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Thursday, October 16, 2008

Quick Pharma Review for Nclex

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Peripheral vascular disease - patient should sit with feet flat on floor to prevent hypereflexion of the knee

Myelominigocele - baby should like on abdomen with head to the side

Tegretol - interferes with actino of hormonal contraceptives, should use alternate type of birth control

Clozapine (Clozaril) - antipsychotic, treats schizophrenia, potential to suppress bone marrow and cause agranulocytosis (look for sore throat and fever)

Bucks traction - remove foam boots 3x/day to inspect skin, turn client to unaffected side, dorsiflex foot on affected side, elevate foot of bed

phlebitis - tenderness and redness at IV insertion site and redness proximally along the vein. Remove the IV adn apply warm soaks

Vancomycin can cause "Red man Syndrome" = decreased BP and flushing of face and neck --> give antihistamine. Also watch for liver damage with this one.


INSULIN:

Rapid: (Lispro) Onset: <15min Peak: 1hr Duration : 3hr

Short: (Regular) Onset: 1/2hr-1hr Peak: 2-3 hr Duration: 4-6 hr

Intermediate: (NPH or Lente) Onset: 2hr Peak: 6-12 Duration: 16-24

Long Acting: (Ultralente) Onse:t 4-6 hr Peak: 12-16hr Duration: >24 hrs

Very Long: (Lantus) Onset: 1 hr Peak: NONE Duration: 24 hr continuous


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