MOT: Review for Exam including Pharmacology Flashcards
1
Q
azithromycin
A
Zithromax (ABX)
2
Q
ciprofloxacin
A
Cipro (ABX)
3
Q
metronidazole
A
Flagyl (ABX)
4
Q
vancomycin
A
Vancocin (ABX)
5
Q
acetaminophen
A
Tylenol, Atasol, Tylenol Plain (Analgesic)
6
Q
hydromorphone
A
Dilaudid (Narcotic Analgesic)
7
Q
meperidine
A
Demerol (NA)
8
Q
morphine
A
MOS, MS Contin, M-Eson, MSIR (NA)
9
Q
Acetaminophen with 30mg Codeine, and 15mg Caffeine
A
Tylenol #3 (Combination drugs)
10
Q
oxycodone and acetaminophen
A
Percocet (Combination drugs)
11
Q
naloxone
A
Narcan (Narcotic Antagonist)
12
Q
ibuprofen
A
Advil, Motrin (Anti-inflammatory Analgesic)
13
Q
diclofenac
A
Voltaren (Anti-inflammatory Analgesic)
14
Q
lorazepam
A
Ativan (Antianxiety Agents)
15
Q
diazepam
A
Valium (Antianxiety Agents)
16
Q
zopiclone
A
Imovane (Sedative/Hypnotic Agent)
17
Q
dimenhydrinate
A
Gravol (Antiemetics)
18
Q
ondansetron
A
Zofran (Antiemetics)
19
Q
ducusate sodium
A
Colase (LAX)
20
Q
sodium phosphate
A
Fleet Enema(LAX)
21
Q
ranitidine
A
Zantac (Antacid)
22
Q
pantoprazole
A
Patoloc (Gastrointestinal Tract Med.)
23
Q
diphenhydramine
A
Benadryl (Antihistamine)
24
Q
Dietary Cutoff Times
A
06:30, 10:30, 15:30
25
Late Tray Cutoff Times
09:30, 13:30, 18:30
26
AD
right ear
27
AS
left ear
28
AU
both ears
29
BTP
break through pain
30
CBG
capillary blood glucose
31
cc
with meals
32
cc
cubic centimeters
33
CPS
Compendium of Pharmaceuticals and Specialties
34
CVC
central venous catheter
35
CVL
central venous line
36
DS
double strength
37
EC
enteric coated
38
FDHS
for duration of hospital stay
39
GT
gastrostomy tube
40
I.U.
international units
41
L
litre
42
L.A.
long acting
43
LMWH
low molecular weight heparin
44
lpm
litrers per minute
45
MR
may repeat
46
MS
morphine sulfate
47
OD
right eye
48
OS
left eye
49
OU
both eyes
50
PCA
patient controlled analgesia
51
PRBC's
packed red blood cells
52
R/O
Re-order
53
S/L
saline lock
54
str.
strength
55
U.
unit
56
K
The order has been transcribed into the Kardex, also indicates that the order has been discontinued or erased from the Kardex.
57
RMO
A requisition has been completed for diagnostic tests, treatment, or follow up card has been given to the patient.
58
MAR
The medication order has been transcribed on the Medication Administration Record
59
APPT
A test or treatment has been booked with another department or facility.
60
I/C
The order has been entered into the computer.
61
AWARE
Indicates the appropriate department or medical staff have been notified of the order.
62
DONE
The order has already been completed previously.
63
GIVEN
STAT medication or one time medication has been given by the nurse.
64
FAXED
Indicates that the Physicians order sheet was faxed to Pharmacy- record the date and time the PO was faxed on the stamp.
65
VM
Voice message has been left to a health care team member to advise of call/referral.
66
PAGED
Indicates the Physician, individual/department have been paged
67
NOTED
Indicates NUC has read the order and it has been transcribed/processed accordingly.
68
Device used to administer intermittent IV meds
Saline Lock or Heparin lock
69
Concentrated amount of medication injected into a vein
IV Push/Bolus
70
Medications administered through a tube for patients who cannot swallow or are too weak or nauseated
Nasogastric Tube
71
Fluids or medication given by injection or intravenously
Parenteral
72
5 components of a medication order that are transcribed onto the MAR
Drug, dosage, route, frequency, misc.
73
Definition of the MAR
A record that lists all the current meds to be given to the patient while in the hospital. Used by the nurse to record and administer medication.
74
Two purposes of the MAR
1) is used to record the drug/dosage, route, frequency, and misc. 2) used to record administration times of all meds ordered for the patient.
75
What records are used in transcribing Physician's orders?
Physician's order, MAR, Kardex, Computer, Requisitions
76
4 reasons IV fluid might be administered
Maintenance therapy, replacement therapy, when a patient requires rapid and continuous infusion of meds, when a patient is unable to take meds orally, when a patient requires a transfusion of whole blood or blood components
77
List 5 common IV solutions
1) 5%D/W (D5W): 5% dextrose in water
2) 5% D/S: 5% dextrose in saline
3) 2/3 1/3 (code 8): 2/3 dextrose 1/3 saline
4) NS (normal saline): saline solution
5) D51/2NS: 5% dextrose in 1/2 strength NS
78
3 components of an IV order?
IV, solution, flowrate
79
Another name for Saline Lock?
Heparin Lock
80
When a Physician gas finished writing an order and is close to the bottom of the order sheet, what should the unit clerk do after signing off the order? Be specific
1) draw diagonal lines in red ink to "close the gates"
2) stuff the chart with blank Dr.s orders
3) flag for the nurse
81
Where do you record orders for BG on the K and MAR?
K: under the monitoring section Glucometers: QID
MAR: make an entry in the scheduled/routine Glucometers QID at 7:30,11:30, 16:30, 21:30
82
Where do you record the following
Large volume infusions with meds? Routine section of the MAR and IV section of K
Large volume infusions containing KCL? IV section of the K, Routine section of the MAR
Saline Lock? IV section of the K, On MAR under routine/scheduled Saline Lock/Flush
IV solutions containing no meds? IV section of the K
83
What is the most common additive added to an IV Solution?
KCl
84
Medication orders include?
New orders, changes, reorders, d/c's and repeats
85
What is the purpose of the Physician's Order?
To communicate all medical care to have carried out by the medical staff.
86
When do we have to Nurse Aware?
1) when there is a STAT order,NOW, IV Push, IV Bolus
2) When admin of a med is due 20 min. After the order has been written or within 1 hr before the order has been written
3) when there is more than 8 hr. Until the next dose or when the med will be missed for the day
4) when there is a new IV or SL set up is required
5) when an IV is d/c'd
6) when a med is ordered that the patient is allergic to
7) when a med is ordered routine and it has already been ordered prn
8) when DAT is ordered.
87
When do we Dept. Aware?
STAT medication order (pharmacy), STAT blood work (lab), ABG's (lab), blood cultures (lab), add on blood work (lab), when procedural trays are required and we need to order them from sterile processing dept.,dietary cut off times 06:30, 10:30, 15:30, dietary late tray times
88
Basic guidelines for transcription of Doctor's Orders
1)scan po and ppo, 2) check and double check patient's name 3) fax to pharmacy, 4) Nurse Aware, 5) Dept. Aware, 6) MAR, 7) input into computer, requ's 8) Kardex, 9) f/u apps., 10) symbolize, 11)check and double check orders are complete, 12) close the gates 13) stuff chart, 14) flag for nurse
89
Love notes
Scan po and ppo, check and double check patients name, f/u appts, check and double check orders are complete, stuff chart, flag for nurse
90
How do you transcribe sliding scale order on the MAR?
Insulin sliding scale per recent physician's order under routine/scheduled section of the MAR. Depending on your site you may have a stamp of the sliding scale that you include on your MAR
91
What is an activity order?
A Dr.'s order that defines the type and amount of activity a hospitalized patient will have. The amount dof activity will change to coincide with the patient's stage of recovery; CBR, Dangle, up with help, BR with BRP, up in chair, recorded under activity on the K.
92
What is a patient positioning orders?
When a Dr. Wants the patient to remain in a special body position to maintain body alignment, to promote comfort, and facilitate body functions.
HOB 30 degrees, log roll, Fowler's position, turn q 2 hours; shall be recorded under activity on the K
93
What is the meaning of Nursing Observation Orders?
When the Dr. Wants the nurse to observe the patients condition for a periodic observation time. VS q 4 h, BP q h x 4, wt. daily, I and O,Neuro checks q 2 h. These are recorded on the K under monitoring
94
What is the definition of nursing intervention or treatment orders
Any act performed by a nurse that implements the nursing care plan or any specific objective of the clinical plan or pathway
95
5 examples of nursing intervention or treatment orders?
Intestinal elimination orders, suction orders, urinary cath orders, heat and cold application orders, IV therapy orders, blood transfusion orders
96
What is the meaning of heat and cold application orders?
Heat is used to promote comfort, relaxation, healing, and to reduce pain and swelling, and to promote circulation; cold is used to relieve pain, reduce inflammation, control hemorrhage and decrease circulation. Exp. hot compress to abscess 10 min. q h, spitz bath 30 min TID, ice bag to scrotum as tol., alcohol sponge for temp over 102, soak hand 20 min. in warm NS q 4 h while awake.
