Use this one

Question 1

i. Potassium: how to administer, when to use caution, common dosage for DRIP

Answer 1

1. never put in a push
   a. Always dilute in 100 ml or more

i. Renal insufficiency
ii. Endocrine disorders (hypoaldosteronism)
iii. Potassium sparing/altering medications (diuretics, ACE inhibitors, ARBS, digoxin, beta blockers, etc)

Question 2

What are the constituents of MTE 4 and MTE 5

Answer 2

1. MTE 4: Chromium, copper, manganese, zinc

2. MTE 5: Chromium, copper, manganese, zinc, selenium

Question 3

Conditions to use caution in

Copper

Answer 3

caution with cholestasis, cirrhosis, Wilson’s dz of copper storage

Question 4

Conditions to use caution in Manganese

Answer 4

1. caution with cholestasis (toxicity may result if biliary excretion is impaired), may cause neuropsychiatric sxs: irritability, excitement, compulsive behavior

Question 5

Conditions to use caution in Molybdenum

Answer 5

aggravates copper deficiency; avoid in pregnancy

Question 6

Conditions to use caution in Selenium

Answer 6

1. caution with renal dz, decreased excretion

Question 7

Conditions to use caution in Zinc

Answer 7

1. caution with renal dz, biliary excretion conditions, pregnancy, wilson’s dz

Question 8

Magnesium: Adverse side effects of magnesium, common administration rates, researched uses

Answer 8

Adverse reactions: rapid infusion may cause pt to become flushed w a sensation of heat often in the face, skin, trunk, followed by hypotension, cold sweating and even fainting

DO NOT GIVE MORE THAN 4G PER ADMINISTRATION

• common push: up to 1500 mg over 20-40 min
• Common drip: up to 3000 mg over 2 hours

Researched uses

• Pts w ST elevation and AMI, migraines, bronchial hyper-reactivity
• Mag sulf often given for asthma and headache, mag chloride for cardiac arrhythmia.

Question 9

i. Calcium: Adverse side effects, special considerations with calcium gluconate

Answer 9

shellfish allergy

Adverse reactions: hypotension, bradycardia, arrhythmia, tingling sensations, syncope, cardiac arrest due to effect on nerve conditions and muscle contraction

Question 10

1. What must be decided for each patient as you are formulating his or her potential IV therapy?

Answer 10

a. Goals and monitoring
b. Push vs drip
c. Carrier solution
d. Which nutrients to use
e. Solution osmolarity
f. Which vein to use
g. Infusion rate

Question 11

Over what gram amount of Vitamin C must you check for a G6PD deficiency?

Answer 11

Dosage > 5g

Question 12

Compounded IV solutions fall under the USP exemption for Immediate Use if they are used within___ of starting the preparation of the solution.

Answer 12

one hour

Question 13

How soon must you use uncontaminated multidose vials

Answer 13

max 28 days,

Question 14

standards of care for site prep before starting an IV duration < 30-45 min

Answer 14

isopropyl ETOH only OK

Question 15

standards of care for site prep before starting IV duration > 30-45 min

Answer 15

isopropyl ETOH plus chloraprep

Question 16

PICO: what does this stand for?

Answer 16

a. Patient, problem, population
b. Intervention
c. Comparison, control
d. Outcome