Pharmacology Part II

Question 1

What is included in a med order? (10)

Answer 1

1. P’s full name
2. DOB
3. Date and time med was written ( know reason)
4. Drug name
5. Therapeutic class
6. Route of admin
7. Dosage in metric
8. Frq of admin
9. PCP’s signature
10. Barcode on the drug

Question 2

bid

Answer 2

2x a day

Question 3

tid

Answer 3

3x a day

Question 4

qid

Answer 4

4x a day

Question 5

qhs

Answer 5

before bed

Question 6

qod

Answer 6

every other day

Question 7

q.4h

Answer 7

every 4 hrs

Question 8

prn

Answer 8

as needed

Question 9

qtt

Answer 9

drop

Question 10

a.c

Answer 10

before meal

Question 11

pc

Answer 11

after meal

Question 12

stat order vs now or in an hour order

Answer 12

stat=drop everything and give that med or let a charge nurse know it needs to be given ASAP
now/in an hr or whatever the order says=as soon as possible, not as urgent as a stat order

Question 13

Benefits of CPOE

Answer 13

1. Prevents med error at transcribing stage
2. Better communication among all providers
3. Alerts us to allergies

Question 14

3 med checks

Answer 14

1. When retrieving from pyxis or other dispensing system
2. Check against MAR after retrieving
3. At bedside before giving med

Question 15

Rights of medication (11)

Answer 15

1. Right patient
2. Right med
3. Right route
4. Right time
5. Right reason
6. Right dose
7. Right assessment data
8. Right documentation
9. Right response
10. Right education
11. Right to refuse

Question 16

Routes of admin

Answer 16

oral
enteral
sublingual/buccal
Sub Q
IM
ID
IV

Question 17

Rapid response nurse Vs code blue

Answer 17

1. Not for emergency, call when patient looks off and need a second eye
2. Call when there is an emergency, e.g. heart stopped
   They come with a crash cart

Question 18

Common student errors

Answer 18

1. Not reconciling meds-check order, MAR
2. Not monitoring vital signs (remember video ex or patient that was hemorrhaging)
3. Giving oral meds as injection
4. Wrong patient
5. Wrong rate
6. Mixed med incorrectly
7. Gave wrong drug
8. Wrong time

Question 19

Types of med error

Answer 19

1. Near miss (error that did not make it to the patient)
2. Error that causes harm
3. Error that causes no harm
4. Error that causes death

Question 20

Aspirin dosage for blood thinning and pain

Answer 20

1. 81mg

2. 325mg

Question 21

Lab for aspirin

Answer 21

Monitor platelet level

Question 22

Goal of patient teaching

Answer 22

1. Patient knows the purpose of the drug
2. Why he/she needs it
3. Condition med is treating

Question 23

Medication reconciliation

Answer 23

Done at entry into a unit, exit, discharge, and change of condition.