Medication Administration Flashcards

1
Q

Physician’s orders must include..

A
date and time
name of drug
route
dosage
time frequency
duration, if limited
if prn, must have reason
signature
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2
Q

6 Rights of Medication Administration

A
Right dose
Right patient
Right Time
Right route
Right Medication
Right documentation

2 additional: right knowledge, right to refuse

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3
Q

What are the 3 checks for medication administration?

A

1: Check MAR against dr orders
2: Check medications agains MAR (drug, dose, route, time, expiration, allergies)
3: Check meds against MAR again in client room; ID pt, allergies, verify med with pt and MAR

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4
Q

Documenting Medications

A

Cross out time on MAR with single line
initial
ID initials at bottom of page
include assessment info: VS, BG, LOC, Pain level

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5
Q

Documenting held medications

A

circle time

and document why med was held

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6
Q

Methods for inhalers

A
  1. Use spacer (optimal; best for steroids)
  2. take a drink
    shake inhaler, exhale
    tilt back head slightly
    hold inhaler 2 fingerbreaths from mouth
    activate, breathe in slowly and deep for 3-5 seconds
    hold breath 10 seconds
    exhale slowly
  3. NOT PREFERRED; not for steroids!!
    shake, exhale, tilt head back
    place inhaler in mouth, activate
    breathe in slowly, hold 10 seconds
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7
Q

absorption

A

when the med molecules pass into the blood from site of administration

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8
Q

factors affecting absorption

A
route
ability to dissolve
blood flow to site
body surface area
lipid solubility
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9
Q

distribution

A

after absorption medication is moved to body tissues and organs

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10
Q

factors affecting distribution

A
physical and chemical properties of meds
physiology of person taking it
circulation
membrane permeability
protein binding
age/liver disease
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11
Q

metabolism

A

after med reaches site it’s broken down into less active or inactive forms for easier excretion

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12
Q

factors affecting metabolism

A

age

liver disease

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13
Q

excretion

A

med exits body through kidneys, liver, bowel, lungs, exocrine glands

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14
Q

factors affecting excretion

A

renal impairment
liver disease
peristalsis

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15
Q

adverse effects

A

undesired, unintended, unpredictable response to medication
mild to severe
immediate or over time

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16
Q

Who are at most risk for adverse effects?

A
very young or old
women
renal/liver disease
patients with multiple meds
extremely underweight or overweight
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17
Q

side effects

A

predictable and often unavoidable effect produced at usual therapeutic dose

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18
Q

most common side effects

A
N/V
diarrhea
constipation
anorexia
drowsiness
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19
Q

anaphylactic reaction

A

sudden constriction of bronchiolar muscles, edema of pharynx and larynx, severe wheezing, SOB

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20
Q

synergistic effect

A

combined effect is greater than if meds given separately

21
Q

trough

A

the lowest serum concentration of a medication before the next medication dose is administered

22
Q

peak

A

time it takes to reach highest level of serum concentration of a medication

23
Q

half-life

A

time it takes for excretion processes to lower amount of unchanged medication by half

24
Q

onset

A

time it takes after medication is administered for it to produce a response

25
Q

duration

A

time during which med is present in concentration great enough to produce response

26
Q

buccal administration

A

place med in mouth against cheek
don’t chew, swallow, drink
must fully dissolve against cheek
alternate cheeks

27
Q

sublingual administration

A

place med under tongue and fully dissolve

don’t chew, swallow, or drink

28
Q

pharmacokinetics

A

study of how meds enter the body, reach site of action, metabolize, and exit the body

29
Q

sub-q volume

A

0.5–1.5 mL

30
Q

normal needle length and gauge for SQ

A

25g
5/8” at 45 degrees
or 1/2” at 90 degrees

31
Q

IM adult volume

A

2–5 mL into large muscle

32
Q

IM deltoid volume

A

< 2 mL

33
Q

What do you do if needlestick injury?

A

wash with soap and water
flush
report
seek medical tx within 2hrs

34
Q

gauge range for SQ

A

25–31 gauge

35
Q

needle length range for SQ

A

1/2–7/8 inch

36
Q

syringe sizes for SQ

A

1 or 3 mL

37
Q

gauge range for IM

A

19–23 gauge

38
Q

needle length range IM

A

1–1.5 inch

39
Q

usual volume for ID

A

0.1 mL

40
Q

gauge range for ID

A

25-29 gauge

41
Q

needle length range ID

A

0.5–5/8 inch

42
Q

Pregnancy category A

A

okay for pregnancy

no harm in pregnant human studies

43
Q

Pregnancy category B

A

no harm in pregnant animal studies

human studies failed to demonstrate risk to fetus

44
Q

Pregnancy category C

A

animal and human studies show adverse effects

or there have been no studies to show effects

45
Q

Pregnancy category D

A

risk to fetus

benefits of drug outweigh risks

46
Q

Pregnancy category X

A

positive evidence of fetal abnormalities

contraindicated in pregnant women or women who may become pregnant

47
Q

treatment of anaphylaxis

A
DC drug
epinephrine
IV fluids
steroids
antihistamines
respiratory support
48
Q

drug toxicity sx

A
disorientation
dizziness
blurred vision
memory loss
fainting
falls
49
Q

s/sx of renal impairment

A
decreased urine output
increased BUN/creatinine
fluid retention
fatigue
confusion
N/V