Fundamentals chapter 20 Flashcards
involves the pharmacy or manufacturer prepackaging and pre-labeling an individual patient dose is called?
- is considered gold standard in hospitals
- long care facilities use “bingo cards” a multi dose unit packet
unit dose
the medication is in a locked machine and delivered in a unit-dose package what type of medication distribution is this?
- common in health care facilities
automated medication dispensing system.
lightweight handheld laser scanner, a laptop computer attached to a med cart and car codes what type of medication distribution is this?
- unit dose packaged meds
bar code medication administration
supplies each pt. with his or her prescribed doses and quantities for a given period. what type of medication distribution is this?
self administration medication system
Who approves OTC meds??
FDA
OTC med are safe when?
used as directed
People who use OTF drugs often put off?
minor issues that develop into big ones because of mistreatment.
Some botanicals can cause?
toxic effects and drug on drug interactions.
Herbs and botanicals can lack?
standard quality and regulation
Should you asses a pt. before botanical use?
YES it is a drug
What needs a legal order for the preparation and administration of a medication?
prescription drugs
What are the components of a medication order?
- medication name
- medication dosage (freq. and strength)
- route of administration
- purpose
- signature
WHO:
- regulates the manufacture, sale, and effectiveness of medications
- in-charge with keeping ineffective of safe drugs off the market and recalling inadequately tested or dangerous drugs
- identifying which meds can be obtained with or without prescription
- setting and enforcing standards of purity and potency
- controlling drug advertising to the medical profession
FDA
LPN’s and student nurses can only administer drug when?
supervised by an RN
What are the “six rights” a nurse must observe in patient rights?
- the right pt.
- the right med
- the right dose
- the right route
- the right time
- the right documentation
Do patients have the right to refuse meds?
yes, but explain the importance of the med and report the refusal to the dr.
Does the law require nurses to report any known diversion of controlled substances by colleagues?
yes
What the body does to the drug is called?
pharmacokinetics
What the drug does to the body is called?
pharmacodynamics
Name the information sources.
- Institute for Safe Medication Practices (ISMP) : Medication Safety Alert and Nurse - ERR
- Nursing Drug Handbook: Drug monographs (lippincott)
- Epocrates (www.epocrates.com) free
- Lexi-Comp (www.lexi.com) (paid)
- Healthcare institution’s pharmacists and formularies
What is the information collected during the initial RN admission history?
- med history which includes a medication reconciliation form
- allergy and intolerances
- medical history
- pregnancy and lactation status
What is the information collected before every medication administration?
- MAR
- diet and Fluid orders
- laboratory values
- physical assessment (focused)
- ability to swallow
- gastrointestinal motility
- adequate muscle mass
- body system assessment
What are common preventable errors?
- medication is given in the wrong dose or at the wrong time
- documentation is inaccurate or not performed in a timely manner
- medication is administered according to the order, but the order is inappropriate for the patient.
- IV medication is given at the wrong rate
What are some system issues?
- inadequate staffing
- increased patient acuity levels
- lack of access to medication information
- conflicting organizational routines
- issues with organizational communication channels such as lack of medication reconciliation policies at patient handoff
- inappropriate care delivery models
What are some practice errors?
- failure to comply with policy and procedures
- distraction
- improper dosage calculation
- inadequate knowledge about medications
pertaining to the inside of the check?
buccal
drugs given by injections of infusions?
parenteral
medication reaction that increases the drugs effects is?
synergism
drugs known to cause birth defects are?
teratogenic
