Dosage Calc/med administration Flashcards

1
Q

10 rights of medication administration

A
right drug
right dose
right patient
right route 
right time
right documentation
right to refuse
right to patient education
right evaluation
right assessment
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2
Q

Meds that can’t be crushed

A
Extended release (EX/ER)
Controlled Release (CR)
Enteric Coated Tablets
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3
Q

Sublingual meds

A

under the tongue
pt cannot swallow, eat, drink, or smoke until medication is absorbed
is placed under tongue for RAPID absorbtion

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4
Q

Bucaal meds

A

Inside the cheek

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5
Q

Ophthalmic

A

Explain what you are doing and that it might sting/soothe
Expose lower conjunctival sac, drip required amounts of drops into eye without letting the bottle tip touch the skin or eye
Have client close eye to let medicine soak in
Always use a different tissue for each eye if instilling medication for infection

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6
Q

Otic Medication

A

Adult: pull pinna upward and backwards for clients over the age of 3
Instill required amounts of drops
Press gently very firmly a few times on the tragus
Remain on their side for a few minutes

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7
Q

Otic Medication for a child under 3

A

3 and under: Pull earlobe down and back
Instill required amounts of drops
Press gently very firmly a few times on the tragus
Remain on their side for a few minutes

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8
Q

Nasal Meds

A

Tilt clients head back, block one nostril

Have client breathe in through nose when squirting/spraying medication into nostril

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9
Q

Transdermal

A

Alternate areas patch is placed
NEVER cut a patch
REMOVE previous patch before putting a new on one!!
Apply to clean, dry, hairless, intact skin
Sign and date patch before applying
Sharps or black container for used patches

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10
Q

Rectal

A

Lay client of left side for suppository or stand over toilet
Lube
Ask client to take a couple of breaths to try and get them to relax
Insert suppository beyond the anal ridge to make sure it stays in
Squeeze whole bottle and do not let go of bottle until ready to throw in garbage (keep it squeezed so you do not get backward suction)
Tell client to hold it in as long as possible

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11
Q

Rectal

A

Lay client of left side for suppository or stand over toilet
Lube
Ask client to take a couple of breaths to try and get them to relax
Insert suppository beyond the anal ridge to make sure it stays in
Squeeze whole bottle and do not let go of bottle until ready to throw in garbage (keep it squeezed so you do not get backward suction)
Tell client to hold it in as long as possible

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12
Q

PO

A

By mouth

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13
Q

SL

A

sublingual

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14
Q

OD

A

right eye

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15
Q

OS

A

Left Eye

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16
Q

OU

A

both eyes

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17
Q

AD

A

right ear

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18
Q

AS

A

Left Ear

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19
Q

AU

A

Both Ears

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20
Q

ID

A

Intradermal

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21
Q

IM

A

intramuscular

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22
Q

SubQ, Subcue, Subcut

A

Subcutaneous

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23
Q

PT

A

Per Tube

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24
Q

INH

A

inalation

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25
Q

NEB

A

Nebulizer

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26
Q

PR

A

rectally

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27
Q

QD

A

once daily

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28
Q

BID

A

Twice daily

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29
Q

TID

A

Three times dailey

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30
Q

QID

A

Four times daily

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31
Q

QOD

A

every other day

32
Q

PRN

A

As needed (must have reason)

33
Q

Q2H

A

every 2 hours (can repace with any number)

34
Q

Q2HP

A

Every 2hours PRN

35
Q

X1

A

once

36
Q

STAT

A

now

37
Q

AM

A

morning

38
Q

HS

A

at bed time

39
Q

AC

A

before meals

40
Q

ACL

A

before lunch

41
Q

ACB

A

before breakfast

42
Q

ACS

A

before supper

43
Q

PC

A

after meals

44
Q

CC

A

with meals

45
Q

MoWeFr

A

Monday Wednesday Friday

46
Q

TueThSa

A

Tuesday Thursday Saturday

47
Q

Recon

A

Reconstitute (mix for solution)

48
Q

NS

A

Normal Saline

49
Q

Medication Labels

A
Trade name
Generic name
Drug strength
form (how drug is supplied ex: 500 tablets)
route
Amount
Directions
50
Q

Ampules

A

Use an ampule opener, a piece of gauze, or a alcohol pad wrapper to open (glass).
Always USE a filter needle
Remove filter needle and attach needle size you need after withdrawing medication from glass ampule

51
Q

Vials

A

Remove cap, ALWAYS wipe top with alcohol, even if it is the first time after removing cap
Inject air into vial, the same amount that you plan to draw out
Turn bottle upside down and remove required amount of medication
Hold syringe eye level for accurate reading

52
Q

Reconstitution

A

Read instructions for proper administration of medication
Use correct diluent (solution used to dilute medication)
Do not re-use needle, change tip if giving IM (dulls needle and will hurt more)
Never shake to mix, roll between palms after diluent has been added

53
Q

5 milliliters = _ teaspoon(s)

A

1

54
Q

15 milliliters = __ tablespoon(s)

A

1

55
Q

30 milliliters = __ounce(s)

A

1

56
Q

240 milliliters = __ cup

A

1

57
Q

2.2 lbs = __ kilogram

A

1

58
Q

2.5 centimeters = __ inch

A

1

59
Q

1 ft = __ inches

A

12

60
Q

1 centimeter = __ millimeter

A

10

61
Q

Be for giving med’s always ask for ______ pt identifiers

A

2

62
Q

Always choose injection sites wisley. No…

A

Moles, scars, or lesions

63
Q

To dispose of patches always use

A

black containers

64
Q

Nartics always need to be

A

double locked

65
Q

Always ____ cart before walking away.

A

lock

66
Q

Antidote for Tylenol

A

Acetylcysteine (Mucimyst)

67
Q

Antidote for Anticholinergics

A

Physotigmine (Antilirium)

68
Q

Antidote Benzodiazepines

A

Flumazenil

69
Q

Calcium Channel Blockers

A

Calcium Chloride, calcium gluconate

70
Q

Antidone for cyanide or nitrate

A

Methylene blue (Urolene blue)

71
Q

Antidone for Heparin

A

Protamine Sulfate

72
Q

Antidote for Iron

A

Deferoxamine (Digibind)

73
Q

Antidone for Insulin

A

Glucagon

74
Q

Antidone for Iead

A

Auccimer (Chemet)

75
Q

Antidote for Magnesium Sulfate

A

Calcium gluconate

76
Q

Antidote for opioids

A

Naloxone (narcan); nalfemene (Revex)

77
Q

antidote Warfarin Sodium (coumadin)

A

Vitamin K (Aquamephyton)