Week 3

Question 1

How many steps are there in the Medication Management Cycle (MMC)?

Answer 1

9

Question 2

What is the 1st step of the MMC? Name a potential error.

Answer 2

Decision on appropriate treatment/prescribe medicine - lack of comprehensive assessment

Question 3

What is the 2nd step of the MMC? Name a potential error.

Answer 3

Record of medicine order/prescription - ambiguous, illegible order

Question 4

What is the 3rd step of the MMC? Name a potential error.

Answer 4

Review of medicine/prescription - lack of consideration of clinical appropriateness

Question 5

What is the 4th step of the MMC? Name a potential error.

Answer 5

Issue of medicine - incorrect medication issued

Question 6

What is the 5th step of the MMC? Name a potential error.

Answer 6

Provision of medicine information - insufficient information (e.g. side effects)

Question 7

What is the 6th step of the MMC? Name a potential error.

Answer 7

Distribution and storage of medicine - inappropriately stored

Question 8

What is the 7th step of the MMC? Name a potential error.

Answer 8

Administration of medicine - 6 rights of administration, re-assess need for medication

Question 9

What is the 8th step of the MMC? Name a potential error.

Answer 9

Monitor for response - adverse effects

Question 10

What is the 9th step of the MMC? Name a potential error.

Answer 10

Transfer of verified information - incomplete and inaccurate lists of medicines

Question 11

Define “Persons Approach”

Answer 11

Mistakes made by humans

Question 12

Define “Systems Approach”

Answer 12

The acknowledgement that errors are consequences, rather than causes

Question 13

Name 3 influencing factors of medication errors

Answer 13

1. Patient
2. Team
3. Environmental

Question 14

Describe the Swiss Cheese Model

Answer 14

Every step within healthcare has the potential for failure - the “holes” just need to be identified

Question 15

What 8 things must be on the NIMC?

Answer 15

1. Full name of patient
2. Date order is written
3. Name of administered drug
4. Drug dosage
5. Frequency of administration
6. Route of administration
7. Signature of person writing order
8. Contact no. of prescriber

Question 16

Give 3 examples of an S8 drug

Answer 16

1. Morphine
2. Fentanyl
3. Oxycodone

Question 17

What is the classification of Aspirin?

Answer 17

Simple analgesic

Question 18

What is the classification of Paracetamol?

Answer 18

Simple analgesic

Question 19

What is the classification of Morphine?

Answer 19

Opioid analgesic or narcotic

Question 20

What is the classification of Perindopril?

Answer 20

Anti-hypertensive

Question 21

What is the classification of Atorvastatin?

Answer 21

Hypolipidaemic

Question 22

Define “Parenteral”

Answer 22

Medication not delivered via the intestinal tract

Question 23

Define “Bioavailability”

Answer 23

The time it takes for a medication to be absorbed after being given

Question 24

List these in the order from fastest absorbed to slowest.

1. Capsules
2. Enteric Coated
3. Powders
4. Suspensions
5. Tablets
6. Liquids
7. Coated Tablets

Answer 24

1. Liquids
2. Suspensions
3. Powders
4. Capsules
5. Tablets
6. Coated tablets
7. Enteric coated

Question 25

If a medication has a 1/2 life of 4 hours, how much of the medication if left in the system after 12 hours?

Answer 25

12.5%

Question 26

If a medication has a 1/2 life of 4 hours, how much of the medication if left in the system after 8 hours?

Answer 26

25%