulant)

Question 25

what is a “loading dose”

Answer 25

bolus of heparin initially, followed by drip rate

Question 26

high alert medication identification

Answer 26

red label

Question 27

PCA pump

Answer 27

patient controlled analgesia pump (pain control)

Question 28

what 3 things does a PCA pump have

Answer 28

1. prescribed rate
2. lock-out time
3. hourly max dose

Question 29

what is a PCA pump for

Answer 29

IV method of pain management that allows the patient to self administer pain meds

Question 30

basal rate=

Answer 30

amount of medication infused continuously per hour

Question 31

what is the point of lock-out time

Answer 31

preventing overdose

Question 32

medications that could be administered by the PCA pump

Answer 32

morphine, fentanyl, demerol, etc

Question 33

what does it mean to give a patient a bolus of fluids

Answer 33

giving a large amount of fluid over a short amount of time