Medication Orders Chp 35 Flashcards
What makes a prescription legally valid?
Patient’s name, date and time the order is written, name of drug to be administered, dosage of the drug, route of drug administration, frequency of drug administration, signature of the person writing the order
What kind of order is administered until the healthcare provider discontinues the order or until a prescribed number of doses or days have occurred
Routine order
What kind of order is:
Digoxin -.125 mg PO daily or Amoxicillin 250 mg PO q 8 hr x 10 days
Routine order
What kind of order is given when the patient requires it? Use determined by objective and subjective assessment and clinical judgment of the nurse
PRN order
Which kind of order is:
Morphine sulfate 4 mg IV q 2 hr PRN pain
PRN order
What kind of order is given only once at a specified time, often before a diagnostic or surgical procedure
one time or on call
What kind of order is:
Ativan 1 mg IV on call surgery
One time or on call
What kind of orders is given immediately and only once in a single dose, frequently given for emergency situations
Diazepam 10 mg IV stat for seizure
What kind of orders is used when a medication is needed but not as immediately as a stat medication, given one time
Now order
What kind of order is
Vancomycin 1 g IV now, on admit
Now order
Meds administered against cheek
buccal
Meds administered parenteral
injection or infusion
have a special outer covering that delays absorption as it dissolves in the intestines
enteric-coated tablets
medication is compressed with binding substances and disintegrating agents, may have flavoring added to improve taste, used for oral, sublingual, and buccal routes
tablets
medications are enclosed in cylindrical gelatin coatings
capsules
have medication particles encased in smaller casings that deliver medication over an extended period of time
time release capsules
ultra fine drug particles in a dry form, depending on the medication, may be inhaled, mixed with food, or dissolved in liquids immediately before administration
powders
medications prepared to dissolve in the mouth
troches or lozenges
medications already dissolved in liquid
solutions
mixed with sugar and water
syrups
finely crushed medications in liquid
suspensions
medications dissolved in alcohol and water with glycerin or other sweeteners
elixirs
sterile solution or suspension administered directly into the eye, outer ear canal, or nose or sublingually
drops
sterile suspensions supplied in ampules, vials, prefilled syringes, bags or bottles
injectable solutions
contain medication absorbed through the skin of an extended period of time
transdermal patches
shallow injection into the dermal layer just under the epidermis
intradermal
injection into the subcutaneous tissue just below the skin
subcutaneous
injection into the muscle of adequate size to accommodate the amount and type of medication
intramuscular
injection into a vein
intravenous
Syringe selection: 1-3 mL. Insulin syringe: 0.5-1 mL with preached needle. Needle selection: 27-25 gauge, 3/8-5/8 inch. Insulin syringe 26-31 gauge, 5/16-1/2 inch. Which route?
subcutaneous
Site selection of injection: Abdomen, lateral aspects of the upper arm and thigh, scapular area of the back and upper ventrodorsal gluteal area. Which route?
subcutaneous
Syringe selection: 1-mL tuberculin. Needle selection: preattached 25-27 gague, 1/4-5/8 inch. Which route?
Intradermal
Which route would you inject in inner forearm, upper arm, and across the scapula?
Intradermal
Which route would you inject Ventrogluteal, vast laterals, and deltoid. Age of patient. Infant: vast laterals. Children: vests laterals or deltoid. Adult: ventrogluteal or deltoid
Intramuscular
SBAR
Situation, Background, Assessment, Recommendation
Six rights of Medication Administration
Right drug, right dose, right time, right route, right patient, right documentation
