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Challenges > Medication safety > Flashcards

Medication safety Flashcards

1
Q

“Six Rights”:

A

right patient, right medication/drug, right dose, right route/form, right time, and right documentation.

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2
Q

_____ from crash cart cannot be given in same IV with ______

A

calcium, Sodium Bicarb

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3
Q

______ can be given in same IV as sodium bicarb though

A

calcium gluconate

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4
Q

Is telemedicine coming to healthcare?

A

yes

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5
Q

TEST QUESTION : NEVER PUSH IV ______ FAST

A

POTASSIUM

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6
Q

HA means?

A

–high alert

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7
Q

Your post-op client rates a pain of 6/10 and is due for Morphine 2 mg IVP now. You have available Morphine 5mg/1mL. How many mL of the medication does the nurse administer?

A

0.4 mL

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8
Q

when are you reassessing the patient after giving IV morphine?

A

~30 min for IV reassessment

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9
Q

when are you reassessing the patient after giving PO morphine?

A

~ 1 hr for PO reassessment

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10
Q

TEST QUESTION: IF YOUR HOSPITAL DOESN’T HAVE A ______, IT IS PROBABLY A FINANCIAL TYPE OF THING.

A

SCANNER

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11
Q

don’t ever chart that you used a different ______ bc it will be used against you in court, chart factually, never refer to it as an ______.

A

reporting system, error

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12
Q

Medication Errors:
Scanning
Pumps
Look a like/sound a like
Verbal orders
Over-riding
Approved abbreviations
HS (bedtime/half strength)

_____
______
______
______
______

A

Pre-set electronic orders from physician to nurse
Weight based medications
Reports/paperwork for near misses
Charting an error
Co-signing waste and administration

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13
Q

Medication Errors:

Pre-set electronic orders from physician to nurse
Weight based medications
Reports/paperwork for near misses
Charting an error
Co-signing waste and administration

_____
______
______
______
______

A

Scanning
Pumps
Look a like/sound a like
Verbal orders
Over-riding
Approved abbreviations
HS (bedtime/half strength)

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14
Q

Safe Administration and Error Reduction techniques

A

Communication- telephone, electronics, over clicking

Scanning

Medication rights

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15
Q

what are the medication rights from the powerpoint?
*apply this to an NCLEX style question

A

Right client, Right medication, right dose, right time, right route, right documentation,

right client education, right to refuse, right to an assessment, right to evaluation

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16
Q

What are common medication errors?

A

Not scanning,

Paralytic before sedation during rapid sequence intubation

Rocephin and LR or even Sodium Bicarb with multiple medications.

Rocephin in D5 given to a diabetic. –this isn’t the best thing for them.

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17
Q

are quiet zones helpful in preventing medication errors?

A

yes

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18
Q

Medication reconciliation

A

What is this?
Why is it important?
What is the nurse’s role?

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19
Q

TEST QUESTION: PATIENTS ______ ARE INCLUDED ON A MED RECONCILIATION (CAN INTERACT, ENHANCE, ETC W/OTHER DRUGS).

A

OTC MEDS

20
Q

what organization helps promote safe medication administration?

A

Institute for Safe Medication Practices

21
Q

TEST QUESTION: _____ IS THE ONLY INSULIN GIVEN IV (ORANGE INSULIN),

A

REGULAR INSULIN

22
Q

INSULIN ONLY COMES IN ______

A

UNITS.

23
Q

_____ CANNOT BE GIVEN IV

A

NPH

24
Q

HEPARIN IS A ______ MEDICATION AND IS ALSO MEASURED IN _____, IS ALSO _____

A

WEIGHT BASED, UNITS, HIGH ALERT

25
Q

TEST QUESTION: ______ HIGHLIGHT THE LETTERS IN TWO DIFFERENT DRUG NAMES TO HELP DIFFERENTIATE.

A

TALL MAN LETTERS

26
Q

Individual Considerations of Medication Administration:

Tolerance
Propofol/Diprivan
Age
Reduced liver and kidney
function
_______
_______

A

Body Weight versus Ideal
body weight, is the medication lipophilic?

Medication History?
ACE inhibitor
Olol s

27
Q

Individual Considerations of Medication Administration:

Body Weight versus Ideal
body weight, is the medication lipophilic?

Medication History?
ACE inhibitor
Olol s

A

Tolerance
Propofol/Diprivan

Age
Reduced liver and kidney
function

28
Q

______ MEDS CAN BE GIVEN ACCORDING TO BODY WEIGHT

A

LIPOPHILIC

29
Q

TEST QUESTIONS: WE WANT TO OBSERVE FOR MEDICATION _______, ____ ____ ___ ____ ____ ____ ____ ___

A

SIDE EFFECTS, MONITOR THERAPEUTIC EFFECTS, AND MAINTAIN AN UP TO DATE KNOWLEDGE LEVEL

30
Q

To crush or not to crush, that is the question
How to answer patient and family friend questions
How to provide education

A

Oral (enteric-coated pills, capsules, time

31
Q

swallowing won’t help because of the pH in the stomach
Breaks down in the cheek/under the tongue and works quickly

A

sublingual

32
Q

Family health-dilates the cervix
Intubated patients/Comatose patients/Patients with excessive vomiting/Infants

A

rectal/vaginal

33
Q

has a rapid onset (not IV)

A

inhalation

34
Q

has immediate onset through the bloodstream

A

IV

35
Q

dont massage this type of route

A

indradermal

36
Q

(poorly soluble/slow absorption/insulin

A

subcutaneous

37
Q

when should you use the Z-track method?

A

with iron to prevent skin stains

38
Q

what is a painless medication route?

A

transdermal

39
Q

TEST QUESTIONS: ORAL MEDICINES PEAK AT_____HOURS

A

2-3

40
Q

what is normal BUN level?

A

6-20

41
Q

what is a normal creatinine levle?

A

0.6-1.2

42
Q

what are ways meds are excreted?

A

kidneys, liver, lungs, intestines, and exocrine glandsw

43
Q

what is important to consider about excretion with mothers?

A

if theyre breastfeeding it can be passed through the breast milk

44
Q

what med needs a peak and trough level?

A

vancomycin

45
Q

______ determines when it should be out of a normal body and also how often it should be prescribed

A

Half-life

46
Q

IV PAIN MEDS: ASSESS MED ______ AFTER ADMINISTRATION (_______)

A

30 MINUTES, PEAK EFFECT

Challenges (6 decks)

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