Pharmacology Part II Flashcards
1
Q
What is included in a med order? (10)
A
- P’s full name
- DOB
- Date and time med was written ( know reason)
- Drug name
- Therapeutic class
- Route of admin
- Dosage in metric
- Frq of admin
- PCP’s signature
- Barcode on the drug
2
Q
bid
A
2x a day
3
Q
tid
A
3x a day
4
Q
qid
A
4x a day
5
Q
qhs
A
before bed
6
Q
qod
A
every other day
7
Q
q.4h
A
every 4 hrs
8
Q
prn
A
as needed
9
Q
qtt
A
drop
10
Q
a.c
A
before meal
11
Q
pc
A
after meal
12
Q
stat order vs now or in an hour order
A
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
13
Q
Benefits of CPOE
A
- Prevents med error at transcribing stage
- Better communication among all providers
- Alerts us to allergies
14
Q
3 med checks
A
- When retrieving from pyxis or other dispensing system
- Check against MAR after retrieving
- At bedside before giving med
15
Q
Rights of medication (11)
A
- Right patient
- Right med
- Right route
- Right time
- Right reason
- Right dose
- Right assessment data
- Right documentation
- Right response
- Right education
- Right to refuse
16
Q
Routes of admin
A
oral enteral sublingual/buccal Sub Q IM ID IV
17
Q
Rapid response nurse Vs code blue
A
- Not for emergency, call when patient looks off and need a second eye
- Call when there is an emergency, e.g. heart stopped
They come with a crash cart
18
Q
Common student errors
A
- Not reconciling meds-check order, MAR
- Not monitoring vital signs (remember video ex or patient that was hemorrhaging)
- Giving oral meds as injection
- Wrong patient
- Wrong rate
- Mixed med incorrectly
- Gave wrong drug
- Wrong time
19
Q
Types of med error
A
- Near miss (error that did not make it to the patient)
- Error that causes harm
- Error that causes no harm
- Error that causes death
20
Q
Aspirin dosage for blood thinning and pain
A
- 81mg
2. 325mg
21
Q
Lab for aspirin
A
Monitor platelet level
22
Q
Goal of patient teaching
A
- Patient knows the purpose of the drug
- Why he/she needs it
- Condition med is treating
23
Q
Medication reconciliation
A
Done at entry into a unit, exit, discharge, and change of condition.
