LP 2 Flashcards
1
Q
What is the Nurse Practice Act
A
- WI Nursing License
- Gives the right to administer medications
- Rules differ from state to state
2
Q
American Nurses Association (ANA)
A
- Standards of care
- Ethics
3
Q
National League of Nurses (NLN)
A
- Educational (programs)
- Credentials
- Protect the public
4
Q
Responsibilities (Of different people in the health care system)
A
- Doc: write prescriptions
- Pharmacist: fill/ dispense medications
- Patient: take meds correctly (adherence), know what meds and what they are used for, report side effects
- RN: be an advocate, watch behaviors, assess knowledge (why on meds), usual dose, how administered, potential adverse affects, what is the drug supposed to do.
5
Q
Parts of a Prescription
A
- Date Rex written
- Name of the medication (generic or brand)
- Name of pt
- Frequency
- Dosage
- route
- DEA number (narcotics only)
- Number of refills
6
Q
Over The Counter (OTC)
A
- Do not need a prescription for
- Ex: Aspirin, cold medications, vitamins
- Caution: accidental overdoses
7
Q
Quality and Safety in Education for Nursing (QSEN) says for medication administration
A
Do not be interrupted during administration
8
Q
The Joint Commission (TJC)
A
- Pt safety goal
- Accreditation for hospital
- 2 pt identifiers, name and DOB
9
Q
High Alert Drugs
A
- list of medications with higher risk of causing significant patient harm, potential for adverse reactions with the patient
- Narcotics
- Blood Thinners (heparin- IV, Kumadin- oral)
- insulin (two verifiers)
- potassium (IV ouch can kill, only give in drip)
10
Q
Three Checks
A
- Before the med is taken out of the Pixis
- As soon as the med is taken out of the Pixis (before going to the pt room)
- in the pt room with ID band, before administration
11
Q
Schedule of Medications
A
- I: never given, no medical use, high risk for abuse Ex: heroin, LSD, marijuana
- II: hardly ever given, very little medical use, high risk for abuse Ex: narcotics, Ritalin
- III: accepted medical use, lower abuse potential Ex: sedatives, stimulants, codeine
- IV: abuse potential lower, limited potential for dependence Ex: hypnotics, sleep aids
- V: limited quantity of narcotic, lowest abuse potential Ex: cough syrup with codeine
12
Q
How to get rid of narcotics
A
- Waste must be witnessed by another nurse and sign
13
Q
Drug Considerations in Geriatrics
A
- slower absorption which leads to cumulative effects
- liver and kidneys most effected
- poly- pharmacy
- still able to be taught about medications
14
Q
Drug Considerations in Pediatrics
A
- kidneys and liver are immature
- Give smaller doses based on weight
- increased total body water
- double check narcotics with another nurse
15
Q
Rights of Medication
A
- Time
- Route
- Dose
- Medication
- Patient
- Others (reason, documentation, education, evaluation, refuse)
