Dosage Test 2 Flashcards
7 components of a medication order
- name of client 2. date and time order was written 3. name of medication 4. dosage of med 5. route administered 6. time/frequency of administration 7. signature of the person writing the order ~if ANY components of a medication order are missing, the order is not complete and not a legal medication order!
For a verbal med order what 3 things need to be done?
- write it down 2. read it back to the prescriber 3. receive confirmation that it is correct ~chart it was read back!
c, C
cup
g
gram
gtt
drop
kg
kilogram
L
liter
mcg
microgram
mEq
milliequivalent
mg
milligram
mL
milliliter
oz
ounce
pt
pint
qt
quart
T, tbs
tablespoon
t, tsp
teaspoon
look at commonly used medication abbreviations
pg. 150
The joint commission’s official “do not use” list
Do NOT use instead us__e
U Unit
IU International Unit
Q.D. QD, q.d., qd,
Q.O.D., QOD, q.o.d. qod every other day
trailing zero (X.0mg) 0.X mg
MS, MS04, MgSO4 morphine sulfate
magnesium sulfate
Essential components on a medication record (5)
- Dates- ordered, started, discontinued
- medication information- full name, dosage, route, frequency
- time of administration- desired administration time or time frame
- initials- of person transcribing the med to the MARand person administering the med
- special instructions (parameters)- ex) hold if BP < 100 systolic
Medication Distribution Systems (3)
Unit-Dose System
Computer- controlled dispensing system
Bar-code Medication Delivery
automated dispensing cabinet or computer- controlled dispensing system example) the pyxis
a.c.
before meals
b.i.d.
twice a day
p.c.
after meals
p.r.n.
as needed
when necessary
when required
q
every
q.h.
every hour
q2h
q3h
q6h
q12h
q24h
every 2 hours
every 3 hours
every 6 hours
every 12 hours
every 24 hours
q.i.d.
four times a day
stat
immediately
at once
now
t.i.d.
three times a day
Illegible prescribers’ handwriting is the most common reason for medication errors on hand-written MARs (medication administration records)
True or Fals
True
med admin forms have info that is common to all, regardless of the form used.
true or false?
TRUE
The right _________ must receive the right ________ in the right _________ by the right __________ at the right _________ followed by the right ____________ .
The right client must receive the right medication in the right dosage by the right route at the right time followed by the right documentation.
What is the last step in medication administration?
documentation
Reading Medication Labels
The nurse should be able to recognize what pertinet info on the med label?
- Generic Name
- Tall Man letters
- Trade Name
- brand name
- capitalized
-
Dosage Strength
- may be expressed as ratio or percent
-
Form
- type of prescription in package
- ex)tablet, capsule, liquid
- type of prescription in package
- Bar Coding symbols
-
Route of administration
- ex)oral, enteral
-
Total Volume [in the container]
- for liquids
-
total amount [in container]
- for solid forms (tablets, capsules)
- directions for mixing/reconstituting
-
precautions
- warnings, alerts, or precautions
- expiration date
Always read medication label ____ times.
3
forms of solid medications
-
tablets
- caplet- elongated, oval, coated. ex) tylenol
-
scored tablets
- have indentions/markings to allow you to break the tablet into halves or quarters
-
enteric- coated tablets
- special coating that prevents them from dissolving in the stomach
- never crush, chew, or break
- special coating that prevents them from dissolving in the stomach
-
sublingual tablets
- dissolve under tongue
- no water/swallowing
- dissolve under tongue
-
buccal tablets
- dissolve between gums and cheek
- no water/swallowing
- dissolve between gums and cheek
- layered tablets
-
film tab
- protects stomach
-
disintegrating tablets
- dissolve rapidly
- migraine clients
- difficulty swallowing
- dissolve rapidly
-
chewable tablets
- MUST BE CHEWED
- Time Released and Extended Release Tablets
- Capsules
READ
page 292
