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rapid acting insulin names
lispro, aspart, glulisine (LAG)
rapid acting insulin onset
15 min
rapid acting insulin peak
1 hour
rapid acting insulin duration
4 hours
short acting insulin names
regular, anything R
short acting insulin onset
30 min
short acting insulin peak
2 hours
short acting insulin duration
8 hours
intermediate acting insulin names
NPH, anything N
intermediate acting insulin onset
1 hour
intermediate acting insulin peak
4 hours
intermediate acting insulin duration
16 hours
long acting insulin names
glargine, detemir
long acting insulin onset
2 hours
long acting insulin peak
none
long acting insulin duration
24 hours
when to start CPR in children if nurse witnessed arrest
HR <60 after giving rescue breaths and signs for poor perfusion
how to give abx when receiving blood transfusion
do not start at same time if new abx; nurse will not know which med caused reaction
maximum rate for potassium PIV
10 meq/hr
what insulins can be mixed and in what order
NPH with short or rapid acting; draw up regular insulin first (NPH is cloudy)
monitoring of pt in restraints
neuro check q1h, 4 Ps and ROM q2h
should you return gastric residual to stomach
yes
what to do if chest tube becomes dislodged and no supplies available
firmly cover site with a clean, gloved hand
what is a positive tuberculin skin test and should it be repeated if positive
>10mm induration; no need to repeat
first steps of treatment for suspected MI
ECG, aspirin, cardiac enzymes, oxygen if indicated
tx of pericarditis
colchicine, NSAIDs, leaning forward
signs of cardiac tamponade
muffled heart sounds, hypotension with decreased systolic BP upon inspiration (increased thoracic pressure), narrowed pulse pressure, JVD
normal infant blood glucose
40-60
normal aptt
25-35 sec
therapeutic aptt on heparin
46-70 sec
can you receive tpa with AVF
no
hirschsprung disease sx
poor feeding, abd distention, inability to pass meconium
placental abruption sx
dark red bleeding
otitis media prevention
smoking cessation in parents
cholestyramine use
reduce bile acid, liver cirrhosis (take 1 hr after other meds)
molar pregnancy teaching
avoid getting pregnant 12 months