34 Flashcards

1
Q

The different type of orders

A
Routines and scheduled 
PRN
Stat
One time
Renewal
Prescription
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2
Q

Carried out until it is canceled by the provider until the prescriber number of doses has been given
Ex: For 10 days

A

Routine and schedule

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3
Q

As needed basis ex: ANALGESICS to control pain or laxative for constipation

A

PRN

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4
Q

But a drug to be giving once

A

One time order

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5
Q

It mediately for a single dose of meds to be given right away

What time should it be administered

A

Stat

15 minutes

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6
Q

To continue certain meds provider must give or write a renewal order

A

Renewal order

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7
Q

The only difference between physician order is that it needs to have the amount in the container

Example if it is to be given two times a day for one week they need to put 14 tablets

A

Prescription

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8
Q

Oral meds

A
Tablet 
Capsule
Spansule 
Enteric coated 
ELIXIR
LOZENGE
Sublingual
Buccal 
Syrup
Suspension
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9
Q

Powder compress into______What a binding substance

A

Tablet

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10
Q

Tablet

route and abbreviation

A

By mouth

tab

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11
Q

Powder placed in a_____

A

Capsule

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12
Q

Capsule

abbreviation and route

A

Cap

by mouth

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13
Q

Time released PELLETS placed in capsule shell

A

SPANSULE

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14
Q

SPANSULE

Abbreviation & route

A

Span

By mouth do not open

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15
Q

Tablet with coating That does not dissolve until in the intestines

A

ENTERIC COATED

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16
Q

Enteric coated

Abbreviation & route

A

EC

by mouth do not crush

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17
Q

Sweetened flavoring substance w an active medicinal ingredient

A

ELixir

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18
Q

ELIXIr

Abbreviation and route

A

Elix

By mouth or feeding tube

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19
Q

Medicated tablet or disk

A

LOZENGE

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20
Q

LOZenge

Abbreviation and route

A

None

by mouth to be sucked on until totally dissolve

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21
Q

Tablet formulated To quickly dissolve under the tongue

A

Sublingual

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22
Q

Sublingual

abbreviation and route

A

Subling

badmouth place under tongue until dissolved

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23
Q

Tablet formulated To dissolve when placed in the inner cheeks the mouth

A

BUCCAL

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24
Q

BUCCAL

abbreviation and route

A

Bucc

by mouth in cheek pocket

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25
Q

Take sugar solution combine with a medicinal ingredients

A

Syrup

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26
Q

Syrup

abbreviation and route

A

SYR

by mouth feeding tube

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27
Q

Medication particles suspended rather than dissolve in a liquid substance

A

Suspension

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28
Q

Suspension

abbreviation and route

A

SUSP

by mouth or feeding tube

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29
Q

Topical meds

A
Lotion 
ointment 
cream 
tincture 
drop
 patch 
inhalant 
suppository
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30
Q

TM

Liquid suspension

A

Lotion

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31
Q

Lotion

abbreviation and route

A

None

apply to skin

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32
Q

TM

a semisolid thick preparation containing a medical agent

A

ointment

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33
Q

Ointment

abbreviation and route

A

Oint

apply to skin or mucous membrane

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34
Q

TM

A semi solid then preparation containing a medical agent

A

Cream

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35
Q

Cream

Abbreviation and route

A

None

applied to skin or mucous membrane

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36
Q

TM

Medication dissolved in alcohol

A

Tincture

37
Q

Tincture

Abbreviation and route

A

TINCT or TR

apply to skin

38
Q

Liquid medication provided in a dropper bottle

A

Drops

39
Q

Drops

Abbreviation and route

A

GT, GTT
usually for nose eyes or ears
although infant vitamins and other medication’s are made as drops

40
Q

Adhesive substance with medication bounded to it that is slowly absorbed into the skin

A

Patched

41
Q

The Abbreviation and route for patch

A

None

apply to skin for up to seven days for transdermal absorption

42
Q

Liquid placed in a pressurized container or a squeeze bottle so that it will form an aerosol when activated

A

Inhalant

43
Q

Inhalant

abbreviation and route

A

None

inhaled through the mouth or nose

44
Q

Solid medication mixed with a viscous substance that dissolve at body temp

A

Suppository

45
Q

Suppository

abbreviation and route

A

Supp

place in the vagina, rectum or urethra

46
Q

Please describe what can you do if elderly patient has difficulty swallowing a pill

A

Crash or cut the pill unless contraindication or ask the provider for a liquid form of the drug

47
Q

What form of medication administration is the simplest most convenient and the least expensive

A

oral route

48
Q

In the form of eyedrops or eardrops or applied as ointment,paste, patches or lotion to the skin or mucous membrane

A

Topical medication

49
Q

What route of medication administration is commonly used For children and patient that are vomiting

A

Rectal route or Ivy

50
Q

Medication administration record
This is part of the patient’s medical record
Nurses refer to when administering med to the patient

A

MAR

51
Q

Three types of med administration system

A

Stock supplies of medicine
Individual prescription system
Unit – dose method

52
Q

Similar to unit doses system except pharmacy supplies enough doses for several days

A

Individual prescription system

53
Q

Drugs package in single individual doses all of the morning pills in one bag for the patient

A

Unit doses method

54
Q

What type of meds have to be locked up safely at all times

A

Legally control substance must be locked away example narcotics sedative

55
Q

What must the nurse do Before removing the above medication from the PYXIS or any other fixed site dispenser

A

Sign in with username and password or biometric identification system Count the pills

56
Q

What information must be documented when giving a patient fluids to swallow meds

A

Make sure they swallow before giving it. Any fluid must be documented in the intake

57
Q

What is meniscus

A

Curved upper surface lowest point of the liquid in the cup when held at I level

58
Q

Ashley liquid medication be poured from the bottle

A

Label must be protected in the palm of hand so the label does not get distorted from any residual liquid

59
Q

Is it OK to swallow/ chew sublingual medication

A

No

60
Q

What should you do if a medication dropped on the floor or the patient’s bed

A

Document that it waste

get two nurses have and witness and call the pharmacy for a new one

Document how much was billed and clean the patient’s bed after documentation

61
Q

What are different forms of OPHTHELMIC medication

A

Drops ointment or an eye disk

62
Q

Before instilling OPHTHALMAC medication which should you have your patient remove

A

Contact lenses

63
Q

Please describe how and Otic medication is instilled

A

Position patient supine and in a lateral position

Straighten the ear canal by drawing back the pinna up and back

And still the medication and place a cotton in the external meatus to prevent medication from escaping

Keep the patient in lateral position for 5 to 10 minutes

64
Q

How can you decrease systemic absorption of an eyedrop medication

A

Blocking the entrance to the lacrimal gland By placing finger over it

65
Q

Briefly describe the steps for applying ophthalmic Medication

A

Expose the conjunctival sack and apply a thin ribbon of appointment along the entire length of the visible conjunctival sac

66
Q

How should a patient receiving a eyedrop medication be position

A

Sitting or reclining position and ask them to look at the ceiling and tilt their head slightly to the side of the affected at

67
Q

Where in the eye should the eyedrops be placed

A

Directly into the conjunctival sac do not place the drop on the cornea because it causes discomfort or damage

68
Q

How should a patient receiving a nasal drop medication be positioned

A

The patient should lay down face up with the head off the bed and the neck hyperextended

69
Q

What are the 5 common inhalant groups of drug prescribed for respiratory problems

A
Beta-agonist drug
Anticholinergics
Corticosteroids 
Leukotriene modifier 
Antiallergic med
70
Q

Where should the mouthpiece be placed before administration of an inhalant medication

A

In the mouth between the teeth and seal the lips around it

71
Q

When should the canister for inhalant medication be depressed

A

Inhalantion

72
Q

How long should the patient hold their breath after administering the inhalant medication

A

10 seconds

73
Q

When should the second puff if ordered be administered

A

Wait at least one minute before repeating the procedure and shake it again before giving it

74
Q

What is the purpose of The spacer are used for inhalant medication

A

Enhances the delivery of medication deeper into the bronchioles

75
Q

What are some different type of vaginal medication

A

Cream suppository or a douche

76
Q

Where are the conditions in which suppositories are use

A
To prevent vomiting, 
soothe hemorrhoids, 
prevent bladder spasms , 
promote bowel evacuation, 
and reduce fever. 

The medication is absorbed through the mucous membrane

77
Q

Where is the proper placement in the rectum in a patient receiving a suppository for bowel evacuation

A

Towards the umbilicus above the splinter so it’s not immediately expelled and against the bowel not in the store so it can be absorbed

78
Q

How should the patient receiving a suppository be position

A

Place the patient in the left sims position

79
Q

What are the proper technique for placement of a trans dermal medication

A

Supplied in a sustain release patch That is applied to clean dry hairless skin and left in place

As a paste that is spread on a small area of skin should be applied to areas with adequate circulation such as chest shoulders are upper arms and rotate site

Date time and initial the patch measure the old patch is removed before placing the new patch

80
Q

Why should gloves be worn when applying nitroglycerin ointment

A

You do not want to absorb the medication through your hand

81
Q

Life or death situation patient safety

A

Sentinel event

82
Q

Should nitroglycerin paste be placed on the side of the paper with the writing or on the blank side

A

Paste on the blank side. Be sure to write the date time in initial on the paper

83
Q

How should a pill be a minister through a feeding tube

A

Crush tablet or pills are open capsule.

See if you could get a liquid form of the medication

Do not mix medication and flush before and after

84
Q

Can you crush ENTERIC COATED Sublingual or sustain released medication

A

No

85
Q

How much water should each medication be mixed when ministering through feeding tube

A

Makes each medication with 30 mL of tepid/Luke warm water

86
Q

Send medication mixed separately

A

Yes

87
Q

What should you do if you discover a medication error

A

Report every medication error so that the medication safely can be improved ASAP

88
Q

Would you be responsible to fill out an incident report if you found a medication error made by another nurse

A

The nurse who discovered the era is the one to report it and fill out the report.

Therefore the nurse that made the air does not have to be the one who reports it.

If that nurse did not report it you would have to report the med error