34 Flashcards
The different type of orders
Routines and scheduled PRN Stat One time Renewal Prescription
Carried out until it is canceled by the provider until the prescriber number of doses has been given
Ex: For 10 days
Routine and schedule
As needed basis ex: ANALGESICS to control pain or laxative for constipation
PRN
But a drug to be giving once
One time order
It mediately for a single dose of meds to be given right away
What time should it be administered
Stat
15 minutes
To continue certain meds provider must give or write a renewal order
Renewal order
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
Prescription
Oral meds
Tablet Capsule Spansule Enteric coated ELIXIR LOZENGE Sublingual Buccal Syrup Suspension
Powder compress into______What a binding substance
Tablet
Tablet
route and abbreviation
By mouth
tab
Powder placed in a_____
Capsule
Capsule
abbreviation and route
Cap
by mouth
Time released PELLETS placed in capsule shell
SPANSULE
SPANSULE
Abbreviation & route
Span
By mouth do not open
Tablet with coating That does not dissolve until in the intestines
ENTERIC COATED
Enteric coated
Abbreviation & route
EC
by mouth do not crush
Sweetened flavoring substance w an active medicinal ingredient
ELixir
ELIXIr
Abbreviation and route
Elix
By mouth or feeding tube
Medicated tablet or disk
LOZENGE
LOZenge
Abbreviation and route
None
by mouth to be sucked on until totally dissolve
Tablet formulated To quickly dissolve under the tongue
Sublingual
Sublingual
abbreviation and route
Subling
badmouth place under tongue until dissolved
Tablet formulated To dissolve when placed in the inner cheeks the mouth
BUCCAL
BUCCAL
abbreviation and route
Bucc
by mouth in cheek pocket
Take sugar solution combine with a medicinal ingredients
Syrup
Syrup
abbreviation and route
SYR
by mouth feeding tube
Medication particles suspended rather than dissolve in a liquid substance
Suspension
Suspension
abbreviation and route
SUSP
by mouth or feeding tube
Topical meds
Lotion ointment cream tincture drop patch inhalant suppository
TM
Liquid suspension
Lotion
Lotion
abbreviation and route
None
apply to skin
TM
a semisolid thick preparation containing a medical agent
ointment
Ointment
abbreviation and route
Oint
apply to skin or mucous membrane
TM
A semi solid then preparation containing a medical agent
Cream
Cream
Abbreviation and route
None
applied to skin or mucous membrane
TM
Medication dissolved in alcohol
Tincture
Tincture
Abbreviation and route
TINCT or TR
apply to skin
Liquid medication provided in a dropper bottle
Drops
Drops
Abbreviation and route
GT, GTT
usually for nose eyes or ears
although infant vitamins and other medication’s are made as drops
Adhesive substance with medication bounded to it that is slowly absorbed into the skin
Patched
The Abbreviation and route for patch
None
apply to skin for up to seven days for transdermal absorption
Liquid placed in a pressurized container or a squeeze bottle so that it will form an aerosol when activated
Inhalant
Inhalant
abbreviation and route
None
inhaled through the mouth or nose
Solid medication mixed with a viscous substance that dissolve at body temp
Suppository
Suppository
abbreviation and route
Supp
place in the vagina, rectum or urethra
Please describe what can you do if elderly patient has difficulty swallowing a pill
Crash or cut the pill unless contraindication or ask the provider for a liquid form of the drug
What form of medication administration is the simplest most convenient and the least expensive
oral route
In the form of eyedrops or eardrops or applied as ointment,paste, patches or lotion to the skin or mucous membrane
Topical medication
What route of medication administration is commonly used For children and patient that are vomiting
Rectal route or Ivy
Medication administration record
This is part of the patient’s medical record
Nurses refer to when administering med to the patient
MAR
Three types of med administration system
Stock supplies of medicine
Individual prescription system
Unit – dose method
Similar to unit doses system except pharmacy supplies enough doses for several days
Individual prescription system
Drugs package in single individual doses all of the morning pills in one bag for the patient
Unit doses method
What type of meds have to be locked up safely at all times
Legally control substance must be locked away example narcotics sedative
What must the nurse do Before removing the above medication from the PYXIS or any other fixed site dispenser
Sign in with username and password or biometric identification system Count the pills
What information must be documented when giving a patient fluids to swallow meds
Make sure they swallow before giving it. Any fluid must be documented in the intake
What is meniscus
Curved upper surface lowest point of the liquid in the cup when held at I level
Ashley liquid medication be poured from the bottle
Label must be protected in the palm of hand so the label does not get distorted from any residual liquid
Is it OK to swallow/ chew sublingual medication
No
What should you do if a medication dropped on the floor or the patient’s bed
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
What are different forms of OPHTHELMIC medication
Drops ointment or an eye disk
Before instilling OPHTHALMAC medication which should you have your patient remove
Contact lenses
Please describe how and Otic medication is instilled
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
How can you decrease systemic absorption of an eyedrop medication
Blocking the entrance to the lacrimal gland By placing finger over it
Briefly describe the steps for applying ophthalmic Medication
Expose the conjunctival sack and apply a thin ribbon of appointment along the entire length of the visible conjunctival sac
How should a patient receiving a eyedrop medication be position
Sitting or reclining position and ask them to look at the ceiling and tilt their head slightly to the side of the affected at
Where in the eye should the eyedrops be placed
Directly into the conjunctival sac do not place the drop on the cornea because it causes discomfort or damage
How should a patient receiving a nasal drop medication be positioned
The patient should lay down face up with the head off the bed and the neck hyperextended
What are the 5 common inhalant groups of drug prescribed for respiratory problems
Beta-agonist drug Anticholinergics Corticosteroids Leukotriene modifier Antiallergic med
Where should the mouthpiece be placed before administration of an inhalant medication
In the mouth between the teeth and seal the lips around it
When should the canister for inhalant medication be depressed
Inhalantion
How long should the patient hold their breath after administering the inhalant medication
10 seconds
When should the second puff if ordered be administered
Wait at least one minute before repeating the procedure and shake it again before giving it
What is the purpose of The spacer are used for inhalant medication
Enhances the delivery of medication deeper into the bronchioles
What are some different type of vaginal medication
Cream suppository or a douche
Where are the conditions in which suppositories are use
To prevent vomiting, soothe hemorrhoids, prevent bladder spasms , promote bowel evacuation, and reduce fever.
The medication is absorbed through the mucous membrane
Where is the proper placement in the rectum in a patient receiving a suppository for bowel evacuation
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
How should the patient receiving a suppository be position
Place the patient in the left sims position
What are the proper technique for placement of a trans dermal medication
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
Why should gloves be worn when applying nitroglycerin ointment
You do not want to absorb the medication through your hand
Life or death situation patient safety
Sentinel event
Should nitroglycerin paste be placed on the side of the paper with the writing or on the blank side
Paste on the blank side. Be sure to write the date time in initial on the paper
How should a pill be a minister through a feeding tube
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
Can you crush ENTERIC COATED Sublingual or sustain released medication
No
How much water should each medication be mixed when ministering through feeding tube
Makes each medication with 30 mL of tepid/Luke warm water
Send medication mixed separately
Yes
What should you do if you discover a medication error
Report every medication error so that the medication safely can be improved ASAP
Would you be responsible to fill out an incident report if you found a medication error made by another nurse
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
