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PROCHLORPERAZINE (Compro)

Side Effects

Orthostatic hypotension                               Constipation

Blurred vision                                                        Drowsiness

Dry eyes, dry mouth                                    Photosensitivity

Nursing Considerations

◾ Management of nausea, vomiting, psychotic disorders

◾ Monitor for development of neuroleptic malignant syndrome (fever, respiratory distress, tachycardia, convulsions, sweating, hypertension or hypotension, pallor, tiredness, severe muscle stiffness, loss of bladder control); notify clinician immediately

◾ PO: take with food

◾ Do not crush or break sustained-release capsules

◾ IM: inject slowly, deeply into gluteal UOQ; keep patient lying down for

30 minutes

◾ Use caution with potentially hazardous activities

◾ Avoid changing positions (lying/sitting/standing) rapidly

◾ Wear sunscreen and protective clothing to prevent photosensitivity reactions

◾ Check CBC and liver functions with prolonged use

◾ Risk of increase mortality in elderly patients with dementia; related psychosis

◾ May develop tardive dyskinesia

◾ Rx; Preg Cat C

MECLIZINE (Antivert, Bonine)

Side Effects

Drowsiness

Dizziness

Nursing Considerations

◾ Management of vertigo, motion sickness

◾ Duration 8–14 hours

◾ Take 1 hour before traveling

◾ Avoid activities requiring alertness

◾ Avoid alcohol, CNS depressants

◾ OTC, Rx; Preg Cat B

LOPERAMIDE HCL (Imodium)

Side Effects

Nausea, vomiting                               Drowsiness

Abdominal pain/distention                           Dry mouth

Dizziness

Nursing Considerations

◾ Used for control of diarrhea, including diarrhea in travelers

◾ Take with a full glass of water

◾ Encourage 6–8 glasses of fluid per day

◾ Use caution with potentially hazardous activities

◾ If abdominal distention in acute ulcerative colitis, stop med

◾ Avoid use with alcohol, CNS depressants

◾ Follow clear liquid or bland diet until diarrhea subsides

◾ Do not use OTC if fever over 101°F (38°C) or if bloody diarrhea

◾ OTC, Rx; Preg Cat C

HYOSCYAMINE (Anaspaz, Gastrosed)

Side Effects

Confusion, stimulation                       Blurred vision

In elderly                                  Tachycardia

Dry mouth, constipation                     Rash

Urinary retention, hesitancy               Headache

Palpitations                               Drowsiness

Nursing Considerations

◾ Treatment of peptic ulcer, other GI disorders, other spastic disorders, urinary incontinence

◾ PO: onset 20–30 minutes, duration 4–6 hours

◾ IM, IV, subQ: onset 2–3 minutes, duration 4–6 hours

◾ Avoid activities requiring alertness until stabilized on med

◾ Avoid alcohol, CNS depressants

◾ Use sunglasses to prevent photophobia

◾ Take 30–60 minutes before meals

◾ Avoid antacids within 1 hour

◾ Rx; Preg Cat C

INSULIN-ISOPHANE SUSPENSION (NPH) (Humulin N, Novolin N)

INSULIN-ISOPHANE

SUSPENSION (NPH)

(Humulin N, Novolin N)

Side Effects

Hypoglycemia                           Alergic reactions

Lipodystrophy

Nursing Considerations

◾ Management of diabetes

◾ Comes in 100 units per milliliter vial, as well as in combination

with regular insulin in a 50/50 proportion and 75/25 proportion

◾ subQ: onset 1–1.5 hours, peak 4–12 hours, duration 18–24 hours

◾ Read administration instructions carefully

◾ Do not give IV

◾ Monitor blood sugar

◾ OTC, Rx; Preg Cat B

INSULIN GLARGINE (Lantus)

Side Effects

Hypoglycemia                                     Pruritus

Lipodystrophy                                    Rash

Allergic reactions

Nursing Considerations

◾ Management of diabetes in type 1 diabetics or adults with type 2

requiring a long-acting insulin to control hyperglycemia

◾ No pronounced peak, duration 24 hours

◾ Must inject at same time each day

◾ Not the drug of choice for diabetic ketoacidosis (use a

short-acting insulin)

◾ Higher incidence of injection site pain compared with NPH

insulin

◾ Monitor blood sugar

◾ Do not administer IV or via insulin pump

◾ Do not mix with any other insulin

◾ Rx; Preg Cat C

Gimel Review for NMC CBT Test

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GIMEL Comprehensive Self Study Program!

This study is designed to give you Core Contents in a simple easy to understand structure. It will help you identified your strengths and deal with areas of weakness. You will then begin to comprehend many of the major areas of Core contents that are essential to Pass NMC PART 1, CBT TEST.

Whether this is your first attempt or that you have attempted this test several times. I want to encourage you to stay focused on your goals. Cast away feelings of inadequacy and doubt which does not support this effort now. Stay focused and you shall achieve success and your dreams.

GIMEL Study guide is a review for International nurses preparing for registration as nurses in the UK.

NMC Test of Competence - Part 1 Test Revision

The NMC Test of Competence Part 1 exam is a computer-based test (CBT) questions consisting of 120 Multiple Choice Questions. It is intended for applicants trained outside the EU (European Union) and European Economic Area seeking employment as a nurse in the UK.

This Part 1 test preparatory review contents covers randomly on all four of the domains and questions specific to adult nursing. These topics are: Professional values, Communication and interpersonal skills, Nursing practice and decision making Leadership management and team working as outlined and stated by NMC.

 Thereafter, practice with about 70 questions to test your knowledge with correct answers.

Success is guaranteed if you devote your short time to go through the reviewed contents and the questions.

This is the opportunity you have been waiting for. Go through the contents. You can be sure of passing your CBT test at First sitting.