Week 5 Flashcards
When is an order used?
typically used in inpatient setting
When is a prescription used?
typically used in outpatient setting
What is a standing order?
carried out until cancelled by another order
routine order
examples could be IV or straight cath
What is a PRN order?
as needed
What is a now order?
90 minutes to give meds
What are the 7 parts of a medication order
- pt’s name and secondary identifier (DOB or medical record #)
- date and time the order was written
- name of drug
- dosage
- route
- frequency
- signature of prescribing provider
What are the 3 checks of medication administration?
- include 6 rights of medication administration
1st check: order received
2nd check: medication is being prepared for administration
3rd check: right before pt ingests the medication
Rights of medication administration?
-right pt
-right medication
-right dosage
-right route
-right time
-documentation
-always check for allergies prior to giving meds
-expiration date
2 questions to ask self during right medication check?
-Has pt been given this medication before?
-Does it make sense, given the pt’s symptoms and diagnosis, for the pt to have this med?
Where do oral meds absorb in the body?
stomach or small intestines
When should you not give oral meds?
-when there is swallowing difficulty or pt is on aspiration precautions
-pt cannot follow commands
-vomiting
-Nothing by mouth order (NPO)
What are the solid oral route administrations?
-tablets
-capsules
-pills
What are the oral liquid route administrations?
-elixirs
-spirits
-suspensions
-syrups
What oral meds should not be crushed or split?
enteric coated
extended release, sustained release, sustained action, controlled release
capsules
2 questions to ask during frequency of med check?
When was the medication last given?
Administration, before, with, or after meals