Medications Flashcards
What are the components of a medication order?
-Patient’s name and second identifier
-Date/time of order
-Name of drug (generic)
-Dosage of drug (metric system)
-Route
-Frequency (military time)
-Signature
What are the 5 rights of medication administration?
-Right patient
-Right drug
-Right dosage
-Right time
-Right reason
What is found in a patient’s personal bin?
Multi-use medications - e.g. multi-use vials of insulin
What is found in Pyxis?
System, floor stock, controlled medications, pharmacy, personal bins
What medications require another nurse to check?
High alert medications
What medications are usually good for 24 hrs?
Generally anything that is reconstituted
Why do you inject air into a multi dose vial?
The added air creates positive pressure, making it easier to extract the medication
What is correctional short acting insulin?
Used to correct BS before a patient’s meal
What is the cutoff for correctional insulin?
180
A type of insulin designed to have a rapid onset, peak, and shorter duration of action compared to other types of insulin. Typically used to manage blood sugar levels during and after meals
Prandial
Transdermal patches have a ____ onset
slow
In which patients is rectal administration contraindicated?
Rectal or prostate surgery, thrombocytopenia, neutropenia
What is the 1/1/1 method of inhalers?
-First puff opens the airways
-Then wait one minute for the airways to open fully
-Then take another puff
How much do you initially flush with before administering medications?
30 mL
How much do you flush with between medications?
15 mL
What kind of water do you flush with?
Drinking water
Immunocompromised pts - use sterile water
When do you perform the 3 checks?
-Obtaining medication
-Preparing medication
-Before administering medication
intradermal needle length
& gauge
1/4 -1/2, 25-27 G
intradermal needle volume
<0.5 mL
intradermal needle angle
5-15
where is an intradermal injection given?
dermis, just below epidermis
forearm, back (under scapula)
where is a subQ injection given?
adipose tissue, below dermis
sites: upper arms, abdomen, thighs, upper back, glutes
how are insulin and heparin given?
subQ
What needle do you use for a sub Q injection?
usually 3/8 and 5/8 but up to 1”
what angle do you use for a subQ injection?
45-90
what needle do you use for an insulin injection?
5/16-1/2”
25-27G
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