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Module 1 Exam 4 > Med Administration > Flashcards

Med Administration Flashcards

1
Q

What can med errors cause?

A

Death
Life threatening situations
Hospitalization
Disabilities
Birth defects

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2
Q

What are most med errors?

A

Wrong dosages

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3
Q

What are nurses considered for pt safety and why?

A

Last line of defense, we are the last people who can catch any errors made by: pharmacies, doctors, or even other nurses

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4
Q

When are likely times that there can be a med error?

A
  • Ordering/Prescribing
  • Transcribing
  • Dispensing
  • Administering
  • Monitoring
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5
Q

What are 10 types of med errors?

A

Wrong pt
wrong drug
wrong route
wrong time
wrong dose
wrong dose form
wrong technique
deteriorated drug error
compliance
wrong documentation

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6
Q

Factors of med errors and what can cause them?

A

Provider/Pharm/Nurse
- Distraction
- Comm.
- Lack of training
- Inadequate knowledge on pt or drug
- Too tired
- Health issues or stress

Patients
- Personality
- Literact
- Language
- Health condition
- Polypharmacy
- Inconsistent method

Communication
- Names
- Handwriting
- Verbal order
- Labeling

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7
Q

How can we reduce med errors?

A
  • Pt and family must be knowledgeable and well informed through nurse education
  • Pt must be present and always willing to improve and work
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8
Q

What is there no place for in nursing?

A

Complacency
- You may forget or take shortcuts that can cause harm

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9
Q

What causes high alert for med errors?

A

Name similarities

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10
Q

WHEN an error occurs, what’s the priority?

A

Assess/monitor pt for adverse reaction
Notify the charge nurse
Contact physician
Complete incident report

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11
Q

What are 6 things nurses MUST know?

A

Med pros and cons
PT allergies
How to calc med doses
Factors of pt response
Nursing Process
NPA

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12
Q

If you don’t know who is going to be held responsible during a med error, who can you safely assume?

A

You

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13
Q

What are some responsabilities of pt’s?

A
  • Understand treatment and ask questions
  • Stick to the regiment
  • Avoid to misuse
  • Report adverse reactions
  • Store meds safely
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14
Q

What does the pt have the right to be informed of?

A

Drug name
Dosage
Reason for drug
Frequency
Route
Potential Adverse Reaction

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15
Q

What does the pt have the right for?

A

Receive labeled meds
Receive meds properly
Not to receive unnecessary meds
Refuse meds

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16
Q

Components of a good med orders?

A

Pt name
Date and time
Name of med
Dosage
Route
Time and frequency
Signature

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17
Q

Some musts when taking verbal/phone orders?

A

Avoid abbreviations as much as possible
Read and spell back
Provider must approve in 24h

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18
Q

What are the 7 rights?

A

Right:
pt: 2 identifiers
med: check label
dose
time
route
reason
documentation: eMAR

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19
Q

What is diversion?

A

Use of drugs for reasons other than their original purpose

20
Q

How to properly dispose of a narcotic?

A

ALWAYS have a witnessing other RN

21
Q

Consequences of Med diversion

A

3 day suspension
Termination if necessary
Peer review
BNE report
Loss of RN license
TPAPN

22
Q

3 main pharm concepts?

A

Med names
Classification
Med forms

23
Q

Adverse drug reaction

A

Unintended and undesired effects at normal drug dose

24
Q

Difference between Toxicity and Allergic reactions

A

Toxicity: Excessive drug dosing
Allergic: Immune response based

25
Q

Types of adverse reactions

A

Idiosyncratic: Due to genetics
Paradoxical: Opposite effect of intended
Iatrogenic: Disease caused by drug
Teratogenic: Caused birth defects
Physical Dependence: Body adapted to drug exposure (Addiction)

26
Q

How to identify ADR?

A

Symptoms start shortly after drug use?
Symptoms leave after drug discontinued?
Symptoms reappear after drug given again?

27
Q

Ways to minimize ADR

A

Education
Early ID’ing
Monitoring
Black Box Warning

28
Q

Types of modified releasing of drugs?

A

Delayed
Extended: Controlled to work over long periods of time
Oral

29
Q

When should you avoid PO meds?

A

Change in LOC
NPO status
Altered GI function(NG Tube or N&V)
Dysphagia

30
Q

What 6 types meds to you NOT crush split or chew?

A

Enteric coated
Sustained Release
Time Release
Controlled delivery
Sublingual
Buccal

31
Q

Where can you apply topical meds?

A

Skin
Eye
Ear
Vagina
Rectum

32
Q

Types of topical meds

A

Powders
Creams/paste/gel/ointment
Grops
Sprays
Patches
Suppositories

33
Q

What should you do before applying topical meds?

A

Clean area and present it well

34
Q

What can you NOT do to MOST transdermal patches?

A

DONT CUT them

34
Q

When do you need to remove transdermal patches?

A

MRI’s and AED’s

35
Q

When giving rectal meds, what position is needed, and what do you need to use and do?

A

Lay them sideways(SIMS)
Use lubricant
Relax pt to make insertion easier

36
Q

What position is needed for giving vaginal meds?

A

Lithoyomy

37
Q

If you want to clean ear out before administering meds, what must you do?

A

Ask physician and make sure they allow it

38
Q

2 common types of inhalants?

A

Metered dose(MDI) or Dry Powder (DPI)

39
Q

Who are spacer inhalants mostly for? And what do they do?

A

Children
Reduce med effects

40
Q

How many times do you shake an MDI?

A

5-6

41
Q

How do you properly use a MDI?

A

Deep breath then exhale
Tilt head back slightly
Puff one time
Breath slowly
Hold breath for 5-10 secs
Wait 1 min
Rinse mouth

42
Q

How does a DPI differ from MDI?

A

Don’t tilt it
quickly inhale and hold
Mostly for at home use, rare in hospitals

43
Q

Components of a Drug label (7)

A

Exp date
Lot number
Drug form
Manufacturer
Generic Name
Brand Name
Dosage

44
Q

What do you need to teach for meds

A

Name
Dosage
Route
Frequency
Reason
Possible side effects

Module 1 Exam 4 (5 decks)

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