Ch10: Medication Administration Flashcards

1
Q

What is the process of medication administration as per CNO standard involve?

A
  • Assessment
  • Planning
  • Implementation
  • Evaluation
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2
Q

What are the types of medication orders?

A
  • Direct Order
  • Medical Directives
  • Verbal Orders
  • PRN Orders
  • STAT Orders
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3
Q

Types of Medication Orders:

- Direct order?

A

A written or electronic order

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4
Q

Types of Medication Orders:

- Medical Directives?

A

WRITTEN prescriptions that only apply to a RANGE OF CLIENTS w/ certain conditions;
authorized by a physician– used in hospitals

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5
Q

Types of Medication Orders:

- Verbal Orders?

A

Orders received face-to-face in EMERGENCY situations

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6
Q

Types of Medication Orders:

- Telephone Orders?

A

When prescribers are not present– be extra cautious when taking these kind of orders. used in emergency situations

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7
Q

Types of Medication Orders:

- PRN Orders?

A

Medication is given on an “as needed basis”

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8
Q

Types of Medication Orders:

- STAT Orders?

A

Orders need to be given immediately

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9
Q

What are the 9 rights of Medication Administration?

A

1) Right Client
2) Right Medication
3) Right Dose
4) Right Time
5) Right Route
6) Right Frequency
7) Right Site
8) Right Reason
9) Right Documentation

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10
Q

9 Rights of Medication Administration:

- Right Client

A

Verify with the medication record and client wristband agree;
Check healthcard #

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11
Q

9 Rights of Medication Administration:

- Right Medication

A

Ensure by reading the label 3 times;

Consult w/ pharmacy with new medication

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12
Q

9 Rights of Medication Administration:

- Right Dose

A

Ability to calculate accurately the correct dosage to be given

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13
Q

9 Rights of Medication Administration:

- Right Time

A

In 24hr/military time;

“on-time” if medication is administered within 1/2 hour prior or after time ordered

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14
Q

9 Rights of Medication Administration:

- Right Route

A

Through oral, inhalation, dermal, rectal, vaginal, parenteral

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15
Q

9 Rights of Medication Administration:

- Right Frequency

A

od (once a day),
bid (twice a day),
tid (three times a day),
qid (four times a day)

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16
Q

9 Rights of Medication Administration:

- Right Site

A

ID (Intradermal),
SubQ (Subcutaneous),
IM (Intramuscular)

17
Q

9 Rights of Medication Administration:

- Right Reason

A

Refer to the CPS (handbook) under “dru use” to determine appropriate medication for the reason which patient is being treated;
Asking pharmacy is suitable too

18
Q

9 Rights of Medication Administration:

- Right Document

A

CHART immediately after client has taken their medication.

  • must witness cliets taking medication
  • Sign off in appropriate area on the MAR
  • Only sign for medication you have prepared and administered
19
Q

What are the routes of medication?

A
  • Oral/enteral (mouth or tube): Solids, Liquids
  • Sublingual
  • Buccal
  • Parenteral
  • Insertion (rectal or vaginal)
  • Instillation (ophthalmic drops– eyes/ears)
  • Inhalation
  • Intranasal
  • Topical
  • Transdermal
20
Q

Define Route

A

How the medication is administered

21
Q

Routes of Administration

- Oral/Enteral (po)?

A

Swallowed tablets, capsules or liquid solutions

22
Q

Routes of Administration

- Sublingual (SL)?

A

Placed under tongue

23
Q

Routes of Administration

- Buccal?

A

Placed in mouth against cheek

24
Q

Routes of Administration

- Parenteral?

A

IV, IM, subQ or ID

25
Q

Routes of Administration

- Transdermal?

A

Topically applied mediacted patches

26
Q

Routes of Administration

- Insertion?

A

Placed into body cavity– rectal or vaginal suppositories

27
Q

Routes of Administration

- Instillation?

A

Placed in the eye, nos, or ear

28
Q

Routes of Administration

- Inhalation (INH)?

A

Administered into respiratory tract– inhalers

29
Q

Routes of Administration

- Intranasal?

A

Solution instilled into the nostrils

30
Q

Routes of Administration

- Topical?

A

Applied to skin – lotions, ointments, pastes

31
Q

Equipment for Medication Administration?

A
  • Medicine cup
  • Souffle cup
  • Calibrated dropper
  • Oral Syringe
  • Parenteral Syringe
32
Q

Equipment for Medication Administration:

- Medicine cup?

A

Used for liquid medication 5-30 mL

33
Q

Equipment for Medication Administration:

- Souffle cup?

A

Used for solids– tablets or capsules

34
Q

Equipment for Medication Administration:

- Caibrated Dropper?

A

To administer small amounts of liquid medication

35
Q

Equipment for Medication Administration:

- Oral syringe?

A

To administer liquid medication orally

- Most accurate method

36
Q

Equipment for Medication Administration:

- Parenteral Syringe?

A
  • used for IM, ID, SubQ (right site)
  • Barrel marked in mL
    Requires sterile procedure
37
Q

How to measure liquid drug measurements?

A

Using the meniscus– the bottom curve at eye level

38
Q

What is a Medication Error?

A

any preventable events that may cause or lead to inappropriate medication use or client harm while the medication is in the control of a health care professional/client/consumer

39
Q

How to prevent a medical error?

A
  • prevent distractions
  • Follow all the rights
  • Seek assistance when needed