Week 2 Flashcards
What are some causes of errors?
lack of info about the patient lack of info about the drug communication failures unclear, absent, or look-alike drug labels look-alike or sound alike drug names unsafe storage and preparation unsafe medication delivery mathematical errors failure to follow the "Rights" of medication administration
What can medication errors result in?
increased hospital stay or length of treatment Acute or chronic disease patient death loss of job legal consequences loss of credentials Emotional consequences for the vet tech
What are the 6 Rights of Medication Administration?
Medication- right meds Dosage- right amount Patient- right animal Route- correct route Time- correct time Documentation- record everything
Route Admin
PO
Oral- by moouth
Route admin
Breathable
Inhalation- no abbreviation
Route admin
IN
Intranasal- nose
Route admin
surface
Topical- skin, eyes, ears
Route admin
IA
Intra-arterial - artery
route admin
IC
Intracardiac- heart
Route admin
ID
Intradermal- into the skin layer
allergies, TB
Route admin
IM
Intramuscular- into muscle
Route admin
IP
Intraperitoneal- space between membranes in the abdomen
Route admin
IT
Intratracheal- airway
Route admin
IU
Intrauterine- uterus
Route admin
IV
Intravenous- vein
Route admin
PR
Via the Rectum- butthole
Route admin
SQ, SC, subq, subcut, subc
Subcutaneous- under the skin layer
What is the fastest route of admin?
IV- Intravenous
2nd is IM- intramuscular
What are some oral dosage forms
Tablet (tab)- scored or unscored, enteric coated (easy on stomach)
Capsules (cap)
Liquid
suspension- mix before using
Elixir- cough syrup
Emulsion- oily liquid dispersed in a watery base and stabilized with an additive
What are the most common forms of oral medication?
Tablets and Capsules
What are some Parenteral Injections?
Injection
single dose- dispose of what is not used
multidose- used multiple times
Ampules-
bags- fluids
Implant
chemical or hormone injected into a particular part of the body
What are some topical forms?
Liniments- used on skin to counter irritation or pain
Ointment- Semisolid, oil-based prep of meds
Drops- gt=singular, gtt=plural
used in eyes and ears
Dusting powders
Aerosols
What are some instruments of administration?
Dropper
Bottle with nipple
Syringe
What are the different types of syringes?
Luer-Lok=screw top Slip tip= slips on Eccentric tip= off to one side Catheter tip= long slip tip Tuberculin= holds 1mL or less Insulin= holds 1mL or less ( shows units for insulin) Multidose= has trigger to give dose
What is the part of a syringe that is moved?
Plunger
What is the part of a syringe that shows the measurement lines?
Barrel
What is the part of the syringe that is the tip that the needle is connected to?
Hub
What part is connected to the syringe for injections?
Needle
What is the area of the syringe and the needle in which fluid remains even when the plunger is completely depressed?
Dead space
What part of the needle connects to the syringe?
Hub
What is the body of the needle?
Shaft
What is the angled, sharp end of the needle?
Bevel
What should be checked 3 times to make sure everything makes sense and matches?
Medication order
calculation
measurement
label 3 times
Depending on the drug it is ok to administer if it is expired? T/F
False, never
Orders and prescription only come from veterinarians? T/F
True
If the order is spoken the vet tech should?
Write it down
Read it back
Get confirmation and calrification
Orders should be questioned if they do not have what information?
Patient ID Medication name Dosage and units route of admin Time and/or frequency of admin
Medication order formats are written in a specific sequence.
What is the order?
Name of meds, dosage, route, frequency
Example: Colace 100 mg PO TID
ac=
before meals
ad lib=
as desired
bid=
twice daily
pc=
after meals
q=
every
qd=
every day
qh=
every hour
q(number)h=
every (number) of hours
qid=
four times daily
qn=
every night
qod, eod=
every other day
sid=
once daily
stat=
immediately
tid=
three times daily
Form of drug CR=
controlled release
Form of drug LA or XL=
long acting
form of drug DS=
double strength
Form of drug SR=
sustained release
Controlled Medication Labeling (CI)=
highly abused no medical purpose
Controlled Medication Labeling (CII)=
high abuse potential but used medically
Controlled Medication Labeling (CIII-CV)=
lower ranks concerning level of abuse