Medications Flashcards
How does medication admin in the OR compare to other areas of nursing?
it is more unique and complicated.
Who all can administer blood in the Periop setting?
- surgeons
- RN’s
- licensed practitioners
- anesthesia professionals
What does the process of med use include?
- medication procurement
- prescribing and transcribing
- preparation
- administration
- patient monitoring
What 3 things can medication errors result in?
- threats to patient safety
- increased health care costs
- a compromise in patient confidence in the health care system
What is a cause of medication errors
interruptions and distractions
What should the nurse include in the preoperative interview with the patient?
- current meds and dosages
- herbal or dietary supplements
- medication allergies and responses
- the patient’s weight, age, and med history
What are s/sx of anaphylactic reaction to meds?
- headaches
- anxiety
- stridor
- abdominal pain
- tachycardia
- hypotension
- itchiness
- swelling
Who can give orders to the nurse to prepare meds?
- surgeons
- anesthesiologist
- advance practice RN’s
What steps can the RN take precautions to prevent med errors?
- using single-dose vials
- using profiled syringe use
- limiting the number of med concentrations
- purchasing meds in a size that is as close to the anticipated dose
- securing stored meds
What are the best type of orders?
one that are put in the EMR; not VERBAL orders
How many meds can a nurse compound in the Periop suite?
3
What 8 rights should the Periop RN verify before administering meds?
- right patient using two approved identification methods
- right medication
- right dose
- right route
- right time
- right strength or concentration
- right med rate
- infusion pump setting
What should you label to prevent med errrors:
all meds, medication containers, and other solutions
What should you do once you have received a verbal order to prevent med errors?
write down and read back verbal orders and follow facility policy
How should you verify meds to prevent errors?
the RN circulator reads aloud the med name, strength, dose, and expiration date when transferring meds to the back table
What is something the scrub person does to prevent med errors?
label meds
What should you avoid the use of to prevent med errors?
the use of abbreviations
When documenting med doses what should you not use to prevent med errors?
trailing zeroes
What should you retrieve one at a time to prevent med errors?
retrieve one med at a time for one patient at a time
What are fluid related complications related to irrigation fluids?
- intravasation
2. extravasation
What is the escape of fluid from its contained space into surrounding tissue?
extravasation
What does extravasation cause?
- edema
- abdominal distention
- intraabdominal compartment syndrome
What occurs when irrigation or distention fluids are absorbed into the patient’s bloodstream?
intravasation
What can lead to intravasation?
- hyponatremia
- hypervolemia
- cardiovascular complications
- pulmonary complications
How should you handle hazardous materials
by following the manufacturer’s IFU
What is contained in the IFU’s that is important for hazardous chem agents?
- containing spills
- disposing of hazardous materials in a designated disposal container
- storing correctly
- use the correct amounts and application process
- using the correct amounts and application process when required
- wearing PPE when required
Where should eyewash stations be?
easily accessible along an unobstructed pathway
How long should eyewash stations be within of chemical usage and storage?
10 seconds
What should warm water be between?
60 and 100 degrees Fahrenheit or 16 and 38 degrees celsius
