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6 Cards in this Set
- Front
- Back
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Lovenox |
Blackbox:epidural/spinal anesthesia ^ potential for spinal/epidural hematoma>>permanent paralysis Low molecular weight of heparin Enoxaparin Anticoagulant Subcutaneously 40mg/day Half-life:4-5hrs A:Promotes action antithrombin 3, inactivates coagulation factor Xa I:prevents postop dvt Contr:active bleeders/pork allergy Caution:renal/hepatic impaired,those increased risk hemorrhage Side effects:localized irritation, nausea Adverse:major hemorrhage Antidote:protamine sulfate Nxint:monitor CBC,platelet,stool(blood),signs of bleeding Labs:hepatic(^)hgy,hct,RBCs(⬇) PTT therapeutic (35sec,longer w/blood thinner) Pt teach:therapy is 7-10days,No OTC,report unusual bleeding |
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Vistaril |
Hydroxyzine Antihistamine 25-100mg q4-6hrs Intramuscular A:Competes w/histamine receptor sites in GI tract, blood vessels, & resp. Tract. Diminishes vestibular stimulation, depresses labyrinthine function (balance) I:antiemetic (n/v) & antipruritic(itch) Contra:hypersensitivity,resp dep.,dizziness Caution:athletes (steroids) Side effects:dry mouth,discomfort at inject. site,drowsiness,constipation Adverse:hypersensitivity,dizziness (loss balance) Nxint:assist w/ambulation if dizzy Labs:renal/hepatic Pt teach:discomfort at injection site,No alert tasks,sugarless gum (dry mouth) |
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Heparin |
Half-life:1-6hrs Hepalean Anticoagulant 5,000units q8-12hrs prn Subcutaneously A:interferes w/blood coagulation by blocking conversion prothrombin to thrombin & fibrinogen to fibrin I:treat thromboembolic disorders (formation clots inside a vessel carried by blood to block another vessel) Contra:thrombocytopenia(low plt),active bleeder Caution:allergy to pork,pt at risk bleed,hepatic/renal/biliary disease Side effects:pruritus,burning (vasospastic react.,constricting) Nxint:monitor urine/stool(blood),assess B/P⬇,HR^ Labs:hct,plt,liver,renal,aPTT (1.5-2.5) Pt teach:electric razor,soft toothbrush. Repot dark stool/urine. Identification. No OTC. |
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Demerol |
Meperidine Opiate analgesic, Narcotic Agonist 50-75mg q3-4hrs prn Intramuscular/subcutaneous Therapeutic:100-550ng/mL Toxic:1,000ng/mL < A:binds to opioid receptors in CNS, alters pain perception/emotional response I:relief mild-moderate pain Contra:use of MAOIs (antidepressants), resp. insufficiency Caution:renal/hepatic impairment Sideeffects:sedation,constipation, hypotension,allergic react. Adverse:resp. depression Nxint:monitor v/s, pain, bowel activity Labs:renal labs Pt teach:toxicity>>pulmonary problems, confusion/dizziness Take before pain returns, discomfort w/injection,slow postural changes,^fluids,no alert tasks,no CNS depressants |
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PPD |
Tuberculin test determines whether a person is infected with mycobacterium tuberculosis 6-10mm wheal Check 48-72 HR Inject 0.1 mL of 5 units PPD intradermal |
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PPD results |
5mm < positive--HIV,tb contact,pt w/organ transplant,immunosupressed 10mm < positive--Drug users, health care workers 15mm < positive--anyone False neg--infection with nontb bacteria False pos--recent tb infection,old tb infection,recent live virus vacc,viral illness (chickenpox/measles) |
