lab quiz 1 Flashcards
what medication is given for nerve pain?
gabapentin
what medications are given for generalized pain
oxycodone and Dilaudid
What is PQRST?
- Provocation/palliation: assess for aggravating/relieving factors
- Quality: assess pain characteristics/descriptions
- Region/radiation: assess pain location, is there referred pain?
- Severity scale: assess pain intensity/fluctuations
- Timing: assess frequency, duration, and chronicity of pain
interventions for BP emergency
continuous oral and IV meds
rights to medication administration
- right client
- right med
- right dose
- right route
- right time
- right documentation
- right indication
- right to know
- right to refuse
- right to response
what is medication reconciliation
the process of comparing meds taken before admission with those newly provided or discharged with
what is the purpose of med reconciliation
helps avoid med errors of transcription, omission, duplication, or drug-drug and drug-disease interactions
What must be done when you receive a verbal telephone order?
- Write it down in the patient’s chart, enter it in the computer
- Read it back to the prescriber
- Get confirmation from the prescriber that it is correct
A complete medication order must contain:
- Client’s full name
- date/time order was written
- Name of the med
- Dosage
- Route
- Frequency
- Prescriber signature
Components of the medication record
- Client info (full name, DOB, med record number (MRN), allergies)
- Dates (order date, start date, discontinue date)
- Med info (full name, dose, route, frequency)
- Time of administration
- Person administering medication
- Special instructions (PRN, hold if…)
Medication label components
- Trade and generic name
- Dosage strength
- The form that the med is supplied in
- Total vol of med container
- Directions for mixing/preparing med
- Info on combined-med labels
dosage calculations: zeros
Only leading zeros, NO trailing zeros
Respiratory acidosis
- increased CO2, decreased pH (lungs not sufficiently ventilating, CO2 builds up)
- Lungs breathe slower and reduce tidal volume to decrease pH (acidic)
respiratory alkalosis
- decreased CO2, increased pH (lungs over-ventilating, not enough CO2)
- Lungs breathe faster and increase tidal volume to increase pH (alkaline)
metabolic acidosis
- decreased bicarbonate, decreased pH
- Kidneys absorb less bicarbonate and decrease pH (acidic)
metabolic alkalosis
- increased bicarbonate, increased pH
- Kidneys absorb more bicarbonate and increase pH (alkaline)
normal ABG
- pH - 7.35-7.45
- PaO2 - 80-100
- PaCO2 - 35-45
- HCO3 - 22-26
components of the bicarbonate (HCO3) buffering system
lungs and kidneys
intramuscular meds
- inject into big muscle (deltoid, thighs, butt)
- vaccines, antibiotics
subcutaneous meds
- inject into fatty tissue
- insulin, heparin (thinners)
lbs to kgs
1lb = 2.2kgs
lbs to oz
1lb = 16 oz