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What are the different types of cardiac emergency?
- Cardiovascular Collapse
- Ventricular Fibrillation
- Ventricular Standstill
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What code is called in an adult emergency?
Code Blue
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What life saving drugs are found in the Emergency Box/Tray?
- Sodium Bicarbonate
- Epinephrine
- Dopamine
- Norepinephrine
- Isoproterenol
- Calcium Chloride
- Atropine
- Lidocaine
- Adenosine
- Dextrose 50%
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What drug is used to correct metabolic acidosis?
Sodium Bicarbonate
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What drug makes the heart beat faster and contract more forcefully, increasing cardiac output?
Epinephrine
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What drug causes an increase in cardiac output, renal blood flow, and urine production?
Dopamine
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What acts as a vasoconstrictor causing an increase in systemic blood pressure
Norepinephrine
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What increases cardiac ouput and relaxes the smooth muscle of the bronchioles in the lungs?
Isoproterenol
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What drug makes the heart contract more forcefully after a normal heart rhythm has been restored?
Calcium Chloride
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What drug increases cardiac output and dries up secretions
Atropine
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What is the drug of choice for ventricular fibrillation and tachycardia?
Lidocaine
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What drug restores normal sinus rhythm?
Adenosine
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What is used to treat hypoglycemia?
Dextrose 50%
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What are the two main reasons medication administration is important?
- 1)Times of administration can affect the benefits received from a drug.
- 2)Administration schedules are used to coordinate pharmacy and nursing service activities
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What is a PRN medication?
An as needed drug
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Who orders the stop orders?
Pharmacy and Therapeutics Committee
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What is considered for auto stops of medication?
Potential for abuse and cost
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How long are sleeping medications covered?
7 days
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What are standing orders?
A preprinted set of orders are a time saving convenience to the physician
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Where might standing orders by used?
- Labor and Delivery
- CCU
- ICU
- Detox and Psych Wards
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Who’s responsibility is it to resolve any problems concerning a drug order?
Pharmacy and nursing staff
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What is a MAR?
An institutional form that is used to document all the medication given to hospital patients
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Whos responsibility is it to document the drugs given immediately after administration?
The nurse
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How often with the pharmacy deliver a typed MAR for each patient?
Every day
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What should be written if a medication is discontinued?
“D/C or DC”
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Why are patients encouraged to bring their home medications in to the hospital?
It helps the physicians obtain a more complete patient history
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Who should identify all home medications?
Attending physician
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Who’s responsibility is it to send medication to a patient that will prepare him for some laboratory or radiology tests?
The pharmacy’s
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What is known as an examination of the gall bladder by x-ray study?
Cholecystography
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What is known as an examination of the renal pelvis and the ureter by x-ray study?
Pyelogram
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What is the examination of the kidney by x-ray study?
Nephrotomogram
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What is the main purpose of an anesthesia tray?
To numb
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Who’s responsibility is it to ensure that all paperwork is completely filled out accurately, noting NDC, lot numbers, and expiration dates in case of recall?
Pharmacy Technician
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Why was OSHA established?
To establish protocols and standards for occupational health and safety
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When did OSHA become involved with medical practices?
1983
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Why did they become involved with medical practices?
To prevent hep B
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What is known as the Hazard Communication Standard?
Right to Know Law
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What does the right to know law state?
Employees should be notified of hazardous chemicals in their place of employment and the health risks associated
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What should be on the chemical label?
Name of the chemical and location where it is to be kept
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What are some of the typically forgotten chemicals?
Glass and surface cleaner and antibacterial soap
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What should every chemical in the office have?
A Material Safety Data Sheet
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Where are MSDS sheets obtained from?
The manufacturer
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What is the purpose of a exposure control plan?
To prevent or control employee exposure to blood, body fluid and other potentially infectious materual
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What is the purpose of the personal protective measure?
To minimize occupational exposure to blood borne pathoegens through the use of protective equipment
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