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💊 Pharm Flashcards BETA
NCLEX-focused pharmacology flashcards organized by body system
References
Drug information verified against DailyMed (dailymed.nlm.nih.gov - NIH/NLM official FDA drug labeling), Davis's Drug Guide, and Pharmacology and the Nursing Process (10th ed.) by Lilley, Rainforth Collins, & Snyder.
Always consult current drug references for clinical practice.
Last reviewed: January 2025
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Cardiovascular
Card 1 of 10
Metoprolol
Beta-1 Blocker
Treats hypertension, angina, heart failure, and rate control in AFib
How many 50s in 85? (round down) 85 ÷ 50 = 1.7 → 1 additional increment
4
Total insulin 2 + (1 × 2) = 4 units
✓ Give 4 units of insulin
⚠️ Safety Alert
Never abbreviate "units" as "U" — it can be mistaken for a zero! Always write out "units" completely.
🔢 Rounding Rules for Nursing
Knowing when and how to round is critical for patient safety. Different situations require different rounding rules.
⚠️ The Golden Rule
When in doubt, do NOT round — give the exact calculated amount when possible. Rounding should only be done when necessary for practical administration.
📋 Rounding Rules by Medication Type
Medication Type
Rounding Rule
Tablets
Round to nearest ½ tablet (if scored) or whole tablet
Oral Liquids
Round to nearest tenth (0.1 mL)
IV Fluids (pump)
Round to nearest whole number (mL/hr)
IV Drip (manual)
Round to nearest whole drop (gtt/min)
Insulin
Round to nearest whole unit (NEVER give partial units)
Heparin
Round to nearest whole unit
Pediatric doses
Round to nearest hundredth (0.01 mL) — BE PRECISE!
High-alert meds
Do NOT round — use exact calculation
📐 How to Round: The 5 Rule
Standard Rounding (≥5 round UP, <5 round DOWN)
If the digit is 5 or greater → Round UP
If the digit is less than 5 → Round DOWN
📝 Rounding to Whole Numbers
31.4
4 < 5, round DOWN
= 31
31.5
5 ≥ 5, round UP
= 32
31.7
7 ≥ 5, round UP
= 32
📝 Rounding to Tenths (1 decimal place)
2.43
3 < 5, round DOWN
= 2.4 mL
2.47
7 ≥ 5, round UP
= 2.5 mL
2.45
5 ≥ 5, round UP
= 2.5 mL
📝 Rounding to Hundredths (2 decimal places) — Pediatrics
0.333
3 < 5, round DOWN
= 0.33 mL
0.667
7 ≥ 5, round UP
= 0.67 mL
0.125
5 ≥ 5, round UP
= 0.13 mL
🏥 Real-World Examples
📝 IV Pump Rate
Calculated rate: 83.33 mL/hr What do you set the pump to?
1
IV pumps accept whole numbers only 83.33 → look at .3
2
3 < 5, so round DOWN 83.33 → 83 mL/hr
✓ Set pump to 83 mL/hr
📝 Oral Liquid Medication
Calculated dose: 7.83 mL How much do you give?
1
Oral liquids round to tenths 7.83 → look at .03
2
3 < 5, so round DOWN 7.83 → 7.8 mL
✓ Give 7.8 mL
📝 Insulin Dose
Calculated dose: 6.7 units How many units do you give?
1
Insulin is ALWAYS whole units 6.7 → look at .7
2
7 ≥ 5, so round UP 6.7 → 7 units
✓ Give 7 units
📝 Manual IV Drip
Calculated rate: 24.6 gtt/min What drip rate do you count?
1
Can't count partial drops! 24.6 → look at .6
2
6 ≥ 5, so round UP 24.6 → 25 gtt/min
✓ Count 25 drops per minute
💡 NCLEX Tip
On the NCLEX, if a question asks for a specific decimal place (like "round to the nearest tenth"), follow those instructions exactly. If no rounding instruction is given, use the rules above based on medication type.
Pediatric/neonatal doses — be as precise as possible
When the answer is already a whole number or clean decimal
Critical care drips where small differences matter
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TeachSimEHR™ & Quiz - Instructor View
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Instructor Note: Click the button above to open the complete TeachSimEHR™ interface in a new window. This includes both the EHR patient chart and the Quiz View tabs. Students see the exact same interface - perfect for projector display during class sessions.
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Clinical References
Professional guidelines and sources used to develop and verify card content.
Gas Exchange
GOLD 2025
Global Initiative for Chronic Obstructive Lung Disease. Global Strategy for the Diagnosis, Management, and Prevention of COPD (2025 Report).
Cards: COPD, Chronic Bronchitis, Emphysema
GINA 2024/2025
Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention.
Cards: Asthma
ATS/IDSA 2019
American Thoracic Society / Infectious Diseases Society of America. Diagnosis and Treatment of Adults with Community-Acquired Pneumonia.
Cards: Pneumonia
BTS 2010/2023
British Thoracic Society. Pleural Disease Guidelines and Spontaneous Pneumothorax Management.
Cards: Pneumothorax
ASH 2019
American Society of Hematology. Guidelines for Management of Venous Thromboembolism and B12 deficiency consensus.
Cards: PE, B12 Deficiency Anemia
NCCN 2024
National Comprehensive Cancer Network. Lung Cancer Screening Guidelines (Version 2.2024).
Cards: Lung Cancer
CDC/ATS 2022-2024
Centers for Disease Control / American Thoracic Society. Treatment of Drug-Susceptible Tuberculosis and TBTC Study 31.
Cards: Tuberculosis
CFF 2024
Cystic Fibrosis Foundation. Care Guidelines.
Cards: Cystic Fibrosis
Perfusion
AHA/ACC 2022-2025
American Heart Association / American College of Cardiology. Heart Failure Guidelines, STEMI/NSTEMI Guidelines, Hypertension Guidelines.
Cards: Heart Failure, MI, Hypertension, CAD, and related perfusion cards
Fluid & Electrolyte
AHA/ACC 2022-2025
American Heart Association / American College of Cardiology. Heart Failure Guideline-Directed Medical Therapy (GDMT), including SGLT2 inhibitors and ARNI updates.
Cards: Heart Failure (HF)
Endocrine Society 2024
Endocrine Society. Clinical Practice Guideline on the Diagnosis and Treatment of Hyponatremia.
Cards: Hyponatremia
AHA 2020
American Heart Association. Hyperkalemia Management Consensus Statement.
Cards: Hyperkalemia
KDIGO 2017/2024
Kidney Disease: Improving Global Outcomes. CKD-Mineral and Bone Disorder (CKD-MBD) Guidelines.
Endocrine Society and American Association of Clinical Endocrinology. Primary Hyperparathyroidism and Hypercalcemia Guidelines.
Cards: Hypercalcemia
BTS 2023
British Thoracic Society. Pleural Disease Guidelines.
Cards: Pleural Effusion
Pharmacology
DailyMed
NIH / National Library of Medicine official FDA drug labeling (dailymed.nlm.nih.gov).
Davis's Drug Guide for Nurses
F.A. Davis Company. Comprehensive nursing-focused drug reference.
Pharmacology and the Nursing Process (10th ed.)
Lilley, Rainforth Collins, & Snyder. Elsevier.
All content is reviewed against current professional organization guidelines and updated regularly. Content is designed for nursing education and NCLEX preparation. Always consult current clinical references and institutional protocols for clinical practice.
Last reviewed: February 2026
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AI Case Generator - Powered by Claude
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✨ New 3-Step Generation Process
1️⃣ Step 1: Generate comprehensive medical case
2️⃣ Step 2: Generate 11 NCLEX quiz questions
3️⃣ Step 3: Generate pharmacology review
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💊 Include Complete Pharmacology Review & Quiz
Generates detailed drug information and pharmacology-specific quiz questions for each medication
📚 Optional: Paste Textbook/Reference Content
AI will use this to create curriculum-aligned medication reviews
Configure Question Types (Total: 11 Questions):
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Standard NCLEX Mix: 5 SATA, 3 MCQ, 1 Bowtie, 1 Cloze, 1 Matrix = 11 Total
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