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22 Cards in this Set
- Front
- Back
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whats the first thing you do?
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get the physicans orders for medicines
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At PCCC where would you look for this information?
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the MARs on the med card
at WVMC its on the computer under MARS |
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what do you do to the MARs sheet when you get out a particular medicine?
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put a pencil dot next to the medicine time. (Don't initial or cross out yet)
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what do you check on the MARs against the physican's orders?
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the name, DOB and allergies.
ESP the allergies against all the MARs indicated medicines |
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what is important to look for on the medicine before taking it?
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the exiparation date
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the drugs could be listed as generic or Trade name so we ...
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have either our Davis drug book OR our med cards
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if we have to pass any heart medicines we need to get a blood pressure or apical pulses. what other medicine might require this?
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HCTZ is a diuretic it lowers the B/P by increasing urine output. we would want a pre B/P (baseline) OR to make sure its not too low Because it is going to drop to so 70-110 so below 70 NO give!!!
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do we check all meds against the allergies?
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yes
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do we hang around on the green fucking around or do we put out (get out med box) and move out of the way?
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get box and move out of the way
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what's the first thing we do in the patient's room
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introduce our selves, wash hands, and grab their wrist band and look at it and ask their name and DOB
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what is HCTZ
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a diretic
diuresis is large amounts of passing urine. Its to lower blood pressure and lower edema, esp. for hypertensive patients. |
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how does HCTZ work?
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increases excretion of sodium and water by inhibiting its reabsorption in the distal tubules. It can produce arterior dilation
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what is hypokalema?
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abnormal lowering of the concentration of potassium in the blood.Hypokalemia is a potentially fatal condition in which the body fails to retain sufficient potassium to maintain health.
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what is hyperuricemia?
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excessive amounts of uric acid in the blood
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what is colace for?
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constipation
Docusate sodium. ex lax to make you shit. might be good for anyone who shouldn't strain like hypertensive people |
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what is coumadin?
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anticoagulant
prevents thromboembolic events |
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the generic for coumadin is ...
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warfarin
war = pt boat pt means ??? labs maybe platlet count ??? |
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what can happen if you overdue coumadin?
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bleed to death.
don't take otc meds PLUS aspirin. monitor coagulation factors |
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what does digoxin do?
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lowers severity of CHF
increases cardiac output lowers ventricular response to artrial tachyarrthymias |
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whats a problem with digoxin?
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med errors! miscalculations of doses (esp w/ peds)
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whats a problem with digoxin?
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if the patient's K+ is low. is so, tell the doctor. So evaluate labs electrolytes
watch renal and hepatic function too. |
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what about geriatrics and digoxin?
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their labs can look normal but they could still be digoxic. So assess for symtoms of toxicity even when labs are normal
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