-Skin infections (herpes zoster, cutaneous diphtheria, impetigo, pediculosis, scabies, and staph)
-Enteric infections (C-Diff)
-Eye infections (conjunctivitis)
Management: gown, gloves, goggles, private room
VRSA - contact and airborne precautions (private room, door closed, negative pressure)
PPIs decrease stomach acid by inhibiting those gastric proton pumps that make the acid - they stop the acid at the pump!
Omeprazole (brand names: Prilosec, Zegerid, Omepral, Omez)
Lansoprazole (brand names: Prevacid, Zoton, Inhibitol)
Dexlansoprazole (brand name: Kapidex, Dexilant)
Esomeprazole (brand names: Nexium, Esotrex)
Pantoprazole (brand names: Protonix, Somac, Pantozol, Zentro)
Think of a pump in your stomach just churning out the acid - 'Zole' is the nice guy who shuts off the pump.
'Zole' is very friendly (well-tolerated by most clients) but can cause vitamin B-12 deficiency if he stays around too long (with long-term use).
• H eparin sodium prevents thrombin from converting fibrinogen to fibrin. It is administered IV or SQ.
• E noxaparin (Lovenox) is a low-molecular weight heparin. It has the same action as heparin, but has a longer half-life. It is administered via subcutaneous injection.
• P rotamine sulfate is the antidote for heparin.
• A dminister heparin when there is the likelihood of clot formation, such as with myocardial infarction or deep-vein thrombosis.
• R isk for bleeding is the major side effect that clients should be educated about. Clients should be educated to monitor for bleeding, including bleeding gums, bruises, hematuria, and petechiae.
• I nstruct clients to avoid CORTICOID use, ORAL HYPOGLYCEMIC agents, SALICYLATES, NSAIDs, green leafy vegetables, and foods high in Vitamin K.
• N ormal activated partial thromboplastin time (aPTT) is 20 to 36 seconds, but to maintain a therapeutic level of anticoagulation while on heparin, the aPTT should be 1.5 to 2 times the normal value (60 to 80 seconds).
• Many students look for ways to more easily remember all of the ranges associated with insulin. It is helpful to think generally rather than trying to recall all exact numbers when memorizing this information, and, if you can only remember one thing about each insulin, CLIMB TO THE PEAK. Pick one number from each time frame (onset, peak, duration) to help reduce the values that you're trying to memorize. Remember that onset, peak, and duration build sequentially as you move from one type of insulin to another, so it may be helpful to remember, for example, that onset times go from 15 minutes, to 30 minutes, to 1 hour (trend: all onsets are less than an hour). Peak times go from 30 minutes, to 2 hours, to 4 hours (trend: even numbers). Finally, duration goes from 3 hours, to 5 hours, to 24 hours. If you always organize your thoughts byO.P.D.(onset, peak, and duration), starting FAST (rapid acting) and ending SLOW (long acting) when studying the different types of insulin, these tips will be helpful. The key is consistency...looking at values in the same order every time.