Medication Administration Flashcards
potentiating effect
One or both drugs increased
additive drugs
two of same types of drugs increase action of each other
synergistic drugs
two different drugs increase action of one or the other
parts of a prescription (8)
- client info
- date
- “Rx”
- medication name, dosage, strength, route
- dispensing instructions for pharmacist
- directions for admin for patient
- refill/special labeling
- prescriber’s signature
8 rights of drug admin
- patient
- drug
- dose
- route
- time
- preparation
- storage
- documentation
medication reconciliation
involves comparing an accurate list of all a patient’s drugs against the PCP’s orders
3x checks
drug, dose, pt
5 high alert meds
- Insulin
- Opiates & narcotics
- Injectable potassium
- IV anticoagulants
- Sodium chloride >0.9%
6 steps of med admin
- ID pt - name and date of birth
- Inform pt
- Admin drug (including 3x checks)
- Provide adjunctive interventions as indicated - anything extra
- Record drug administered
- Evaluate pt response to drug
best option for NG tube meds
liquid
always check before admin NG tube med
tube placement
residual
enfit function
prevents NG tube errors
infection prevention technique for parenteral meds
aseptic
parts of a syringe
tip
barrel
plunger
rules about insulin pens
do not use with multiple pts
can reuse needles at home, but not recommended
TB syringe volume
1 mL
luer-lock syringe
needle must be twisted on
parts of a needle
hub
cannula/shaft
bevel
needle length measured in…
inches
gauge measures
needle diameter
large gauge = ____ needle
and vice versa
small
passive parenteral devices vs active
passive retract immediately
active require nurse to activate safety feature
how to recap needle
never recap a ______ needle
scoop method
used/dirty
ampules
how to open
single or multi dose
how to draw
break glass
single dose
filter tube/needle - don’t put air in
vial
how to open
single or multi dose
how to draw
pierce with needle
single or multi dose
insert amt of air = to dose you are drawing
how to draw mixed insulin
Draw up all air needed
insert cloudy air
insert clear air
draw clear fluid
draw cloudy fluid
CLEAR FLUID BEFORE CLOUDY FLUID
ID
location injected
sites on body
needle size
needle length
degree angle
fluid volume
examples
25-#27g
just beneath epidermis
forearms - chest - back
¼ to 5/8 inch
15 degrees
0.1 mL
allergy testing - TB test
SQ
location injected
sites on body
needle size
needle length
degree angle
fluid volume
examples
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
IM
location injected
sites on body
needle size
needle length
degree angle
fluid volume
examples
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
sites should be rotated for __ injections
SQ
which injection can you aspirate with, but it is not really necessary?
IM
leave SQ needle in for __ seconds
5
aspirate IM injections ___ seconds, hold needle in ___ seconds
5
5
method for giving IM injections to make sure medication stays in place
Ztrack - move flesh away, then replace after giving shot
preferred IM site in adults
ventrogluteal
preferred IM site in children
vastus lateralis (side of thigh)
IM site to avoid due to sciatic nerve
dorsogluteal
best IM injection for a pt to give themself
rectus femoris
most convenient IM site
deltoid
how many mL can the ventrogluteal site hold? Deltoid?
VG: 3-5 mL
D: 1 mL
you should especially use Ztrack for ___ injections
iron
