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What labs do you check when a patient is on Warfarin?
PT/INR
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Why do you only administer warfarin at night?
The INR lab is taken in the morning and vitamin K
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What labs do you check for a patient on Enoxaparin or Heparin?
Platelets (PT/INR only ordered for therapeutic dosing)
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Do you give iron supplements with or without meals?
With meals
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Do you give aspirin with or without meals?
With meals
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Do you give oral steroids with or without meals?
With meals
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Do you give ticlopidine with or without meals?
With meals
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What labs do you check when a patient is on digoxin?
Dig level, K
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What important assessment must be done prior to administering digoxin?
Apical pulse
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What lab do you check when a patient is on furosemide?
K+
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What important assessments must be done prior to administration of Ca+ channel blockers?
Apical pulse, BP
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What important assessments must be done prior to administration of Beta blockers?
Apical pulse, BP
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What important assessments must be done prior to administration of anti-hypertensives?
Apical pulse, BP
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What important assessment must be done prior to administration of ACE inhibitors?
BP
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What important information should you know prior to administration of insulins and oral hyperglycemics?
BG, meal schedule, onset/duration
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Which insulins can be mixed?
Rapid/Short and intermediate acting
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What are the onset, peak and duration of rapid acting insulins?
- Onset: 10-30 minutes
- Peak: 30 mins-3 hrs
- Duration: 3-5 hr
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What are the onset, peak and duration of short acting insulins?
- Onset: 30 min-1 hr
- Peak: 2-5 hrs
- Duration: 5-8 hrs
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What are the onset, peak and duration of intermediate acting insulins?
- Onset: 1.5-4 hrs
- Peak:4-12 hrs
- Duration: 12-18 hrs
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What are the onset, peak and duration of long acting insulins?
- Onset: 0.8-4 hrs
- Peak: Less defined or no pronounced peak
- Duration: 16-24 hrs
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What labs do you check when a patient is taking steroids?
WBC
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What is chlorhexidine gluconate oral rinse used for?
Prevention of hospital acquired pneumonia, used after oral care
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What important assessments need to be done before giving bowel care medications?
- Frequency and last BM (COCA)
- Hold for loose stools
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What important PPE should you use when administering Finasteride?
Gloves
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What labs should you check prior to administering KCL elixir?
K level
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What assessments should you do prior to administering oral narcotics?
Know last dose time, ordered frequency, pain level/ordered dose, bowel regimen
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What important information and labs should you know before administering aminoglycosides (vanco, tobramycin, gentamicin)
Trough, dose administration time, creatinine, pharmacy progress note
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