Mark Klimek NCLEX Pharm
Never hold the hormone for what patient? Ans- patient who is NPO with mydexema
Addison's disease easy way to remember Ans- Add a Sone (sone = steroid)
Best default order for click and drag order questions? Ans- Hold ..... med
Assess ..... what med does
Prepare ...... th...
Mark Klimek NCLEX Pharm
Never hold the hormone for what patient? Ans- patient who is NPO with mydexema
Addison's disease easy way to remember Ans- Add a Sone (sone = steroid)
Best default order for click and drag order questions? Ans- Hold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
Rarely if ever answer ... Ans- call Doctor, NCLEX wants you to think critically
INR lab values Ans- 2-3, critical value if off, potential for patient to bleed. Use default order for order ?'s
(hold all coumadin, assess for bleeding, prepare Vit K (antidote for Coumadin), Call or notify
Potassium lab values Ans- 3.5-5.3 If low it is a critical lab to worry about assess the heart and then
prepare to give K
if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else involved! Dangerous!!
If question says there is pitocin running and there are complications Ans- stop pit first then LIONpit
Pain meds in labor Ans- know your peaks for IV, IM, PO, Subling. If baby is likely to be born when the
pain med is peaking don't give! Why? Respiratory depression in baby
OB medications tocolytics Ans- stop contractions, Brethine causes maternal tachycardia, Nifedipine
(dipine - CCB) causes Hypotension and headache
OB medications oxytocics Ans- makes labor more intense, Pitocin, Methergine, Cervidil
, OB medications Fetal/Neonatal Lung meds Ans- Betamethasone, speeds the development of the baby's
lungs, given to Mom before baby is born, given IM, will increase the blood sugar of Mom
Survanta (surfactant) Ans- given to baby after baby is born given trastracheal through the airway
develops lungs
Med hints for IM injections Ans- Look for 1's in both parts (the 1 looks like an I), guage and length, 21 g,
1 inch means IM
Med hints for SQ injections Ans- look for 5's in both parts (the 5 looks like an S), guage and length, 25 g,
5/8 inch means SQ
Drawing up Insulin rules Ans- R then N, Draw up R then N, NRRN the whole process
Pressurizing Insulin rule Ans- put air into N then R , NRRN the whole process
If 70/30 insulin it is Ans- 70% N and 30% R, may have to make your own on boards, no 70/30 on the
floor
Heparin is given IV or SQ NOT PO, info re: Heparin Ans- works immediately, labs Ptt or any clotting or
bleeding time, antidote: protamine sulfate, course: 21 days, pregnancy: YES (Class C pregnancy drug, use
caution)
Coumadin is given PO, info re: Coumadin Ans- takes days to work, labs ONLY PT-INR, antidote: Vit K
(think Koumadin), course: forever, prengancy: NO (never use)
If a diuretic ends in the letter X it is a potassium Ans- wasting drug plus Diurel
Baclofen/ Flexoril Ans- muscle relaxant, think on your back loafin'! makes a patient drowsy, weak
muscles, don't drink, don't drive, don't care of kids under 12
Piaget's stage Sensorimotor age 0-2, totally
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