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Nursing Essentials > Medication Administration > Flashcards

Medication Administration Flashcards

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1
Q

What is the generic drug name

A

Offical name, drug CLASS, avoids CONDUSION, NURSES need to know

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2
Q

What is the trade drug name

A

BRAND name, can be manufactured by serveral different COMPANIES,

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3
Q

What type of name is ibuprofen

A

Generic

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4
Q

Whay type of name is Motrin or Adcil

A

Trade name

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5
Q

What are side effects

A

PREDICTABLE, but undersirable reactions

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6
Q

What are adverse effect

A

SEVERE, UNITENDED, UNPREDICTABLEF

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7
Q

What should you do if your pt has an adverse effect to a med

A

STOP immediately

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8
Q

What is an allergic reaction

A

Upredictable IMMUNE RESPONSE

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9
Q

What is an anaphylactic reaction

A

Medical EMERGENCY

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10
Q

Your pt is taking cephalexin (antibiotics), define each of these reactions
Diarrhea:
C-diff:
Rash:
Wheezing, difficulty breathing, facial swelling:

A

Diarrhea: side effect
C-diff: adverse effect
Rash: allergic reaction
Wheezing, difficulty breathing, facial swelling: Anaphylactic reaction

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11
Q

What are nonprescription medications

A

OTC meds obrained WITHOUT a prescription

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12
Q

What type of meds are cold medicines, mild analgesics, vitamins, supplements, sleep aids

A

OTC

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13
Q

What are some examples of analgesic

A

Ibuprofen, acetaminophen

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14
Q

Can OTC drugs interact with prescription meds

A

YES

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15
Q

When do you find out about OTC use

A

HISTORY

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16
Q

How do pts get prescription meds

A

A healthcare PROVIDER makes a prescription and a PHARMIST dispenses it

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17
Q

Which people can legally make prescriptions

A

Physician, PA, NP, dentist

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18
Q

What must a valid prescription have

A

NAME, DOB, MED, DOSE, ROUTE, FREQUENCY, DATE and TIME written, SIGNITURE

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19
Q

What is the MAR

A

Medication Administration Record- A list of all meds that is ORDERED for the pt

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20
Q

What is included in a MAR

A

NAME, MED, TIME, DOSE, ROUTE, FREQUENCY, SITE, INTIITALS, SIGNITURES, PREVIOUS, REFUSION

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21
Q

You decide to hold an oral med for your pt that is about to go tosurgery where do you document that

A

MAR

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22
Q

What is a routine order

A

Keep administering until the order ends

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23
Q

What is PRN order

A

Only when the pt needs it

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24
Q

What is one-time or on-call order

A

Give once at a specfic time

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25
Q

What is a stat order

A

Given immediatly

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26
Q

What is a now order

A

Given wuickly

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27
Q

What is the oral route

A

By mouth

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28
Q

What is the buccal route

A

inside mouth against cheeck (dissolves)

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29
Q

What is the sublingual route

A

Under the tounge (dissolve)

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30
Q

What is the parenteral route

A

Injections or infusions

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31
Q

What is the topical route

A

on skin or mucous membrane

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32
Q

What is the inhalation route

A

Through the airway, nose and lungs

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33
Q

What is the enteral route

A

NG tube, PED tube, intestinal tube

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34
Q

Where do suppositories go

A

Vagina or rectum

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35
Q

What is the most common med route

A

oral

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36
Q

What route is PO

A

oral

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37
Q

Which route is the safest, most convenient, and least expensive

A

oral

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38
Q

Which route has a slower onset

A

oral

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39
Q

What is pocketing and how can you prevent it

A

Pts with cognitive or mental health disorders don’t take their pills, stay in the room

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40
Q

What type of pills should never be cruched

A

Enteric-coated or sustained release tablets

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41
Q

Should you give a med from a container missing the label

A

NO

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42
Q

Should you ever return a med to it’s container

A

No

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43
Q

You drop the pts pill what should you do

A

Throw it out

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44
Q

What drugs use the swish and swallow

A

Antifungal (nystatin)

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45
Q

What should be the last orla meds given

A

sublingual or buccal

46
Q

Should you wear gloves with sublingual and buccal drugs

A

yes

47
Q

Nitroglycerin for chest pain uses what route

A

sublingual

48
Q

Antiemetics (zofran) for nauseua uses what route

A

buccal

49
Q

What are the two forms of meds for the enteral route

A

Liquid or chrushed pills dissolved in water

50
Q

Can you give a med through the enteral route without an order for that route

A

no

51
Q

What should you know about adminisrating the enteral route

A

Check tube PLACEMENT, flush with WATER, before and after, elevate HOB for 30 min, no SUCTION for 30 mins

52
Q

Who do you contact to change a med route

A

Procider

53
Q

What effects the absorbtion of topical meds

A

The cascularity of the site

54
Q

Should you wear gloves when putting a topical med on

A

yes

55
Q

Are patches slow or fast

A

Slow

56
Q

Should you change the location of patches

A

yes

57
Q

Where are the places to put patches on

A

upper ARM, BACK, CHEST

58
Q

What do you write on the patch

A

Time, date, initals

59
Q

Which route effecticlet induces anestesia and treats respiratory disorders

A

Inhaled meds

60
Q

Where is an endotracheal tube

A

Through the mouth down the airway

61
Q

Where is a tracheostomy tube

A

In the neck

62
Q

You have a child who can not inhale slowly what will you use

A

A spacer

63
Q

What can you do to prevent thrush when giving steroids

A

Rinse mouth

64
Q

What should you do before and after giving an inhaled med

A

Assess the respiratory system

65
Q

What is ophthalmic administration

A

eyedrops and ointments

66
Q

What should you know about an ophthalmic anministartion

A

ANESTETIZE, no TIP, CONJUCTIVAL sac, each pt has their own BOTTEL

67
Q

Where is otic instillation

A

the ear

68
Q

Why do we use room temp eardrops

A

Cold can cause nausea and dizziness

69
Q

Do you use sterile techniques when the TM has been samages

A

Yes

70
Q

What type of effects can rectal meds have

A

Local or systemic

71
Q

What route is faster, more complete, and uses an aseptic technique

A

parenteral route

72
Q

What are the three type of syringes

A

STANDARD< TB< INSULIN

73
Q

What is a luer-lock syringe

A

Directly attach to IV tubing

74
Q

How do you choose the gauge size

A

pt, condition, viscosity

75
Q

How do you choose the needle length

A

type of injection and pt size

76
Q

What are the measurements of the standard syringe

A

3-10ml, 0.5-3”, 18-25 gauge

77
Q

What are the measurements of the tuberculin syringe

A

1ml, 0.5-0.6”, 26-28 gauge

78
Q

What are the measurements of the insulin syringe

A

30-100 units, 4-12.7mm, 26-30 gauge

79
Q

What does it mean to reconstitue medicenes

A

To mix POWEREDS because the aren’t STABLE for long

80
Q

What type of needle do you need when meds are being drawn from a glass ampule

A

Filter needles

81
Q

What type of selivery system significantly decreases needlestick injuries

A

needleless

82
Q

Where do ID injections go

A

Just under the epidermis

83
Q

Where do SQ injections go

A

Just below the dermis

84
Q

Where do IM injections go

A

Below the subQ area, LONG needle, MORE med

85
Q

Where do IV injections go

A

Into the vein in the dermis

86
Q

What type of injection is for local anestetics, allergy tests, TB tests, and for small amounts of meds

A

ID

87
Q

What are the common areas for ID injections

A

inner forearm, upper arm, scapular area

88
Q

What are the measure ments for ID injections

A

15 degree angle, 1ml tuberbulin syringe, 25-27 gauge, <1” needle

89
Q

What type of injections go into the fat tissue and is used for insulin and heparin

A

SubQ

90
Q

What should you know about SubQ injections

A

SLOW, not VASCULAR, no more than 1ml

91
Q

Where are the common injection sites for SubQ injections

A

ABDOMEN, LATERAL aspect upper ARM and THIGH, SCAPULAR area, upper ventrodorsal GLUTEAL area

92
Q

A very thin patient needs a SubQ injection what angle do you use

A

45 degree

93
Q

What is the normal degree for a SubQ injection

A

90 degrees

94
Q

What type of injection is rapidly absorbed due to higher vascularity

A

IMW

95
Q

What are the common injection sites for IM

A

VENTROgluteal, castus laterlis, deltoid

96
Q

Why do you not want to administer an IM injection using the dorsogluteal muscle

A

Close to nerve and artery

97
Q

Should you aspirate your injections

A

NO

98
Q

What technique should you use for IM injections

A

the Z-track (pull the skin down)

99
Q

What injection type do you use for rapid drug effect and when others irritate the tissues

A

IV

100
Q

How can IV meds be delivered

A

IV push or bolus, piggyback (IVPB), IV pump

101
Q

What are the disadgantages of IVs

A

Costly, hard to get vein, risk of infection, extravasation (blowing vein), thrombophlebitis (immflamation of vein)

102
Q

What is medication reconciliation

A

Comparing the current HOME meds with the providers ORDERS for any discrpancies

103
Q

What are the main issues we are trying to prevent with medication reconciliation

A

make sure they get their HOME meds at the hospital, no DUPS, right ROUTE and DOSE, make sure they get all the MEDS when they LEAVE

104
Q

What is the role as the nurse when it comes to the med rec

A

HISTORY, HOME meds, EDUCATE, DISCHARGE, pt ADVOCACY

105
Q

What are the 6 rights for safe medication admin

A

pt, med, dose, route, rime, documentation

106
Q

What should you do when you get verbal orders

A

Repeat them back

107
Q

What do you need to substitue one route for another

A

An order

108
Q

How long do you have before and after designated time to give a med

A

30 mins

109
Q

What are the three Ps realated with the three checks

A

Pulling the med, preparing the med, at the bedside with the patient

110
Q

What are the pts rights

A

Informed, refuse, history, receive

111
Q

Does the nurse have the right and responsibility to refuse to admin med if they feel that it’s not right

A

yes

Nursing Essentials (16 decks)

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