Management Pharmaceutical Administration

Question 1

The Six Rights of Drug Administration:

Answer 1

(1) Right Patient – confirm with two identifiers.
(2) Right drug – compare the medication, container label, and medication record.
(3) Right dose
(4) route
(5) time
(6) Right documentation

Question 2

Patient considerations

Answer 2

1) Allergies: Ensure you check the allergies before administering every medication including food allergies.
(2) Adverse side effects: Counsel your patient on possible side effectis and determine if the patient has any restrictions to taking the medication.
(3) Previous hx: Ask the patient if they have taken the medication before.
(4) If the patient’s condition changes, consider the S/E of the medication and determine if the medication is still needed or should be changed.

Question 3

The correct dosage must be established prior to administering or dispensing a medication.

Answer 3

The metric system is the officially used system of weights and measures used in the military.

Question 4

Basic units are as follows:

Answer 4

(A) Weight: Micrograms (mcg) or Milligrams (mg) Grams (g) Kilgrams (kg).
(B) Volume: Milliliter (ml) or Liter (l) Note: 1 Milliliter
(ml) = 1 Cubic Centimeter (cc).
(C) Length: Meter or (m).
(D) 1 mL H2O weighs approximately 1 gram.

Question 5

Frequently used unit conversion are done in three decimal places for convenience:

Answer 5

(1) 1 kilogram = 1000 grams
(2) 1 gram = 1000 milligrams
(3) 1 milligram = 1000 micrograms

Question 6

Conversions:

Answer 6

(1) It is often necessary to convert solution concentrations from liters to milliliters or drug
weights from grams to milligrams or micrograms.
(2) It is essential to understand the conversion process.
(3) If you are converting to a smaller unit of measure, you must move the decimal to the right. If you are converting to a larger unit of measure, you must move the decimal to the left.

Question 7

The basic unit of weight used for medication dosing is kilogram (k)

Answer 7

(A) Pounds(lbs) in kilograms(kg) : lbs/2.2= weight in kg

(b) Kilograms(kg) in pounds(lbs) : kgX2.2= weight in lbs

Question 8

Ratios:

Answer 8

(1) A ratio is defined as the relationship of one number to another.
(2) All percentages are ratios expressed as parts per hundred.

Question 9

Solution: A mixture of two or more substances. The solvent is the liquid portion of the solution and the solute is the substance that has been dissolved in the soution. When reporting a prescribed solution make sure to include the following:

Answer 9

(1) Drug name and strength
(2) Fluid / Volume
(3) Patients weight in kg
(4) Prescribed dose
(5) Drop set size

Question 10

Formula for calculating drip rate:

Answer 10

Patient’s dose x drip set/Concentration of Bag=Drip rate