· Don’t give non-selective beta-blockers to patients with respiratory problems
· Vitamin C can cause false +ive occult blood
· Avoid the ‘G’ herbs (ginsing, ginger, ginko, garlic) when on anti-clotting drugs (coumadin, ASA, Plavix, etc)
· ASA toxicity can cause ringing of the ears
· No narcotics to any head-injury victims
· Mg2+ toxicity is treated with Calcium Gluconate
· Do not give Calcium-Channel Blockers with Grapefruit Juice
· Oxytocin is never administered through the primary IV
· Lithium patients must consume extra sodium to prevent toxicity
· MAOI Patients should avoid tyramine: Avocados, bananas, beef/chicken liver, caffeine, red wine, beer, cheese (except cottage cheese), raisins, sausages, pepperoni, yogurt, sour cream.
· Don’t give atropine for glaucoma – it increases IOP
· Don’t give ant-acids with food — b/c it delays gastric emptying.
· Don’t give Stadol to Methadone/Heroin Preggo’s — cause instant withdrawal symptoms
· Insulin – clear before cloudy (withdrawing sequence)
· Don’t give meperidine (Demerol) to pancreatitis patients
· Always verify bowel sounds when giving Kayexelate
· Hypercalcemia = hypophosphatemia (and vice versa)
· Radioactive Dye – urine excretion
· Signs of toxic ammonia levels is asterixis (hands flapping)
· D10W can be substituted for TPN (temporary use)
· Dopamine and Lasix are incompatible
· Hypoglycemic shivers can be stopped by holding the limb, seizures cannot (infants)
· Common Side effect of aluminum hydroxide – constipation
· Thiazide diuretics may induce hyperglycemia
· Take iron with Vit C – it enhances absorbtion – Do not take with milk
· B1 – For Alcoholic Patients (to prevent Wernicke’s encephalopathy & Korsakoff’s syndrome)
· B6 – For TB Patients
· B9 – For Pregnant Patients
· B12 – Pernicious anemia, Vegetarians.
· Complications of Coumadin – 3H’s – Hemorrhage, hematuria & hepatitis
· FFP is administered to DIC b/c of the clotting Fx
· Mannitol (osmtic diuretic [Head injury]) crystallizes at room temp – use a filter needle
· Antianxiety medication is pharmacologically similar to alcohol –used for weaning Tx
· Administrate Glucagon when pt is hypoglycemia and unresponsive
· Phenazopyridine ( Pyridium)–Urine will appear orange
· Rifampicin — Red-urine, tears, sweat)
· Hot and Dry = sugar high (hyperglycemia)
· Cold and clammy = need some candy (hypoglycemia)
· Med of choice for V-tach is lidocaine
· Med of choice for SVT = adenosine or adenocard
· Med of choice for Asystole = atropine
· Med of choice for CHF is Ace inhibitor.
· Med of choice for anaphylactic shock is Epinephrine
· Med of choice for Status Epilepticus is Valium.
· Med of choice for bipolar is lithium.
· Give ACE inhibitors w/food to prevent stomach upset
· Administer diuretics in the morning
· Give Lipitor at 1700 since the enzymes work best during the evenin
· Common Tricyclic Meds – 3 syllabes (pamelor, elavil)
· Common MAOI’s – 2 syllables (nardil, marplan)
· TPN has a dedicated line & cannot be mixed ahead of time
· RHoGAM — Given at 28 weeks & 72 hrs postpartum
· Do not administer erythromycin to Multiple Sclerosis pt
· Benadryl and Xanax taken together will cause additive effects.
· Can’t take Lasix if allergic to Sulfa drugs.
· Acetaminophen can be used for headache when the client is using nitroglycerin.
· Dilantin – can not give with dextrose. Only give with NS.