chapter 31: medication administration Flashcards

Question

Sublingual meds

Answer 1

put under tongue where it dissolves don't ingest don't drink anything til med is completely dissolved

Answer 2

solid med put on inside of cheeks to dissolve don't eat it alternate cheeks with each dose

Answer 3

ID = intradermal = just under epidermis Subcutaneous = into tissues just below dermis IM = intramuscular = into muscle IV = intravenous = into the vein Epidural = epidural space via catheter Intrathecal = catheter into subarachnoid space Intraosseous = into bone marrow --> mostly for babies Intraperitoneal = into peritoneal cavity --> chemo, insulin, and antibiotics Intrapleural = into plaural space --> chemo or anti-pleural effusion Intraarterial = into artery --> clot dissolving agents intracardiac and intraaricular (into joint)

Answer 4

applly to skin/mucous membrane Transdermal disk/patch has systemic effects -- leave on for 1-7 days 1. direct application of ointment (eyedrops) 2. insertion of medication into body cavity (suppository into rectum) 3. intillatino of fluid into body cavity (ear drops) 4. irrigation of body cavity 5. spraying med -- e.g. into nose

Answer 5

endotracheal, nasal, or oral passages

Answer 6

contact lens with meds on it --> stays in for a week

Answer 7

pharmacy should measure with oral syringe using metric measurements

Answer 8

mass of solid substance dissolved in known volume of fluid OR fluid mixed with fluid express in g/L or mg/mL or percentages

Answer 9

not really, but if its necessary then i guess its necessary

Answer 10

1:2::4:8 ---> 1 and 8 are "extremes"; 2 and 4 are "means" --> product of extremes = that of means

Answer 11

(dose ordered / dose on hand) x (amount on hand) = how much to give

Answer 12

the fun, multi ratio multiplication thing

Answer 13

have most errors -use metric only --> round to neares 0.1, 0.5, or 1 ml -no household measurements -tailor to BMI -hands on and return demonstration -pic based education may be appropriate

Answer 14

-WEIGHT --> avoid converting bt lbs and kgs -IM don't exceed 1 mL for kids or 0.5 mL in babies -Subcutaneous don't exceed 0.5 mL -If less than 1 mL, use syringe with tenths -Use tuberculin syringe if need to be rounded to thousandth -estimate first and then compare -compare amt ordered over 24 hr to recommendations

Answer 15

order for med given verbally -write it, read it back, get confirmation Indiacte time and name of HCP who gave order -sign it, indicate it was read back, and get HCP to sign it DON'T USE ABBREVIATIONS DURING DOCUMENTATION

Answer 16

Carried out until HCP cancels it or prescribed number of days passes

Answer 17

No ranges if vague -maybe ranges if given explicit conditions: e.g. increase mmorphine dosage 50-100% if pain is moderate to severe based on use of pain scale

Answer 18

Now is within 90 mins STAT is as soon as possible --> emergency!

Answer 19

orders taken to outside agencies sometimes, if for controlled substance, have to be written on dif colored prescription pad than other orders

Answer 20

dispense correct med in proper dosage and amount with accurate label don't really mix stuff except in IV solutions

Answer 21

storage system with individually wrapped doses for patients in individual drawer usually only 24 hr supply is kept in drawer --> pharmacist refills at particular time certain amt of prns in drawer controlled substances kept locked up elsewhere

Answer 22

Nurse enters security code and maybe finger print Selects patient, med and dose Drawer opens and the med is documented (in med record) and charged to patient Might be used with bar-code medication administration system (BCMA) where you have to scan the patient's bracelet before it'll give you the meds Includes controlled substances

Answer 23

Have to be certified to administer IV chemo meds, but not oral Chemo drugs are SUPER toxic! DNA damage --> cancer, birth defects, immune issues Excreted through urine, stool, vomit, sweat, and saliva --> double flush! Toilets are biohazard

Answer 24

Store in separate, designated place use special gloves hand hygiene before and after don't break the drug don't use same equipment to prep as other drugs single-use PPE clothes or sheets with body fluid should be washed 2x in washing machine by themselves on HOT

Answer 25

preventable event that may cause inappropriate med use or jeapordize patient safety 1. assess patient's condition and notify HCP 2. report incident (not permanent part of med record) *****report almost errors too

Answer 26

Compare med that they're taking with what they should be taking Often necessary when patient has been/is being transferred

Answer 27

1. right med 2. right dose 3. right patient 4. right route 5. right time 6. right documentation 7. right indication

Answer 28

First: before removing container from drawer Again: as amount of med ordered is removed from container Last: at patient's bedside before giving it to them

Answer 29

enteral syringe --> dif color than others and laeled for oral use

Answer 30

within 30 mins before or after stated time within 1-2 hrs befor or after

Answer 31

To be informed ab care to make decisions ab care to refuse care to be listened to by care givers to recieve info in a way that meets their needs

Answer 32

allergies meds diet history perceptual or coordination issues

Answer 33

Impaired health maintenance Lack of Knowledge Nonadherence Adverse Med ineraction Complex med regimen

Answer 34

Patient's full name Date and time order was written med name dosage route time and frequency of administration signature of HCP

Answer 35

22% of the time! falls, orthostatic hypotension, heart failure, delerium

Answer 36

use of mult meds, use of potentially inappropriate/unnecessary meds, or use of med that doesn't match diagnosis