Medications Flashcards

1
Q

How does medication admin in the OR compare to other areas of nursing?

A

it is more unique and complicated.

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2
Q

Who all can administer blood in the Periop setting?

A
  1. surgeons
  2. RN’s
  3. licensed practitioners
  4. anesthesia professionals
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3
Q

What does the process of med use include?

A
  1. medication procurement
  2. prescribing and transcribing
  3. preparation
  4. administration
  5. patient monitoring
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4
Q

What 3 things can medication errors result in?

A
  1. threats to patient safety
  2. increased health care costs
  3. a compromise in patient confidence in the health care system
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5
Q

What is a cause of medication errors

A

interruptions and distractions

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6
Q

What should the nurse include in the preoperative interview with the patient?

A
  1. current meds and dosages
  2. herbal or dietary supplements
  3. medication allergies and responses
  4. the patient’s weight, age, and med history
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7
Q

What are s/sx of anaphylactic reaction to meds?

A
  1. headaches
  2. anxiety
  3. stridor
  4. abdominal pain
  5. tachycardia
  6. hypotension
  7. itchiness
  8. swelling
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8
Q

Who can give orders to the nurse to prepare meds?

A
  1. surgeons
  2. anesthesiologist
  3. advance practice RN’s
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9
Q

What steps can the RN take precautions to prevent med errors?

A
  1. using single-dose vials
  2. using profiled syringe use
  3. limiting the number of med concentrations
  4. purchasing meds in a size that is as close to the anticipated dose
  5. securing stored meds
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10
Q

What are the best type of orders?

A

one that are put in the EMR; not VERBAL orders

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11
Q

How many meds can a nurse compound in the Periop suite?

A

3

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12
Q

What 8 rights should the Periop RN verify before administering meds?

A
  1. right patient using two approved identification methods
  2. right medication
  3. right dose
  4. right route
  5. right time
  6. right strength or concentration
  7. right med rate
  8. infusion pump setting
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13
Q

What should you label to prevent med errrors:

A

all meds, medication containers, and other solutions

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14
Q

What should you do once you have received a verbal order to prevent med errors?

A

write down and read back verbal orders and follow facility policy

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15
Q

How should you verify meds to prevent errors?

A

the RN circulator reads aloud the med name, strength, dose, and expiration date when transferring meds to the back table

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16
Q

What is something the scrub person does to prevent med errors?

A

label meds

17
Q

What should you avoid the use of to prevent med errors?

A

the use of abbreviations

18
Q

When documenting med doses what should you not use to prevent med errors?

A

trailing zeroes

19
Q

What should you retrieve one at a time to prevent med errors?

A

retrieve one med at a time for one patient at a time

20
Q

What are fluid related complications related to irrigation fluids?

A
  1. intravasation

2. extravasation

21
Q

What is the escape of fluid from its contained space into surrounding tissue?

A

extravasation

22
Q

What does extravasation cause?

A
  1. edema
  2. abdominal distention
  3. intraabdominal compartment syndrome
23
Q

What occurs when irrigation or distention fluids are absorbed into the patient’s bloodstream?

A

intravasation

24
Q

What can lead to intravasation?

A
  1. hyponatremia
  2. hypervolemia
  3. cardiovascular complications
  4. pulmonary complications
25
Q

How should you handle hazardous materials

A

by following the manufacturer’s IFU

26
Q

What is contained in the IFU’s that is important for hazardous chem agents?

A
  1. containing spills
  2. disposing of hazardous materials in a designated disposal container
  3. storing correctly
  4. use the correct amounts and application process
  5. using the correct amounts and application process when required
  6. wearing PPE when required
27
Q

Where should eyewash stations be?

A

easily accessible along an unobstructed pathway

28
Q

How long should eyewash stations be within of chemical usage and storage?

A

10 seconds

29
Q

What should warm water be between?

A

60 and 100 degrees Fahrenheit or 16 and 38 degrees celsius