Quiz V: Critical Care Medication

Heparin

Anticoagulant to prevent the formation of blood clots,

prevents the formation of additional clots and further

development

What type of medication is heparin consider

High risk medication

How is the dosage of heparin measured

pt’s weight in units

What is the antidote of heparin

Protamine sulfate

Magnesium

Electrocyte that helps regulate skeletal muscle contractility and blood coagulation

Antidote for magnesium

Calcium gluconate

Titrate

Careful dosing modifications to fluid or medications based on physiologic parameters

When administrating titrate, nurses should constantly monitor the pt’s ____ ____

vital signs

Why should nurses monitor pt’s VS when admin titrate

Patients can be very sensitive to medication and too quickly can cause extreme fluctuations in VS

Administer Nitroprusside 0.5 mcg/kg/min by

continuous IV infusion. Available is 50 mg in 250 mL

of NS. The client weighs 65 kg. How many mL/hr

should the IV pump be programmed for?

9.8 ml/hr

When one should not admin an IV Lock

If site is red, swollen, tender, or if there is resistant when you begin to flush the IV Lock

When should you flush an IV lock

Before and after medication administration

What are Preloaded Bolus Mini Injection Systems used for

Emergency administration

Why is Preloaded Bolus Mini Injection Systems important to use in emergency

Eliminates the need to draw up medication manually

and saves time

What is Large-volume IV infusions on a continuous basis used for

For fluid and electrolyte replacement and administering medication

Large-volume IV bolus is what type of prescription

Single order

How much of Intermittent IV Bolus Infusion (IV Piggyback) need to mixed in solution

50 to 250 ml

When should nurse admin Intermittent IV Bolus Infusion (IV Piggyback) after mixing medication

over 30 to 60 min

Where does flexible IV catheter inserted in

large vein

What is the purpose of flexible IV catheter

Provide long-term access to med and fl

Electrolyte

Minerals in bodily fluids that carry an electrical charge and conduct electrical currents in the body

Purpose of Electrolyte

Fluid balance, pH regulation, and muscle/nerve function

All the examples of physiological parameters that one should base on when performing titration

BP, HR, sedation level, RR, SaO2, pain level, and blood glucose level