OB dosage calc questions and answers

what kind of syringe is appropriate for 3-5 mL? subQ, IM, and IV how would you identify what mL of syringe to pick? use the closest to what you need. For example, if you need to give 1.8 mL you would pick a 2 mL syringe, not a 3 mL syringe or up TB syringes and insulin syringes hold how much medication/vaccine? 0.3-1 mL when would you use a 5 mL syringe? when the dosage is higher than 3 mL when is a 10 mL syringe used? to add dilutant when reconstituting medication? what type of insulin is described? works 10-15 mins after administering rapid acting what type of insulin is described? works 30 mins after administering regular or short acting what type of insulin is described? works 1-2 hrs after administering intermediate (NPH) what type of insulin is described? duration of 18-24 hrs long acting what 4 goals should a client with diabetes learning about insulin be able to verbalize? 1. medications 2. monitoring 3. hyper/hypoglycemia 4. who to call you are mixing regular (5 U) and NPH insulin (20 U). Recall the steps 1. roll the vial 2. clean the tops with alcohol 3. draw up 20 U of air 4. inject the air into the NPH insulin 5. draw up 5 U of air 6. inject 5 U of air into the regular insulin 7. invert the vial and draw up 5 U of regular insulin 8. draw up 20 U of NPH insulin REMEMBER DRAW UP THE CLEAR (RAPID) BEFORE THE CLOUDY (NPH) A client has an IV inserted. Upon assessing the site, you see redness, swelling, warmth, and the client reports discomfort. What would you suspect? phlebitis (inflammation of the vein) A client has an IV inserted. Upon assessing the site, they have pallor, swelling, and pain at the IV site. What would you suspect? What interventions would you perform? what would you document? Infiltration stop the IV and remove the cannula from the vein, elevate the extremity, and apply a warm or cold compress DOCUMENT: size of the area, estimate the amount of fluid present, and monitor the site a client has an IV inserted. Upon assessing the site, you note that they have pallor, swelling, pain, blistering, tissue necrosis, and ulceration. What do you suspect ans what are the interventions? Extravasation. Tx depends on what medication leaked through. You may leave the site in to administer and antidote what is described: occurs when the catheter tip slips out of the vein or when fluid leaks into tissues from another puncture site close the IV catheter infiltration or extravasation when does extravasation occur? can occur if the solution leaked into the tissue contains a vesicant what medications are considered vesicants? chemotherapeutic agents, vancomycin, digoxin, and dopamine what would you suspect if the patient reports chest pain or discomfort, lightheadedness, palpations, and tachycardia? Speed shock