Help me pass my med test please!!!!!!!

[Kimberleighsue]

Could some one help me. This is a review sheet I was given for the exam I will be taking tomorrow. I must pass this with an 80% or higher to be able to keep my job and start orienting on the floor. I am pretty good with the dosage calculations, but need help with the meds. They broke it up in groups....I guess I need to know the most important things about these.

gentamicin (Garamycin)

salicylates - toxicity

nitroglycerin (Nitrostat)

barbituates - toxicity

cyclophosphamide (Cytoxan)

digoxin - toxicity

Patient Teaching

ranitidine hydrochloride (Zantac)

levodopa (Larodopa)

hydrochlorothiazide (HydroDiuril)

diuretics

Principles of medication administration

narcotics

diuretics

insulins

iron dextran administration

ferrous sulfate

antibiotic therapy

aging

antacids

Z-track, IM, subcutaneous administration,

blood transfusions

patient refusal

Therapeutic effects of:

digitalis

Methyldopa (Aldoment)

Dopamine hydrochloride (Intropin)

Metaraminol bitartrate (Aramine)

Phenylamine hydrochloride (Neosynephrine)

Insulins

Sucralafate (Carafate)

pilocarpine hydrochloride (Pilocar)

allopurinol (Zyloprim)

cimetidine hydrochloride (Tagamet)

diazepam (Valium)

naloxone hydrochloride (narcan)

protamine sulfate

Vit K

Nursing assessment and patient care:

digitalis

Tylenol

heparin sodium

vit b12

chlorpromazine

warfarin sodium

isoproterenol hydrochloride (Isuprel)

insulins

[TheCommuter, BSN, RN]

This site has its very own Nursing Student Assistance Forum. I have provided the link below. Good luck and keep us posted. :)

https://allnurses.com/forums/f205/

[Kimberleighsue]

I am not a student any more. I am a new and nervous LPN!!

[TheCommuter, BSN, RN]

I am not a student any more. I am a new and nervous LPN!!

Oh, sorry about the confusion.

[Learnlesson]

Ok, let's see if we can give you some info here. 1) Nitro- be aware of rapid drop in B/P and don't give more than 1 every 5 min for C/P (3 tabs in 15 min is max). 2)Barbituate toxicity- depressed resp, obtunded, jaundice, liver and kidney failure. 3) Digoxin (digitalis) toxicity- irreg HR, drop in pulse, confusion. Imp info on this drug: Do not give if HR below 60, check apical for at least 30 seconds right before giving. Digoxin slows the HR down by giving the ventricles more "push" to the blood flow. 4) Med administration- for narcotics-ALWAYS assess for resp depression and change in LOC before giving. Diuretics- give early in day, if not a K+ sparing diuretic, make sure they have a good K+ level or are on a K+ supplement. 5) Narcan-used for resp depression r/t narcotic abuse. Usually given for RR less than 12 AND change in LOC. 6)Valium- watch for change in LOC, behavior changes (increased agitation or obtunded status). 7) Insulins- drawing up (teach s/s of hyper/hypoglycemia) draw up "clear to cloudy" if giving 2 types. Hope this helps a little. Tip: look up these drug classes on pharmacy websites and look for the "most commonside effects" and "need to know info". Good Luck!!!

[Kimberleighsue]

Thanks so much!! Any other help you all can give me would be great!!

[sphinx, BSN, RN]

Have you tried a drug book? That's how I studied for my exams whenever I start a new job.

[Kimberleighsue]

Yes I have. Tried 2. Just looking for expert advice, tips and pointers

[Lorie P.]

just wondering did the company that hired you give you a study guide to look at or review? if so study it, usually that is what the main focus is on ,what they want you to have a basic idea of.

i have been working for 2 yrs and still take a drug guide and iv drug guide book with me everytime i work.

[Kimberleighsue]

Yes they did, but it was all dosage calculations and then the page I posted above. I have no trouble with the calculations. Its the meds I need a little help with.

[jimthorp]

Is is common practice to pass a med test to get hired?

[Kimberleighsue]

It is where I am. Most places allow you to use your drug book..not the case where I am starting. So thats why I am so nervous. You get 3 chances. If you fail all three you are fired. I just finished with orientation and now I cannot orient on the floor till I pass this.