Pharmacology And Ekg Test Hca New Hires For Nurses, Insulins

14. TPN > 10% solution nursing care {Ans: Strict aseptic technique is MANDATORY in all aspects of TPN administration. Remove from fridge at least 2 hours prior to administration. Solutions, tubing and filters are changed every 24 hours. Filters should be used as follows: a. TPN solution without lipids - 0.22 micron filter. b. TPN solution with lipids (3-in-1) - 1.2 micron filter Complications of TPN include, but are not limited to, the following: a. Metabolic: (1) Infection/sepsis. (2) Hyperglycemia/Hypoglycemia. (3) Circulatory volume excess/deficit. (4) Electrolyte, mineral and vitamin imbalance. (5) Allergic reactions. b. Mechanical: (1) Catheter occlusion. (2) Catheter displacement/infiltration. (3) Central vein thrombosis/occlusion. (4) Air embolism. (5) Catheter embolism. (6) Infusion pump malfunction/failure.}Sinus tach {Ans: }SVT {Ans: }Second degree block: Mobitz Type I {Ans: The Wenckebach phenomenon, characterised by progressively increasing PR interval culminating in a dropped beat --- this is otherwise known as Mobitz Type I second degree heart block)*.}ngt med admin {Ans: }• Ativan • {Ans: Potentiates action of GABA, resulting in increased neuronal inhibition and CNS depression, Side effects: CNS: dizziness, drowsiness, lethargy, hangover, headache, ataxia, slurred speech, forgetfulness, confusion, mental depression,}