Skills test!

Question 1

what therapeutic class is glycopyrrolate

Answer 1

Antipasmodics (suppresses muscle spasm)

Question 2

what pharmacological class is glycopyrrolate

Answer 2

anticholinergics (blocks acetylcholine NT’s - inhibit parasympathetic nerve impulse)

Question 3

what is the indications for glycopyrrolate

Answer 3

inhibits salivation & excess respiratory secretions when given preoperatively or for palliative care.
(Reverses some of the secretory & vagal actions of cholinesterase inhibitors used to treat non depolarizing neuromuscular blockade) (Adjunctive management peptic ulcer disease)

Question 4

What is the action of gylcopyrrolate

Answer 4

Inhibits the action of acetylcholine @ postganglionic sites located in smooth muscle, salt. glands & CNS. Low doses decrease sweating, salivation & respiratory secretions. Intermediate doses increase HR & large doses decrease GI & GU motility.

Question 5

what is the therapeutic effect of glycopyrrolate

Answer 5

Decreased GI & resp secretions. Not well absorbed orally. Crosses placenta

Question 6

Onset of glycopyrrolate

Answer 6

15-30 minutes or longer

Question 7

peak of glycopyrrolate

Answer 7

30-45 minutes or longer

Question 8

duration of glycopyrrolate

Answer 8

2-7 hours

Question 9

half life of glycopyrolate

Answer 9

~2 hours

Question 10

when is glycopyrolate contraindicated

Answer 10

hypersensitivity, glaucoma, hemorrhage, tachycardia, ulcerative colitis, toxic megacolong

Question 11

what are side effects of glycopyrollate

Answer 11

headache, congestion, tachycardia, dry mouth, vomiting, urinary hesitancy, flushing

Question 12

interactions of glycopyrollate

Answer 12

increased GI mucosal lesions with oral potassium chloride, may alter absorption of oral drugs by slowing motility

Question 13

what to assess before giving glycopyrolate

Answer 13

HR, BP, RR, Intake/output in geriatric, bowel sounds, LBM, may cause decreased uric acid

Question 14

what is the antidote for glycopyrolate

Answer 14

Neostigmine

Question 15

What should you teach the patient

Answer 15

will decrease respiratory secretions. Avoid extreme temperatures, may cause dizziness, notify if eye pain.

Question 16

what is the T class of dimenhydrinate

Answer 16

Antiemetics, antihistamines

Question 17

what is the indication for dimenhydrinate

Answer 17

N/V, Dizzy, vertigo w/ motion sickness

Question 18

what is the action of dimenhydrinate

Answer 18

Inhibits vestibular stimulation, significant CNS depression, anticholinergics, antihistaminic, antiemetic

Question 19

what is the therepeatuci effect of Dimenhydrinate

Answer 19

decrease vestibular stimulation - prevent motion sickness

Question 20

what is the onset of dimenhydrinate

Answer 20

20-30 minutes

Question 21

what is the peak of dimenhydrinate

Answer 21

1-2 hours

Question 22

what is the duration of dimenhydrinate

Answer 22

3-6 hours

Question 23

what is cautioned for dimenhydrinate

Answer 23

glaucoma, seizure, prostatic hyperplasia

Question 24

what are the side effects of dimenhydrinate

Answer 24

Drowsiness, anorexia, hypotensioon, diarhea, dry mouth

Question 25

what are the interactions of dimenhydrinate

Answer 25

increased CNS depression w/ antihistamines alcohol or opiod

Question 26

what is the normal dose of dimenhydrinate

Answer 26

50 mg Q 4 hours

Question 27

what should you assess for dimenhydrinate

Answer 27

N/V, Bowel sounds, abdominal pain, emesis, input, output, dehydration, avoid alcohol & may cause drowsiness

Question 28

what T class is insulin

Answer 28

Antidiabetics, hormones

Question 29

what P class is insulin

Answer 29

Pancreatics

Question 30

What indication is insulin

Answer 30

control hyperglycaemia

Question 31

what is the action of insulin

Answer 31

lower bg by stimulations. glucose uptake in skeletal muscle & fat, inhibit gluconeogenisis, lypolysis, proteolysis, enhances protein synthesis

Question 32

what is the therapeutic effect of insulin

Answer 32

control hyperglycaemia

Question 33

what should be known about insulin requirements

Answer 33

stress increases requirements beta blockers, clonidine, resepin mask hypoglycememia symptoms alcohol decreases insulin requirements

Question 34

what should you assesss for

Answer 34

Hypoglycemia ( Anxiety, restless, tingles, chills, sweat, confusion, drowsy, hungry, headache, nervous, tachycardia

Question 35

All about lispro

Answer 35

``` Onset: 10-15 minutes Peak: 60-90 minutes Duration: 3-5 hours Give immediately before meals can be mixed ```

Question 36

all about NPH

Answer 36

onset: 1-3 hours peak: 5-8 hours duration: 12-18 hours don't give IV can be mixed with rapid or reg

Question 37

storing insulin

Answer 37

28 days once open - don't forget to label | keep out of sunlight & heat

Question 38

how long to label tubing for

Answer 38

96 hours (4 days)

Question 39

how much fluid to flush `

Answer 39

3-5mls

Question 40

what gauge for sub cut

Answer 40

25

Question 41

what length for sub cut 90 degrees

Answer 41

1/2 or 12 mm

Question 42

what length for sub cut 45 degrees

Answer 42

5/8 inch of 16mm

Question 43

what amounts to grasp for different angles

Answer 43

5cm to do 90, 2.5 cm to do 45

Question 44

storage of insulin

Answer 44

28 days room temp unopened in the fridge void heat & sun less pain at room temp

Question 45

what gauge needle for IM

Answer 45

20-25 gauge needle for aqueous, 18-21 for oil

Question 46

what is the max volume sub cut

Answer 46

1-1.5 ml

Question 47

what is the mac volume for IM

Answer 47

2-3 is ideal, can do up to 5

Question 48

what length needle IM

Answer 48

1-1.5 inch but usually 1.5