Nursing 206 UFV Exam Questions With Complete Solutions
What continuous medications can students give?
´Narcotics
´Theophyllines
´Hypoglycemics
´Corticosteriods
´Anticoagulants
´Magnesium Sulphate
What do you do if pt has an allergic reaction to their IV med
*Stop the medication delivery immediately
*Assist/comfort patient as necessary
*Verify allergies with chart and patient
üNotify physician
*Administer emergency measures as necessary
*Monitor patient closely
How do you calculate drip rate
ml/hr x gtts/ml divided by 60
What is the largest compatibility issue for IV meds
Changes in PH
*Many factors affect pH including the parenteral solution itself.
*Adding different medications can alter pH since many are
prepared with buffering agents.
*Preservatives in the medications or diluents, the degree of
dilution, standing time, order of mixing drugs, and room
,temperature can all cause changes in pH.
*These pH changes will interfere with the action of the
medication and may not always produce an observable change
Describe therapeutic incompatibility for iv meds
oUndesirable combination side-effect of two similar drugs
Describe physical (visible) incompatibility for iv meds
*Precipitation, gas, coloration, turbidity
Describe chemical incompatibility for IV meds
*Degradation of drug resulting in inactivation /slowing/toxic
effect
What information should you review when looking at IV
incompatibilities
1.What solution can the medication be reconstituted in?
2.What type and how much solution should it be mixed in?
3.Can it be given with other medications in solution?
4.How long will it remain stable?
5.At what rate should it be administered?
Do you need to pause a running IV if the IV direct you are
giving is compatible
you do not have to unless it is to fast >125ml /hr or to slow
<50Ml/hr
What do you do if an IV direct med is not compatible with the
solution running
, Pinch and hold the line above the port you are using, flush the
line, give the med and then flush the line again at the same rate
you gave the med.
Adverse effects of IV direct
Air embolism
damage to veins and sites if you go to fast
What do you need to do for confirming if a pts. feeding tube is
in place
Initial placement requires radiographic verification (x-ray) if
you are using the tube for feeding
Before each intermittent feeding (ph levels)
List some common problems with feeding tubes
Aspiration
Diarrhea
Clogged feeding tube
N/V, abdominal distention, cramping, intolerance
Dehydration
Hyperglycaemia
Electrolyte imbalance
Describe re-feeding syndrome
Refeeding syndrome occurs when previously malnourished
patients are fed with high carbohydrate loads, the result is a
drastic decrease in phosphate, magnesium and potassium, along
with an increasing ECF volume, leading to a variety of
complications.
What continuous medications can students give?
´Narcotics
´Theophyllines
´Hypoglycemics
´Corticosteriods
´Anticoagulants
´Magnesium Sulphate
What do you do if pt has an allergic reaction to their IV med
*Stop the medication delivery immediately
*Assist/comfort patient as necessary
*Verify allergies with chart and patient
üNotify physician
*Administer emergency measures as necessary
*Monitor patient closely
How do you calculate drip rate
ml/hr x gtts/ml divided by 60
What is the largest compatibility issue for IV meds
Changes in PH
*Many factors affect pH including the parenteral solution itself.
*Adding different medications can alter pH since many are
prepared with buffering agents.
*Preservatives in the medications or diluents, the degree of
dilution, standing time, order of mixing drugs, and room
,temperature can all cause changes in pH.
*These pH changes will interfere with the action of the
medication and may not always produce an observable change
Describe therapeutic incompatibility for iv meds
oUndesirable combination side-effect of two similar drugs
Describe physical (visible) incompatibility for iv meds
*Precipitation, gas, coloration, turbidity
Describe chemical incompatibility for IV meds
*Degradation of drug resulting in inactivation /slowing/toxic
effect
What information should you review when looking at IV
incompatibilities
1.What solution can the medication be reconstituted in?
2.What type and how much solution should it be mixed in?
3.Can it be given with other medications in solution?
4.How long will it remain stable?
5.At what rate should it be administered?
Do you need to pause a running IV if the IV direct you are
giving is compatible
you do not have to unless it is to fast >125ml /hr or to slow
<50Ml/hr
What do you do if an IV direct med is not compatible with the
solution running
, Pinch and hold the line above the port you are using, flush the
line, give the med and then flush the line again at the same rate
you gave the med.
Adverse effects of IV direct
Air embolism
damage to veins and sites if you go to fast
What do you need to do for confirming if a pts. feeding tube is
in place
Initial placement requires radiographic verification (x-ray) if
you are using the tube for feeding
Before each intermittent feeding (ph levels)
List some common problems with feeding tubes
Aspiration
Diarrhea
Clogged feeding tube
N/V, abdominal distention, cramping, intolerance
Dehydration
Hyperglycaemia
Electrolyte imbalance
Describe re-feeding syndrome
Refeeding syndrome occurs when previously malnourished
patients are fed with high carbohydrate loads, the result is a
drastic decrease in phosphate, magnesium and potassium, along
with an increasing ECF volume, leading to a variety of
complications.
