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2013-05-02 18:58:04

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  1. For adult patients taking digoxin (Lanoxin), the maintenence dose of the drug should be within what range?
    0.125 - 0.5 mg
  2. What are the side effects of Digoxin (Lanoxin)? 

    (7 common)
    Anorexia, Nausea, Vomiting, Bradycardia, Visual disturbances, confusion, abdominal pain
  3. Normal hemoglobin values in men?
    14 -18
  4. hemoglobin values in women:
    12 - 16
  5. Hematocrit levels in men?
    42 - 52
  6. Hematocrit levels in women?
    37 - 47
  7. RBC's in men:
    4.7 - 6.1 million
  8. RBC's in women:
    4.2 - 5.4 million
  9. WBC's:
    4.5 - 11k
  10. Platelets:
    150 - 400k
  11. PT
    11 - 12.5 seconds
  12. aPTT:
    60 - 70 seconds
  13. BUN:
    10 - 20
  14. Creatinine:
    0.6 - 1.3
  15. Glucose:
    70 - 110
  16. Cholesterol:
  17. Newborn bilirubin:
    1 - 12
  18. PKU newborn:
  19. PKU adult:
  20. Na+
    135 - 145
  21. K+
    3.5 - 5.0
  22. Symptoms of Hypokalemia as noted on EKG:
    Prominent U waves

    Depressed ST segment

    Flat T waves
  23. Symptoms of Hyperkalemia as noted on EKG:
    Tall T waves

    Prolonged PR interval

    Wide QRS
  24. Ca++
    9 - 10.5
  25. Symptoms of hypocalcemia as noted on an EKG?
    Prolonged ST interval

    Prolonged QT segment
  26. Symptoms of hypocalcemia:
    muscle spasms



    + Trousseau's

    + Chvostek's
  27. Magnesium:
    1.5 - 2.5
  28. Chloride:
    96 - 106
  29. Phosphorous:
    2.4 - 4.7
  30. Albumin:
    3.4 - 5.4
  31. Specific gravity:
    1.005 - 1.030
  32. Glycosylated hemoglobin:
    4 - 6%

    <7.5% = 120 days
  33. Dilantin therapeutic level:
    10 - 20
  34. Lithium therapeutic level:
    0.5 - 1.5
  35. Antidote for digoxin?
    Digiband (digoxin immune FAB)
  36. Antidote for Coumadin?
    Vit K
  37. Antidote for Benzodiazapines?
    Flumzaemil (Tomazicon)
  38. Antidote for Magnesium sulfate?
    Calcium gluconate
  39. Antidote for heparin?
    Protamine sulfate
  40. Antidote for tylenol?

    (17 doses + loading dose)
  41. Antidote for opiates?
    Narcan (Naloxone)
  42. Antidote for cholinergic meds?
  43. Antidote for methotrexate?
  44. Which duties cannot be delegated to anybody other than an RN?
    Blood products

    Clotting factors

    Sterile procedures

    Assessments that require clinical judgement

    Responsible for all delegated duties
  45. What duties can be assigned to a unlicensed assistive personnel>
    Non-sterile procedures


    Only patients with a predictable outcome/stable
  46. What information would you include related to body fluids when a patient is prescribed Rifampin?
    Will turn urine and other body fluids rust/orange/red.
  47. What information would you include related to body fluids when a patient is prescribed Pyridium?
    Will turn urine orange/red/pink
  48. On the glascow coma scale a score of less than ___ signifies a coma.
  49. What should you avoid while taking Lipitor?
    Grapefruit juice
  50. Hold digoxin if ____________.
    Apical rate is less than 60.
  51. After first ACE inhibitor dose, stay in bed for _____________.
    3 hours.
  52. When taking Calcium channel blockers, avoid _________________.
    Grapefruit juice
  53. What should be done to prevent a pulmonary air embolism?
    Place patient in trendelenburg and position on left side to trap air in the right side of heart.
  54. Peptic ulcers

    ____ a duodenal ulcer (pain is ____with food)

    ____ a gastric ulcer (pain is ____with food)
    Feed a duodenal ulcer. Pain is relieved with food.

    Starve a gastric ulcer.  Pain is worsened with food
  55. Describe Turner's sign and when it is seen:
    Bluish discoloration of flanks

    Sign of acute pancreatitis
  56. Describe Cullen's sign and when it is seen:
    Bluish discoloration in periumbilical area, commonly seen in acute pancreatitis
  57. Hold tube feeding if residual is greater than _______.
    100 mL
  58. Check restaints every ______.
    30 minutes
  59. What is the priority concern in a patient with Guillain-Barre syndrome?
    Respiratory distress caused by proressive paralysis beginning at the feet and moving upward.
  60. A sudden improvement and increase in energy levels signifies that the suicide risk has _________.

    Most suicides occur within three months or so after the onset of improvement, when the person has the energy to act on intentions.
  61. What should be avoided in patients taking MAOI's?
    Any foods containing tyramine.  Found in aged food. (Wine, cheese, meats, soy, sour cream, yogurt, liver).

    This compound can send a patient into a hypertensive crisis.

    Common MAOI's: Nardil, Marplan, Parnate

    common generic endings: -azid, -mide
  62. When switching a patient's medication from SSRI's or TCA's to MAOI's, you must wait at least __________ between the meds.
    2 weeks.
  63. Delerium, tremors, tachycardia, tachypnea, anxiety, nausea, shakes, hallucinations, and paranoia are signs of ___________ withdrawal.  Symptoms usually occur __ to __ ____ after last use.
    Alcohol withdrawal.

    12 to 36 hours
  64. Watery eyes, runny nose, dilated pupils, NVD, cramps, and diaphoresis are the most common side effects of ___________ withdrawal.
    Opiate (heroin, morphine, etc)
  65. Depression, mood swings, fatigue, anxiety, and disturbed sleep are side effects of __________ withdrawal.
  66. Slow respirations of <12 and miosis coupled together is a hallmark sign of:
    Opiate overdose.
  67. If a patient is admitted with diabetic ketoacidosis, which insulin would you anticipate administering?
    Regular insulin (Humulin R)
  68. In what condition you you prescribe Haloperidol (Haldol)?
  69. If a patient is scheduled for ECT, what condition currently being treated would be contraindicated for the procedure?

    An anticholinergic is prescribed prior to ECT to decrease secretions and lessen bradyarrhythmias.  An anticholinergic drug is a mydriatic (dilates pupils).
  70. What is zolmitriptan (Zomig) used for?
    Treatment of acute migraines with or without aura.

    Does not prevent headaches.
  71. If a patient is displaying signs of pseudoparkinsonism, which 2 drugs could potentially be prescribed?
    • Benztropine (cogentin)
    • or
    • trihexyphenidyl (Artane)

    Teaching includes: Informing patient to change postions slowly, use sunscreen and wear protective clothing.