Pharmacology 3100 Final - Weber State
University (Tressa)
Reasons for medication errors - correct answer ✔- Similar drug name
- Phone orders
- Practicing under stressful situations
- Being distracted
- Look alike/sound alike meds
If medication errors occurs - correct answer ✔- Assess patient
- Call doctor and pharmacist
- Notify patient and family
- Monitor as needed
High alert medications - correct answer ✔Do double checks on all high alert
medications
Carboprost - correct answer ✔AR: diarrhea (BAD) explosive poop
everywhere
Oxytocin (Uterine Stimulant) - correct answer ✔AR: tachycardia &
bradycardia (fetal)
CI: fetal distress
*indicates understanding, giving it gradually over a period of time, tell them
about fetal distress
Misoprostol (Cytotec) - correct answer ✔Ripening of the cervix
,Methylergonovine (Methergine) - correct answer ✔CI: HTN
Magnesium Sulfate - correct answer ✔Therapeutic effect is flushing
Nifedipine - correct answer ✔Off label use for uterine relaxant
Terbutaline - correct answer ✔Increase HR (a LOT in fetus and mom - very
fast HR)
Preeclampsia - correct answer ✔- 140/90 on 2 occasions
- 300 mg protein in urine over 24 hours
- Hyperreflexia
*Remember to do checks QHR (BP, urine output, m. relaxant, LOC, resp,
serum magnesium values 4-8mEq)
Isotonic Crystalloids - correct answer ✔- Fluid volume expander
- Does not produce fluid shift
- 0.9% Normal Saline (NS)
- Lactated Ringers (LR)
*Giving blood to pt with cellular dehydration = 0.9% NS
Hypotonic Crystalloids - correct answer ✔- Moving the fluid into the cell
- Causes the cell to swell and possibly burst
- 0.45% Normal Saline (NS) or Sodium Chloride
*Pt with DKA = give 0.45% NS
*What to monitor = increase in cerebral pressure
, Hypertonic Crystalloids - correct answer ✔- Fluid volume expanders
- Move water out of cell and cause it to shrink
- 3% NaCl or NS
- 5% NaCL or NS
Dextrose - correct answer ✔- Contains glucose
- 1 L 5% Dextrose = 170 calories
Dextran - correct answer ✔Used for massive hemorrhage, shock, burns,
before surgery, acute liver failure
*Not contraindicated for burns, hyperglycemia
TPN - correct answer ✔- Central line is required for administration
*Can't piggyback IV
Blood administration reaction - correct answer ✔- Severe = stop infusion
*doctor ordered antihistamines
Fresh Frozen Plasma (FFP) - correct answer ✔Given for coagulation deficit
Albumin - correct answer ✔Hypovolemic shock
Piperacillin and Tazobactam - correct answer ✔AE: pseudomembranous
colitis
University (Tressa)
Reasons for medication errors - correct answer ✔- Similar drug name
- Phone orders
- Practicing under stressful situations
- Being distracted
- Look alike/sound alike meds
If medication errors occurs - correct answer ✔- Assess patient
- Call doctor and pharmacist
- Notify patient and family
- Monitor as needed
High alert medications - correct answer ✔Do double checks on all high alert
medications
Carboprost - correct answer ✔AR: diarrhea (BAD) explosive poop
everywhere
Oxytocin (Uterine Stimulant) - correct answer ✔AR: tachycardia &
bradycardia (fetal)
CI: fetal distress
*indicates understanding, giving it gradually over a period of time, tell them
about fetal distress
Misoprostol (Cytotec) - correct answer ✔Ripening of the cervix
,Methylergonovine (Methergine) - correct answer ✔CI: HTN
Magnesium Sulfate - correct answer ✔Therapeutic effect is flushing
Nifedipine - correct answer ✔Off label use for uterine relaxant
Terbutaline - correct answer ✔Increase HR (a LOT in fetus and mom - very
fast HR)
Preeclampsia - correct answer ✔- 140/90 on 2 occasions
- 300 mg protein in urine over 24 hours
- Hyperreflexia
*Remember to do checks QHR (BP, urine output, m. relaxant, LOC, resp,
serum magnesium values 4-8mEq)
Isotonic Crystalloids - correct answer ✔- Fluid volume expander
- Does not produce fluid shift
- 0.9% Normal Saline (NS)
- Lactated Ringers (LR)
*Giving blood to pt with cellular dehydration = 0.9% NS
Hypotonic Crystalloids - correct answer ✔- Moving the fluid into the cell
- Causes the cell to swell and possibly burst
- 0.45% Normal Saline (NS) or Sodium Chloride
*Pt with DKA = give 0.45% NS
*What to monitor = increase in cerebral pressure
, Hypertonic Crystalloids - correct answer ✔- Fluid volume expanders
- Move water out of cell and cause it to shrink
- 3% NaCl or NS
- 5% NaCL or NS
Dextrose - correct answer ✔- Contains glucose
- 1 L 5% Dextrose = 170 calories
Dextran - correct answer ✔Used for massive hemorrhage, shock, burns,
before surgery, acute liver failure
*Not contraindicated for burns, hyperglycemia
TPN - correct answer ✔- Central line is required for administration
*Can't piggyback IV
Blood administration reaction - correct answer ✔- Severe = stop infusion
*doctor ordered antihistamines
Fresh Frozen Plasma (FFP) - correct answer ✔Given for coagulation deficit
Albumin - correct answer ✔Hypovolemic shock
Piperacillin and Tazobactam - correct answer ✔AE: pseudomembranous
colitis
