Medication Administration Flashcards

1
Q

potentiating effect

A

One or both drugs increased

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2
Q

additive drugs

A

two of same types of drugs increase action of each other

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3
Q

synergistic drugs

A

two different drugs increase action of one or the other

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4
Q

parts of a prescription (8)

A
  • client info
  • date
  • Rx
  • medication name, dosage, strength, route
  • dispensing instructions for pharmacist
  • directions for admin for patient
  • refill/special labeling
  • prescriber’s signature
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5
Q

8 rights of drug admin

A
  • patient
  • drug
  • dose
  • route
  • time
  • preparation
  • storage
  • documentation
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6
Q

medication reconciliation

A

involves comparing an accurate list of all a patient’s drugs against the PCP’s orders

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7
Q

3x checks

A

drug, dose, pt

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8
Q

5 high alert meds

A
  • Insulin
  • Opiates & narcotics
  • Injectable potassium
  • IV anticoagulants
  • Sodium chloride >0.9%
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9
Q

6 steps of med admin

A
  1. ID pt - name and date of birth
  2. Inform pt
  3. Admin drug (including 3x checks)
  4. Provide adjunctive interventions as indicated - anything extra
  5. Record drug administered
  6. Evaluate pt response to drug
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10
Q

best option for NG tube meds

A

liquid

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11
Q

always check before admin NG tube med

A

tube placement

residual

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12
Q

enfit function

A

prevents NG tube errors

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13
Q

infection prevention technique for parenteral meds

A

aseptic

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14
Q

parts of a syringe

A

tip

barrel

plunger

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15
Q

rules about insulin pens

A

do not use with multiple pts

can reuse needles at home, but not recommended

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16
Q

TB syringe volume

A

1 mL

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17
Q

luer-lock syringe

A

needle must be twisted on

18
Q

parts of a needle

A

hub

cannula/shaft

bevel

19
Q

needle length measured in…

A

inches

20
Q

gauge measures

A

needle diameter

21
Q

large gauge = ____ needle

and vice versa

A

small

22
Q

passive parenteral devices vs active

A

passive retract immediately

active require nurse to activate safety feature

23
Q

how to recap needle

never recap a ______ needle

A

scoop method

used/dirty

24
Q

ampules

how to open

single or multi dose

how to draw

A

break glass

single dose

filter tube/needle - don’t put air in

25
Q

vial

how to open

single or multi dose

how to draw

A

pierce with needle

single or multi dose

insert amt of air = to dose you are drawing

26
Q

how to draw mixed insulin

A

Draw up all air needed

insert cloudy air

insert clear air

draw clear fluid

draw cloudy fluid

CLEAR FLUID BEFORE CLOUDY FLUID

27
Q

ID

location injected

sites on body

needle size

needle length

degree angle

fluid volume

examples

A

25-#27g

just beneath epidermis

forearms - chest - back

¼ to 5/8 inch

15 degrees

0.1 mL

allergy testing - TB test

28
Q

SQ

location injected

sites on body

needle size

needle length

degree angle

fluid volume

examples

A

25g or #30g for insulin

subcutaneous fat

back of arms - abdomen - top of thighs - fatty parts of back

5/8 to 3/8 inch

45 or 90 degrees

0.5 to 1 mL

insulin - heparin - some vaccines

29
Q

IM

location injected

sites on body

needle size

needle length

degree angle

fluid volume

examples

A

21 to #25g

muscle

ventrogluteal - vastus lateralis - deltoid - dorsogluteal - rectus femoris

1 to 1.5 inch

90 degrees

volume depends on location

vaccines - other meds

30
Q

sites should be rotated for __ injections

A

SQ

31
Q

which injection can you aspirate with, but it is not really necessary?

A

IM

32
Q

leave SQ needle in for __ seconds

A

5

33
Q

aspirate IM injections ___ seconds, hold needle in ___ seconds

A

5

5

34
Q

method for giving IM injections to make sure medication stays in place

A

Ztrack - move flesh away, then replace after giving shot

35
Q

preferred IM site in adults

A

ventrogluteal

36
Q

preferred IM site in children

A

vastus lateralis (side of thigh)

37
Q

IM site to avoid due to sciatic nerve

A

dorsogluteal

38
Q

best IM injection for a pt to give themself

A

rectus femoris

39
Q

most convenient IM site

A

deltoid

40
Q

how many mL can the ventrogluteal site hold? Deltoid?

A

VG: 3-5 mL

D: 1 mL

41
Q

you should especially use Ztrack for ___ injections

A

iron