Mark Klimek NCLEX Pharm
Never hold the hormone for what patient? - ANSpatient who is NPO with mydexema
Addison's disease easy way to remember - ANSAdd a Sone (sone = steroid)
Best default order for click and drag order questions? - ANSHold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
Rarely if ever answer ... - ANScall Doctor, NCLEX wants you to think critically
INR lab values - ANS2-3, critical value if off, potential for patient to bleed. Use default order for
order ?'s (hold all coumadin, assess for bleeding, prepare Vit K (antidote for Coumadin), Call or
notify
Potassium lab values - ANS3.5-5.3 If low it is a critical lab to worry about assess the heart and
then prepare to give K
if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else involved! Dangerous!!
If question says there is pitocin running and there are complications - ANSstop pit first then
LIONpit
Pain meds in labor - ANSknow your peaks for IV, IM, PO, Subling. If baby is likely to be born
when the pain med is peaking don't give! Why? Respiratory depression in baby
OB medications tocolytics - ANSstop contractions, Brethine causes maternal tachycardia,
Nifedipine (dipine - CCB) causes Hypotension and headache
OB medications oxytocics - ANSmakes labor more intense, Pitocin, Methergine, Cervidil
OB medications Fetal/Neonatal Lung meds - ANSBetamethasone, speeds the development of
the baby's lungs, given to Mom before baby is born, given IM, will increase the blood sugar of
Mom
Survanta (surfactant) - ANSgiven to baby after baby is born given trastracheal through the
airway develops lungs
Med hints for IM injections - ANSLook for 1's in both parts (the 1 looks like an I), guage and
length, 21 g, 1 inch means IM
, Med hints for SQ injections - ANSlook for 5's in both parts (the 5 looks like an S), guage and
length, 25 g, 5/8 inch means SQ
Drawing up Insulin rules - ANSR then N, Draw up R then N, NRRN the whole process
Pressurizing Insulin rule - ANSput air into N then R , NRRN the whole process
If 70/30 insulin it is - ANS70% N and 30% R, may have to make your own on boards, no 70/30
on the floor
Heparin is given IV or SQ NOT PO, info re: Heparin - ANSworks immediately, labs Ptt or any
clotting or bleeding time, antidote: protamine sulfate, course: 21 days, pregnancy: YES (Class C
pregnancy drug, use caution)
Coumadin is given PO, info re: Coumadin - ANStakes days to work, labs ONLY PT-INR,
antidote: Vit K (think Koumadin), course: forever, prengancy: NO (never use)
If a diuretic ends in the letter X it is a potassium - ANSwasting drug plus Diurel
Baclofen/ Flexoril - ANSmuscle relaxant, think on your back loafin'! makes a patient drowsy,
weak muscles, don't drink, don't drive, don't care of kids under 12
Piaget's stage Sensorimotor age 0-2, totally
When can a child give themselves their own insulin shot? - ANS7
What 2 parts are always irrelevant in a prioritization question? - ANSage and gender (NCLEX is
testing discrimination against agism), age only important for peds
All psych drugs cause - ANSlow BP and weight change (usually gain)
Phenothiazines - ANSall end in 'zine Ex: Thorazine, Compazine, they are major tranquilizers so
think safety
'Zines for the - ANSZanny
In large doses Phenothiazines are - ANSanti-psychotics
In small doses Phenothiazines are - ANSanti-emetics
Side effects of Phenothiazines - ANSAnticholinergic (dry mouth), Blurred vision, Constipation,
Drowsiness, Extrapyramidal syndrome (parkinsons), Fotosensitivity, aGranulocytosis (low
WBC's)
Never hold the hormone for what patient? - ANSpatient who is NPO with mydexema
Addison's disease easy way to remember - ANSAdd a Sone (sone = steroid)
Best default order for click and drag order questions? - ANSHold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
Rarely if ever answer ... - ANScall Doctor, NCLEX wants you to think critically
INR lab values - ANS2-3, critical value if off, potential for patient to bleed. Use default order for
order ?'s (hold all coumadin, assess for bleeding, prepare Vit K (antidote for Coumadin), Call or
notify
Potassium lab values - ANS3.5-5.3 If low it is a critical lab to worry about assess the heart and
then prepare to give K
if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else involved! Dangerous!!
If question says there is pitocin running and there are complications - ANSstop pit first then
LIONpit
Pain meds in labor - ANSknow your peaks for IV, IM, PO, Subling. If baby is likely to be born
when the pain med is peaking don't give! Why? Respiratory depression in baby
OB medications tocolytics - ANSstop contractions, Brethine causes maternal tachycardia,
Nifedipine (dipine - CCB) causes Hypotension and headache
OB medications oxytocics - ANSmakes labor more intense, Pitocin, Methergine, Cervidil
OB medications Fetal/Neonatal Lung meds - ANSBetamethasone, speeds the development of
the baby's lungs, given to Mom before baby is born, given IM, will increase the blood sugar of
Mom
Survanta (surfactant) - ANSgiven to baby after baby is born given trastracheal through the
airway develops lungs
Med hints for IM injections - ANSLook for 1's in both parts (the 1 looks like an I), guage and
length, 21 g, 1 inch means IM
, Med hints for SQ injections - ANSlook for 5's in both parts (the 5 looks like an S), guage and
length, 25 g, 5/8 inch means SQ
Drawing up Insulin rules - ANSR then N, Draw up R then N, NRRN the whole process
Pressurizing Insulin rule - ANSput air into N then R , NRRN the whole process
If 70/30 insulin it is - ANS70% N and 30% R, may have to make your own on boards, no 70/30
on the floor
Heparin is given IV or SQ NOT PO, info re: Heparin - ANSworks immediately, labs Ptt or any
clotting or bleeding time, antidote: protamine sulfate, course: 21 days, pregnancy: YES (Class C
pregnancy drug, use caution)
Coumadin is given PO, info re: Coumadin - ANStakes days to work, labs ONLY PT-INR,
antidote: Vit K (think Koumadin), course: forever, prengancy: NO (never use)
If a diuretic ends in the letter X it is a potassium - ANSwasting drug plus Diurel
Baclofen/ Flexoril - ANSmuscle relaxant, think on your back loafin'! makes a patient drowsy,
weak muscles, don't drink, don't drive, don't care of kids under 12
Piaget's stage Sensorimotor age 0-2, totally
When can a child give themselves their own insulin shot? - ANS7
What 2 parts are always irrelevant in a prioritization question? - ANSage and gender (NCLEX is
testing discrimination against agism), age only important for peds
All psych drugs cause - ANSlow BP and weight change (usually gain)
Phenothiazines - ANSall end in 'zine Ex: Thorazine, Compazine, they are major tranquilizers so
think safety
'Zines for the - ANSZanny
In large doses Phenothiazines are - ANSanti-psychotics
In small doses Phenothiazines are - ANSanti-emetics
Side effects of Phenothiazines - ANSAnticholinergic (dry mouth), Blurred vision, Constipation,
Drowsiness, Extrapyramidal syndrome (parkinsons), Fotosensitivity, aGranulocytosis (low
WBC's)
