Exam 3
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School
Central Louisiana Technical Community College *
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Course
2173
Subject
Medicine
Date
Feb 20, 2024
Type
docx
Pages
3
Uploaded by megleathompson26
1.
What kind of tubing to use when infusing medication from a glass bottle?
Vented
2.
What are the advantages of medicine being available in plastic containers for infusion?
Shatter proof
Ease of storage and transport
Reduces chance of puncture 3.
What would refer to the administration sets/tubing?
4.
What is the drip factor for micro drip administration set?
60
5.
What us a safety precaution that you use to avoid potential reactions when giving two medications?
Check compatibility 6.
If handing a piggyback medicine, how does it get hung?
Secondary bag hangs higher than primary bag
7.
Buretrol, example of administration set used to infuse or deliver what?
Used to deliver limited and precise volumes to a patient 8.
Pt has PCA pump that has morphine going, doctor has usually ordered less medicine less frequently so they can use that medicine more often. What is the purpose of PCA pump?
They can click the button and the machine will only give them specific
doses at specific time
9.
When changing infusion bag, most important process would be what?
Maintain a sterile system 10.Preparing to add mixtures to IV fluids, which would be right?
11.Have a glass vial that you are pulling meds from, what to use?
Filter needles
12.Which of the following statements regarding IV compatibility is true?
Using compatibly charts
Consultation with the hospital pharmacy for questions regarding compatibility
Reading drug inserts to determine appropriate infusate, dilution, rate of administration
13.Which of these require drug levels before giving it?
Ancef- NO
Zocin-NO
Vancomycin-YES
Protonix-NO
Amunophylin- YES
14.At which level is digoxin considered toxic?
Greater than 2.5 mg/mL
15.Heart rate for adult before you give digoxin
60 or higher for adults
90 or higher for children 16.Concerns of giving an infusion of vancomycin?
Results in hypotension (avoid extravasating during administration) tissue necrosis
17.Toxic effects of vancomycin occur in what two organs?
Kidneys and ears
18.Two things that gentamycin cannot be administered with?
People using nephrotoxic drugs or diuretics
19.When trough levels of a drug are drawn?
30 mins before next dose ( before administration of a subsequent dose)
20.Purpose of drug therapeutic drug monitoring?
Used to adjust drug dosages when drugs have a narrow therapeutic range are administered
Used to adjust drug dosages when patients with complex conditions receive drugs that are known to have toxic responses
Reduce drug toxicity, improve effectiveness of therapy, and reduce incidence of hepatic failure 21.What is the danger in administering the medicine with IV push route?
Adverse reactions can be expected at the same time and rate as therapeutic effects
This method had the greatest risk of adverse and toxicity 22.How often should IV site location be assessed for an adult clients?
23.What things you are looking for whenever assessing an IV site?
Swelling, coolness consistent with infiltration, fluid leaks, dry and intact dressing and pain 24.Things that the nursing staff can do to help eliminate the development of infection in the patient’s IV site
25.How long do you need to apply pressure to site for a patient on anticoagulation in a patient that is not?
26.What steps you have to do if the IV catheter is not intact?
27.What do you do if there is an infiltration at the IV site
28.Common complaints of digoxin toxicity from patients?
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