Med Administratiom

Question 1

10 rights

Answer 1

Right: person, medication, route, dosage, timing, assessment, education, to refuse, evaluation, documentation

Question 2

3 checks

Answer 2

MAR against
order and as you select
As you prepare dose
Before you administer

Question 3

Administering metoprolol

Answer 3

• check mar to see if scheduled dose is during time frame
• take apical pulse, if below 50 hold
• for angina and HTN
• fatigue, weakness, pulmonary edema
• sign mar

Question 4

Administering Simvastatin

Answer 4

• check mar, plan to give if scheduled time falls during scenario
• lipid-Lowering agent, given in evening
• lowers ldl and raises hdl
• Sign mar

Question 5

Administering insulin

Answer 5

Take blood glucose- don’t forget to clean finger with chlorohexidine and warn of poke

• read sliding scale to determine if correction or scheduled dose is needed
• write blood glucose on diabetic record, if dose to be given, record in appropriate column and write time and blood glucose on mar in appropriate area
• get bottle, wipe top, inject air, draw up dose
• with needle in bottle, have double check
• label needle
• teach pt insulin is for DM and to watch for signs of hypoglycaemia
• clean site
• administer
• finish documenting

Question 6

Administering potassium

Answer 6

• check IV drug manual
• make sure concentration is 10mEq/mL
• take apical pulse and BP
• teach potassium is to replace that depleted by insulin therapy
• let staff know if you feel chest pain or if your heart feels irregular
• close clamp, prime tubing
• clean hub
• have double check at pump
• monitor BP and HR

Question 7

Administering nitro

Answer 7

-for angina and HTN
-take BP and apical pulse, hold if apical below 50 bpm
-assess pain
-give 1 per five min up to 3 times
Document on MAR and progress notes
-assess pain, HR and BP before each admin
-may cause dizziness, hypotension, headache