·
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.
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