Final Exam Study Material PN 2006 - Fully Solved and Verified

Final Exam Study Material PN 2006 - Fully Solved and Verified ID injection - answer - 25-27 gauge 1/4-5/8 inch 15 degree angle max volume of ID injection - answer - 0.1 ml SC injection - answer - 25-27 gauge 1/2-5/8 inch 45-90 degree angle max volume of SC injection - answer - less than 2ml/site IM injection - answer - 18-23 gauge 1-3 inches 90 degree angle max volume of IM injection - answer - 3ml/site deltoid 1ml SC butterfly - answer - only one medication per site hypodermoclysis max volume - answer - 3ml can be given in a 24hr period at two seperate sites what is added to hypodermoclysis to enhance fluid absorption - answer - hyaluronidase an insulin syringe can hold - answer - 50-100 cc a tuberculin syringe can hold - answer - up to 1ml what type of insulin can be given IV - answer - Regular Insulin if you can pinch an inch - answer - use a 90 degree angle if you can't pinch an inch - answer - use a 45 degree angle Insulin Aspart (Novorapid) - answer - give with meals or 0-15 minutes before rapid, clear 10-15min onset 1-1.5 hour peak 3-5 hour duration Insulin Lispro (Humalog) - answer - give with meals or 0-15 min AC rapid, clear 10-15min onset 1-2 hour peak 3.5-4.75 hour duration Humulin R/Novolin Toronto - answer - give 30-45 min AC meals 30 min onset 2-3 hour peak 6.5 hour duration bolus insulins - answer - Rapid and short acting insulins (Novorapid, Humalog, Humulin R) Humulin N/Novolin NPH - answer - given once or BID, often at bedtime intermediate, cloudy 1-3 hour onset 5-8 hour peak 18 hour duration Insulin Detemir (Levemir) - answer - can be given BID, usually at bedtime long-acting, clear 90 min onset N/A peak 16-24 hour duration Insulin Glargine (Lantus) - answer - given at bedtime long-acting, clear 90 min onset N/A peak up to 24 hour duration Humulin 30/70 - answer - given 30-45 min AC meals (30) rapid, (70) intermediate pre-mixed, cloudy rapid and intermediate onset, peak and duration heparin - answer - SC injection given in the abdomen, avoid umbilicus, keep sites 1 inch apart 90 degree angle PTT lab value while on heparin - answer - 60-70 seconds INR while on heparin - answer - 2.0-3.0 hypoglycemic protocol - answer - 20mg of glucose check BG after 15 min if under 4mmol repeat oral tx up to three times when above 4mmol administer protein and carb snack hypoglycemic protocol when unable to take oral tx - answer - glucagon 1mg SC/IM check BG after 15min may repeat glucagon twice after initial dose tools for when to have a palliative approach - answer - GSF PIG SPICT index for 1-year mortality (70+) symptom screening tools - answer - ESAS (0-10 scale) PPS (ADLs in a %) symptom assessment tools - answer - Clinical COPD Questionnaire CAM Victoria Bowel Performance CSHA (Frailty) CAM - answer - 1- Acute onset/fluctuating 2- inattention 3- disorganized thinking 4- altered LOC must have 1+2+(3 or 4) Victoria Bowel Performace - answer - -4 is constipation +4 is liquid unformed stool CSHA - answer - higher score = more risk psychosocial assessment tools - answer - Victoria Hospice Society, BRAT, FICA Spiritual Assessment BRAT - answer - 1 = low risk, 5 = high risk FICA - answer - Faith Importance Community Address analgesic ladder - answer - Step 1: Mild Step 2: Moderate Step 3: Severe incident pain may require up to - answer - 20% of daily narcotic dose nose medication administration - answer - lying down with head back, remaining in position for 2-3 minutes ear instillation for a child - answer - ear pulled down and back ear instillation for an older adult - answer - ear pulled up and back what should you do after using a steroid inhaler - answer - rinse mouth how does a pt exhale with a nebulizer - answer - through pursed lips what don't you do with LMWH - answer - expel air bubble in pre-filled syringe needle remains in the skin after an IM injection for - answer - 10 seconds idiosyncratic - answer - over/under reation synergistic effect - answer - combined medica