UNIT 1- Medication Dispensing Process Flashcards
Evaluate the patient and select the right medication(s)
Prescription
Transcribe the prescription or medication order and transit to pharmacy
Transcription
From the interpretation of the prescription or medication order to the distribution of medications and patient counselling.
Dispensing
Report and document patient’s response to medication.
Monitoring
5 Medication Dispensing Processes
- Receive and Validate Rx
- Understand and interpret
- Compound, Prepare, Label Items
- Make a final check
- Record
- Patient Counseling
the amount of heat required to raise the temperature of 1 kg of water
from 0˚C to 1 ˚C
kilocalorie (kcal)
used to estimate the resting metabolic energy (RME)
requirements for non-protein calories
Harris-Benedict Equations
RME for males
RME = 66.67 + (13.75 x wt. in kg) + (5 x ht. in cm) – (6.76 x age in yrs.)
RME for females
RME = 655.1 + (9.56 x wt. in kg) + (1.86 x ht. in cm) – (4.68 x age in yrs.)
Mild stress (Nonsurgical Px)
1.2 – 1.4
Moderate stress (Severe infections)
1.5 – 1.75
Severe Stress (Px with severe burns)
1.75 – 2.0
RME Requirement for Mildly stressed Px
25 kcal/kg/day
RME Requirement for Moderately stressed Px
35 kcal/kg/day
RME Requirement for Post-operative Px
45 kcal/kg/day
RME Requirement for Hypercatabolic Px
60 kcal/kg/day
sources of calories:
CHO, CHON, LIPIDS
Fat is restricted to_____ of the total daily calories.
60%
AA requirement for Mildly stressed Px (Ave. healthy adult)
0.75 g/kg
AA requirement for Moderately stressed Px
0.9 g/kg
AA requirement for Severely stressed Px
1.25 g/kg
The meaning of TPN
Total Parenteral Nutrition
Steps in TPN preparation
- Determine the total caloric requirement of the patient using the Harris-Benedict
equation. - Determine the amount of protein based on 0.75 g/kg (adjusted according to patient’s
condition) and the caloric value of the computed proteins - Compute for the remaining caloric requirement that would be supplied by dextrose
and lipid emulsions.
total parenteral nutrition (TPN) components
FE.L.A.G.D.A.M Fat Emulsion Lipid Alcohol Glycerol Dextrous (anhydrous) Dextrous (hydrous) Amino acids Medium chain FA
