quiz 7 Flashcards
Six rights
-right drug
-right dose
-right route
-right time
-right patient
-right documentation
Bioavailability
key indicator of drug absorption eg. IV meds has 100% bioavailability. Oral adm of morphine has 25%
How do drugs enter the body?
Pharmacokinetics
Drug standards that must be met by manufacturers
-purity
-potency
-bioavailability
-efficacy
-safety
Purity
relative amount of drugs required to produce side effects
Ear drops directions to 2 year old girl
pull earlobe downwards to straighten canal
Medications that cannot be crushed
-Sublingual medications,
enteric-coated medications, and sustained-release preparations.
Renewal of narcotic orders by Physician- mis it 24 or 48 hours?
Opiate analgesics generally have a 48- or 72-hour limit.
Needle gauge for IM injections
21 to 23 gauge for intramuscular injections
unit dose system
Provides premeasured, prepackaged, prelabeled
dose.
⬤ Safest because dose prescribed is dose dispensed.
⬤ May be dispensed from mobile cart, or the fixed
medication preparation center.
A significant advantage of this type of system is that a username and password or biometric identification system (fingerprint) is used to enter the system. This eliminates the problem of having to find the nurse who has the keys to the locked cabinet, and increases efficiency.
One year old patient preferred injection site
vastus lateralis muscle for infants
Z-track technique
May be used any time an intramuscular injection is given
Used for deep IM injections of drugs such as iron dextran or Vistaril
Reduces pain caused by irritating drugs leaking into subcutaneous tissue
Seals the medication in the muscular layer
**The Z-track technique reduces pain caused by irritating drugs such as iron where a smallest needle to be used and inject the medication slowly.
Sites for intramuscular injections
-Dorso gluteal
-ventrogluteal,
-deltoid
-vastus lateralis
-rectus femoris
Serious abnormality in the stool
blood
Groups of people who easily gets dehydrated
babies and infants & elderly
Occult
sample
Symptoms of GI bleeding
Low Bp, SOB, Decreased blood volume
Bowel training
Couple of months or longer
Uses of drugs
Treatment
Palliation
Diagnosis
Cure
Prevention of disease
Maintenance is not in this category***
Medication errors except patients preferences
Medication errors can occur in several steps during the administration process:
* Order interpretation
* Patient identification
* Administration route
* Dosage
* Documentation errors
The nurse who discovers the error is the one to report it and fill out the report. Therefore, the nurse who made the error may not be the same nurse who reports it and fills out the occurrence form.
Opticians do not prescribe medication.
Ophthalmic (eye) medications may be in the form of drops, ointment, or eye disk.
Give eye medications starting at the inner canthus.
The word ophthalmic must be clearly visible on container.
