Rasmussen Questions And Answers

If you're on a med-surge unit taking care of patients, which patient would you help first? BP 130/90, pulse 62, penicillin allergy getting vancomycin, glucose of 80 and just received insulin 70/30 - Glucose patient If we have a diabetic patient with elevated glucose and giving insulin Lispro (takes 30 minutes), we want to give them - insulin right BEFORE eating to control after meal rise of blood glucose Lispro is a - rapid acting insulin, last 3-6 hours, clear in color Glargine (Lantus) - long-acting insulin, once a day dosing, clear in color, don't mix with other insulins Beta blockers can mask - symptoms of hypoglycemia If patient is on anti-diabetic medication, they CANNOT - drink alcohol Metformin - oral medication, contraindications are it should be held for 48 hours before & after tests using IV contrast dye, to prevent ACUTE RENAL FAILURE Levothyroxin - given in the morning before breakfast, take on empty stomach antibiotics and warfarin - antibiotics can increase bleeding and PTINR and INR should be closely monitored If we think patient is bleeding, they may have bruising Do we stop medications in pregnancy? - no If meds for asthma, seizure, diabetes, thyroid are stopped this can cause harm to the fetus. The health of the fetus depends on the health of the mother.