Chp 51 Flashcards
t/f: you should always prep your own meds
true
what are the 7 rights
patient, medication, dose, route, time, technique, documentation
how do you fulfill the pt right of medication
pt cites full name & one other identifier
how do you fulfill the medication right of the 7 rights
verify meds when prepping, bringing meds to pt, before administration, and after administration
what are factors for a route of medication
age, general physical condition, body size/mass, gender, other medical problems/needs
how do you fulfill the time right of the seven rights
check expiration and see if pt needs to be under certain conditions before meds (like NPO)
list different routes of administration
oral, buccal, sublingual, drops, inhalation, intra-arterial, ID, IM, IV, intranasal, intraosseous, intrathecal, ophthalmic, otic, rectal, subcutaneous, topical, transdermial, vaginal
how are buccal meds administered
between gum and cheek
list forms of buccal meds
solution, gel, spray, or dissolvable tablet
benefit of sublingual meds
fast absorption
list forms of sublingual meds
dissolvable tablet/gel/spray
list forms of inhaled meds
gassess, sprays, fluids, and powders
where are drops administered
eyes, ears, nose, & mouth
define intrathecal adminstration
meds into spinal canal by infusion/injection
define ophthalmic administration
ointment/drops into eyelid/lacrimal opening
define otic administration
into ear canal
list forms or rectal meds
ointment/dissolvable tablet
list forms of topical meds
sprays, lotions, creams, ointments, paints, salves, wet dressings, transdermal patches
give examples of topical meds
nicotine, nitroglycerin, estrogen, fentanyl, exelon, daytrana
list forms of vaginal meds
ointment, dissolvable tablet, douches, foams, creams, suppositories, sprays, salves, tampons
what are the elements of a medication order
- full name of pt
- name and dosage of meds
- route
- frequency
- date and time order written
- specific instructions
- signature of prescriber
who should do your documenting
for yourself
what are elements of documentation
- who ordered meds and who should take it
- what meds & how much
- when meds administered & check expiration
- where meds given
- why meds given
what things are required to be included in documentation
- pt’s name
- DOB
- medication name, amount, site, route, time administered, reactions
- patient education
- ordered by
what should be documented if given an immunization
manufacturer lot number, serial number, expiration date
what should be included when documenting side effects
date, time, type of reaction, medication administered to reverse reaction/restore function, airway support, level of care, outcome of interventions, instructions for further observations, (for immunizations: name of company, lot & serial number, container’s expiration date)
function of Vaccine Adverse Event Reporting System (VAERS)
- detect new & unusual adverse events
- monitor increases in adverse events
- identify potential risk factors
- identify increase in events associated w/certain numbers
- track safety of new vaccines
- reporting & vaccine safety surveillance program
what are the pros of oral medication
convenience, easy storage, more economic, generally lower risk, easy self-adminstration
define PARENTERAL
administered by routes other than alimentary canal
when are meds given rectally
- unable to swallow meds
- unable to ingest meds orally
- need imaging materials
- treat local symptoms
