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Fundamentals NUR 220 > Med Admin and Safe Injection > Flashcards

Med Admin and Safe Injection Flashcards

1
Q

what is MAR?

A

medication administration record

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2
Q

if its due its?

A

blue

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3
Q

if its green its?

A

given

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4
Q

if its pink its?

A

not given

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5
Q

ADS

A

automatic dispensing system

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6
Q

where is medication by central pharm located?

A

in patient drawer

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7
Q

where are meds metabolized?

A

liver

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8
Q

where are meds excreted?

A

kidneys

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9
Q

what should we do with pt in liver or kidney failure?

A

make sure meds are metabolized and excreted properly

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10
Q

adverse effects?

A

side effect
*determine whether effect is severe enough to stop meds

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11
Q

if side effects outweigh benefits?

A

switch meds

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12
Q

opioids for pain
meds are working but pt is constipated
give laxative for constipation
do benefits outweigh effects?

A

yes

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13
Q

anti seizure meds given
pt gets steven johnsons and skin is falling off
benefits outweigh effects?

A

no

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14
Q

mild allergic reaction example behavior?

A

itching

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15
Q

example behavior of anaphylactic reaction

A

stop breathing

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16
Q

toxic

A

nursing failure due to lack of knowledge
ex. meds to be pushed over 4 minutes and the nurse pushes over 40 seconds

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17
Q

idiosyncratic

A

opposite of anticipated effect

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18
Q

therapeutic range

A

concentration of drug in blood that produces desired effect without causing toxicity

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19
Q

peak level

A

the point where drug is at its highest
*draw blood 1 hour after first full dose

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20
Q

trough level

A

the point where drug is at its lowest concentration
*indicates rate of elimination
*draw blood 1 hour before next dose

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21
Q

half life

A

amount of time it takes for 50% of blood concentration of drug to be eliminated from body

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22
Q

what is medication reconciliation?

A

meds taken at home vs taken at hospital

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23
Q

PTA meds

A

prior to administration

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24
Q

pregnancy and lactation

A

meds can transfer to baby

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25
Q

why is it important to ask about allergies?

A

not always in charts

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26
Q

why is asking about at home meds important?

A

dietary supplements, herbal/natural remedies
homeopathic can interfere with pharmaceuticals

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27
Q

older adult drug responses

A

decreased:
gastric motility
total body water
lipid content in skin
liver function
kidney function
adverse CNS effects
altered peripheral vascular tone

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28
Q

check ____ before giving anti-hypertensives?

A

BP

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29
Q

check for what in prep for giving meds?

A

gloves
water

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30
Q

verbal order require?

A

mandatory read back
*repeat back all info:
pt name, dx, med, dose, etc
*they say it, you say it, they say it again to confirm

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31
Q

proper order for med?

A

pt name and DOB, drug, dose, time, route

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32
Q

what is one equipment decision we can make

A

size of syringe

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33
Q

standing orders

A

written
in chart
stand until discontinued

34
Q

PRN

A

as needed
*usually pain meds

35
Q

STAT

A

immediately

36
Q

5 medication rights

A

patient
med
dose
route
time

37
Q

1 of 3 checks?

A

remove meds from med cart

38
Q

2 of 3 checks?

A

compare med to MAR

39
Q

3 of 3 checks?

A

rechecking to EMR/MAR at bedside PRIOR to administration

40
Q

do not open meds until?

A

confirmation pt is taking all

41
Q

what is the time window for meds given MORE frequently than Q6? (Q1-5)

A

administer within 30 minutes before or after scheduled time

42
Q

what is the time window for meds given LESS frequently than Q6? (Q6-12)

A

administer within 60 minutes before or after scheduled time

43
Q

time window for meds daily, weekly, or monthly?

A

admin with in 2 hours before or after scheduled time

44
Q

if you are unable to give a med on time, the next dose is given using the _____

A

half time rule

45
Q

what type of medication is oral?

A

enteral

46
Q

enteral means?

A

it enters the GI tract

47
Q

are injections enteral?

A

no, parenteral

48
Q

SR?

A

sustained release

49
Q

XL

A

extended release

50
Q

CR

A

controlled release

51
Q

can you crush meds that have a coating?

A

no
*coating affects release- if compromised the full dose will be delivered all at once

52
Q

what does an enteric coating ensure?

A

that the med does not break down in the stomach
*reducing irritation and absorption in stomach lining

53
Q

sublingual meds?

A

dissolve under tongue
*no water

54
Q

brown/orange syringes for?

A

oral only

55
Q

topical meds?

A

lotions/creams/ointments
powders
patches
eye/nose/ear drops
suppositories

56
Q

what do we write on transdermal patches?

A

date, time, initials
*before applying

57
Q

where do we put transdermal patches

A

hair free areas
*upper outer arm, upper back, upper chest, side of chest

58
Q

why do we wear gloves when applying patches?

A

so skin doesn’t absorb meds

59
Q

pt looks ____ when giving eyedrops

A

up

60
Q

aim the eyedrops where?

A

conjunctival sac

61
Q

after delivering eyedrops, place tissue?

A

in inner corner for 30 seconds so med does not drain down duct

62
Q

important when giving an inhaler?

A

giving a spacer

63
Q

what is the one and only campaign?

A

ONE needle
ONE syringe
ONE time

64
Q

single use devices?

A

needles and syringes

65
Q

intradermal test example?

A

TB

66
Q

IM admin sites

A

deltoid
ventral gluteal
vastus lateralis
*do not use dorsal gluteal

67
Q

you can put ____ in muscle than skin

A

more medication

68
Q

IM needle? degree? how much med?

A

angle: 90, sometimes 72
length: 5/8-1.5
gauge: 20-25
amount: up to 3 mL in large muscles
*gentle pressure NOT massage

69
Q

intradermal needle?

A

angle: low (5-15 degrees)
length: short (1/4-1/2)
gauge: 25, 27
amount: less than 0.5 mL

70
Q

SUBQ needle?

A

angle: 45-90
length: 3/8-5/8
gauge: 25-30
amount: 1 mL

71
Q

amount for deltoid vs ventrogluteal

A

up to 1 mL for deltoid
up to 3 mL for ventrogluteal
*smaller muscle=less volume

72
Q

when do you pinch SUBQ

A

if thin arms to access SUBQ area

73
Q

should you massage an injection site?

A

no- it increases circulation and absorption affecting medicine

74
Q

______ sites for frequent injections?

A

rotate
*can create knots in skin if you don’t

75
Q

SUBQ injection sites?

A

backs of arm
2 in around belly button
front of thighs
above butt
scapular region

76
Q

why do we go 2 in around belly button?

A

so we don’t hit the rectus abdominus muscle

77
Q

once needle is in skin, do we continue pinching skin?

A

no

78
Q

what is the z track method?

A

pull skin to side after removing needle to avoid med uptake

79
Q

why do we not use dorsal gluteal

A

sciatic nerve and artery

80
Q

always before giving meds?

A

ID patient and check allergies

Fundamentals NUR 220 (21 decks)

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