Medications Flashcards

1
Q

What are the components of a medication order?

A

-Patient’s name and second identifier
-Date/time of order
-Name of drug (generic)
-Dosage of drug (metric system)
-Route
-Frequency (military time)
-Signature

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2
Q

What are the 5 rights of medication administration?

A

-Right patient
-Right drug
-Right dosage
-Right time
-Right reason

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3
Q

What is found in a patient’s personal bin?

A

Multi-use medications - e.g. multi-use vials of insulin

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4
Q

What is found in Pyxis?

A

System, floor stock, controlled medications, pharmacy, personal bins

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5
Q

What medications require another nurse to check?

A

High alert medications

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6
Q

What medications are usually good for 24 hrs?

A

Generally anything that is reconstituted

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7
Q

Why do you inject air into a multi dose vial?

A

The added air creates positive pressure, making it easier to extract the medication

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8
Q

What is correctional short acting insulin?

A

Used to correct BS before a patient’s meal

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9
Q

What is the cutoff for correctional insulin?

A

180

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10
Q

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

A

Prandial

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11
Q

Transdermal patches have a ____ onset

A

slow

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12
Q

In which patients is rectal administration contraindicated?

A

Rectal or prostate surgery, thrombocytopenia, neutropenia

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13
Q

What is the 1/1/1 method of inhalers?

A

-First puff opens the airways
-Then wait one minute for the airways to open fully
-Then take another puff

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14
Q

How much do you initially flush with before administering medications?

A

30 mL

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15
Q

How much do you flush with between medications?

A

15 mL

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16
Q

What kind of water do you flush with?

A

Drinking water

Immunocompromised pts - use sterile water

17
Q

When do you perform the 3 checks?

A

-Obtaining medication
-Preparing medication
-Before administering medication

18
Q

intradermal needle length
& gauge

A

1/4 -1/2, 25-27 G

19
Q

intradermal needle volume

A

<0.5 mL

20
Q

intradermal needle angle

A

5-15

21
Q

where is an intradermal injection given?

A

dermis, just below epidermis

forearm, back (under scapula)

22
Q

where is a subQ injection given?

A

adipose tissue, below dermis

sites: upper arms, abdomen, thighs, upper back, glutes

23
Q

how are insulin and heparin given?

A

subQ

24
Q

What needle do you use for a sub Q injection?

A

usually 3/8 and 5/8 but up to 1”

25
Q

what angle do you use for a subQ injection?

A

45-90

26
Q

what needle do you use for an insulin injection?

A

5/16-1/2”
25-27G

27
Q

what

A