ATI CLASS PRACTICE

Anorexia, vomiting, confusion, headache, and vision changes are manifestations of digoxin toxicity.

This may develop into extrapyramidal symptoms, which mimics an idiopathic disease when certain medications are prescribed for short-term, such as symptoms of Parkinson’s disease.

Potassium

25-26 G, Fatty tissue, dont massage

Bleeding

prevents angina

Up and out for kids

dyspnea/pulmonary edema

150,000-400,000

asthma due to brochospasm side effect

Bowel obstruction

TENDON RUPTURE

detoxification of opioids

ETOH deterrent

detocification of alcohol

stop heroin cravings

Eight hr after NPH administration is the middle of the peak time for intermediate acting insulins. The client is at greatest risk for hypoglycemia and this may require a snack at this time. Clients should be educated to check blood glucose about 8 to 10 hr after administration of NPH insulin, and if hypoglycemic, consume a small snack of 15 grams of carbohydrates, followed by rechecking of the blood glucose in 15 min. If the blood glucose has returned to normal at this time, the client should then consume a small amount of protein to maintain a steady-state glucose level. All clients should receive education on signs and symptoms of hypoglycemia and hyperglycemia.

The appropriate nursing action is to administer the insulin 15 min before a meal because insulin lispro is a rapid-acting insulin and the client may develop hypoglycemia quickly if they don’t eat.

hyperkalemia

Verapamil, a calcium channel blocker, can be used to control supraventricular tachyarrhythmias. It also decreases blood pressure and acts as a coronary vasodilator and antianginal agent. A major adverse effect of verapamil is hypotension; therefore, blood pressure and pulse must be monitored before and during parenteral administration.

This medication can cause rhabdomyolysis. The client should monitor and report muscle pain.

When using the airway, breathing, circulation approach to client care the nurse determines the priority finding is inspiratory strider. The client is at risk for bronchospasms, hypotension and circulatory collapse due to anaphylaxis. The nurse should contact the rapid response team, discontinue the vancomycin, and administer epinephrine. TINNITUS AND HEADACHE TOO

mannitol 25%....Cushing's Triad is an indication that the client is experiencing increased intracranial pressure. The nurse should administer mannitol 25%, an osmotic diuretic that promotes diuresis to treat cerebral edema.

This client is experiencing Red man syndrome, which includes a flushing of the neck, face, upper body, arms and back along with tachycardia, hypotension and urticaria. This can lead to an anaphylactic reaction if the IV infusion rate is not slowed down to run greater than 1 hour.

Doxorubicin is an antineoplastic antibiotic used in the treatment of various cancers. Irreversible cardiomyopathy with congestive heart failure can result from repeated doses of doxorubicin, and prolonged use can also cause severe heart damage, even years after the client has stopped taking it. The maximum cumulative dose a client should receive is 550 mg/m2 or 450 mg/m2 with a history of radiation to the mediastinum.

sodium

protamine