Medication Administration Flashcards by Bianca Helfrich

What is the generic drug name

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

How well did you know this?

Not at all

Perfectly

What is the trade drug name

BRAND name, can be manufactured by serveral different COMPANIES,

How well did you know this?

Not at all

Perfectly

What type of name is ibuprofen

Generic

How well did you know this?

Not at all

Perfectly

Whay type of name is Motrin or Adcil

Trade name

How well did you know this?

Not at all

Perfectly

What are side effects

PREDICTABLE, but undersirable reactions

How well did you know this?

Not at all

Perfectly

What are adverse effect

SEVERE, UNITENDED, UNPREDICTABLEF

How well did you know this?

Not at all

Perfectly

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

STOP immediately

How well did you know this?

Not at all

Perfectly

What is an allergic reaction

Upredictable IMMUNE RESPONSE

How well did you know this?

Not at all

Perfectly

What is an anaphylactic reaction

Medical EMERGENCY

How well did you know this?

Not at all

Perfectly

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

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

How well did you know this?

Not at all

Perfectly

What are nonprescription medications

OTC meds obrained WITHOUT a prescription

How well did you know this?

Not at all

Perfectly

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

OTC

How well did you know this?

Not at all

Perfectly

What are some examples of analgesic

Ibuprofen, acetaminophen

How well did you know this?

Not at all

Perfectly

Can OTC drugs interact with prescription meds

YES

How well did you know this?

Not at all

Perfectly

When do you find out about OTC use

HISTORY

How well did you know this?

Not at all

Perfectly

How do pts get prescription meds

A healthcare PROVIDER makes a prescription and a PHARMIST dispenses it

How well did you know this?

Not at all

Perfectly

Which people can legally make prescriptions

Physician, PA, NP, dentist

How well did you know this?

Not at all

Perfectly

What must a valid prescription have

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

How well did you know this?

Not at all

Perfectly

What is the MAR

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

How well did you know this?

Not at all

Perfectly

What is included in a MAR

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

How well did you know this?

Not at all

Perfectly

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

MAR

How well did you know this?

Not at all

Perfectly

What is a routine order

Keep administering until the order ends

How well did you know this?

Not at all

Perfectly

What is PRN order

Only when the pt needs it

How well did you know this?

Not at all

Perfectly

What is one-time or on-call order

Give once at a specfic time

How well did you know this?

Not at all

Perfectly

What is a stat order

Given immediatly

What is a now order

Given wuickly

What is the oral route

By mouth

What is the buccal route

inside mouth against cheeck (dissolves)

What is the sublingual route

Under the tounge (dissolve)

What is the parenteral route

Injections or infusions

What is the topical route

on skin or mucous membrane

What is the inhalation route

Through the airway, nose and lungs

What is the enteral route

NG tube, PED tube, intestinal tube

Where do suppositories go

Vagina or rectum

What is the most common med route

oral

What route is PO

oral

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

oral

Which route has a slower onset

oral

What is pocketing and how can you prevent it

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

What type of pills should never be cruched

Enteric-coated or sustained release tablets

Should you give a med from a container missing the label

Should you ever return a med to it's container

You drop the pts pill what should you do

Throw it out

What drugs use the swish and swallow

Antifungal (nystatin)

What should be the last orla meds given

sublingual or buccal

Should you wear gloves with sublingual and buccal drugs

yes

Nitroglycerin for chest pain uses what route

sublingual

Antiemetics (zofran) for nauseua uses what route

buccal

What are the two forms of meds for the enteral route

Liquid or chrushed pills dissolved in water

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

What should you know about adminisrating the enteral route

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

Who do you contact to change a med route

Procider

What effects the absorbtion of topical meds

The cascularity of the site

Should you wear gloves when putting a topical med on

yes

Are patches slow or fast

Slow

Should you change the location of patches

yes

Where are the places to put patches on

upper ARM, BACK, CHEST

What do you write on the patch

Time, date, initals

Which route effecticlet induces anestesia and treats respiratory disorders

Inhaled meds

Where is an endotracheal tube

Through the mouth down the airway

Where is a tracheostomy tube

In the neck

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

A spacer

What can you do to prevent thrush when giving steroids

Rinse mouth

What should you do before and after giving an inhaled med

Assess the respiratory system

What is ophthalmic administration

eyedrops and ointments

What should you know about an ophthalmic anministartion

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

Where is otic instillation

the ear

Why do we use room temp eardrops

Cold can cause nausea and dizziness

Do you use sterile techniques when the TM has been samages

Yes

What type of effects can rectal meds have

Local or systemic

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

parenteral route

What are the three type of syringes

STANDARD< TB< INSULIN

What is a luer-lock syringe

Directly attach to IV tubing

How do you choose the gauge size

pt, condition, viscosity

How do you choose the needle length

type of injection and pt size

What are the measurements of the standard syringe

3-10ml, 0.5-3", 18-25 gauge

What are the measurements of the tuberculin syringe

1ml, 0.5-0.6", 26-28 gauge

What are the measurements of the insulin syringe

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

What does it mean to reconstitue medicenes

To mix POWEREDS because the aren't STABLE for long

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

Filter needles

What type of selivery system significantly decreases needlestick injuries

needleless

Where do ID injections go

Just under the epidermis

Where do SQ injections go

Just below the dermis

Where do IM injections go

Below the subQ area, LONG needle, MORE med

Where do IV injections go

Into the vein in the dermis

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

What are the common areas for ID injections

inner forearm, upper arm, scapular area

What are the measure ments for ID injections

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

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

SubQ

What should you know about SubQ injections

SLOW, not VASCULAR, no more than 1ml

Where are the common injection sites for SubQ injections

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

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

45 degree

What is the normal degree for a SubQ injection

90 degrees

What type of injection is rapidly absorbed due to higher vascularity

IMW

What are the common injection sites for IM

VENTROgluteal, castus laterlis, deltoid

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

Close to nerve and artery

Should you aspirate your injections

What technique should you use for IM injections

the Z-track (pull the skin down)

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

How can IV meds be delivered

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

What are the disadgantages of IVs

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

What is medication reconciliation

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

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

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

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

HISTORY, HOME meds, EDUCATE, DISCHARGE, pt ADVOCACY

What are the 6 rights for safe medication admin

pt, med, dose, route, rime, documentation

What should you do when you get verbal orders

Repeat them back

What do you need to substitue one route for another

An order

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

30 mins

What are the three Ps realated with the three checks

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

What are the pts rights

Informed, refuse, history, receive

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

yes