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
Which meds must be given right on time?
pre op meds
What is CJMM model?
Recognize cues
Analyze cues
Prioritize hypotheses
Generate solutions
Take action
Evaluate Outcome
What to consider when recognizing cues?
time of medication ordered
vital signs of pt
medication allergies
What to consider when analyzing cues?
pt not allergic to medication due?
medication can be given 1/2 before to 1/2 hour after time due, within this time frame
vital signs within normal limits
What to consider when prioritizing hypotheses?
med due now
can be given with other meds?
can be given with food?
What to consider when generating solution?
pt verified for correct pt
right dose, right time, right route, right drug, right documentation
What are expected goals for receiving medications?
Expected therapeutic effects will be demonstrated within a specified amount of time
expected change in symptoms; for example, the pt’s pain will be relieved, or vital signs will return to baseline
maintenance of therapeutic blood levels of medication
