Week 3 Flashcards
How many steps are there in the Medication Management Cycle (MMC)?
9
What is the 1st step of the MMC? Name a potential error.
Decision on appropriate treatment/prescribe medicine - lack of comprehensive assessment
What is the 2nd step of the MMC? Name a potential error.
Record of medicine order/prescription - ambiguous, illegible order
What is the 3rd step of the MMC? Name a potential error.
Review of medicine/prescription - lack of consideration of clinical appropriateness
What is the 4th step of the MMC? Name a potential error.
Issue of medicine - incorrect medication issued
What is the 5th step of the MMC? Name a potential error.
Provision of medicine information - insufficient information (e.g. side effects)
What is the 6th step of the MMC? Name a potential error.
Distribution and storage of medicine - inappropriately stored
What is the 7th step of the MMC? Name a potential error.
Administration of medicine - 6 rights of administration, re-assess need for medication
What is the 8th step of the MMC? Name a potential error.
Monitor for response - adverse effects
What is the 9th step of the MMC? Name a potential error.
Transfer of verified information - incomplete and inaccurate lists of medicines
Define “Persons Approach”
Mistakes made by humans
Define “Systems Approach”
The acknowledgement that errors are consequences, rather than causes
Name 3 influencing factors of medication errors
- Patient
- Team
- Environmental
Describe the Swiss Cheese Model
Every step within healthcare has the potential for failure - the “holes” just need to be identified
What 8 things must be on the NIMC?
- Full name of patient
- Date order is written
- Name of administered drug
- Drug dosage
- Frequency of administration
- Route of administration
- Signature of person writing order
- Contact no. of prescriber
Give 3 examples of an S8 drug
- Morphine
- Fentanyl
- Oxycodone
What is the classification of Aspirin?
Simple analgesic
What is the classification of Paracetamol?
Simple analgesic
What is the classification of Morphine?
Opioid analgesic or narcotic
What is the classification of Perindopril?
Anti-hypertensive
What is the classification of Atorvastatin?
Hypolipidaemic
Define “Parenteral”
Medication not delivered via the intestinal tract
Define “Bioavailability”
The time it takes for a medication to be absorbed after being given
List these in the order from fastest absorbed to slowest.
- Capsules
- Enteric Coated
- Powders
- Suspensions
- Tablets
- Liquids
- Coated Tablets
- Liquids
- Suspensions
- Powders
- Capsules
- Tablets
- Coated tablets
- Enteric coated
If a medication has a 1/2 life of 4 hours, how much of the medication if left in the system after 12 hours?
12.5%
If a medication has a 1/2 life of 4 hours, how much of the medication if left in the system after 8 hours?
25%
