Wiki 2 Flashcards
What special consideration should be taken into account when administering Enteric coated and/or time released medications to a client?
Enteric coated and time released tablets should not be crushed, chewed or have their contents emptied into food or liquids as their active ingredients will be released prematurely and destroyed in the stomach. Absorption rate may also be altered and could result in a drug overdose or subtherapeutic activity.
When completing medication administration documentation, what 5 items must be included in the charting?
date
drug name
time
dosage
route
How does the nurse determine the outcome of medication administration?
Asses the patient’s condition and vital sighs 30-60 minutes after administering medication
What action does the nurse take before administering medications via a Nasogastric (NG) tube?
1) check placement/location of NG tube
2) Always flush the tube before and after administration with 30 mL of water
3) Flush between each medication with 5 to 10 mL of water
How long does the nurse wait to attach suction back to the NG tube after administering medications?
Do not reattach suction back for at least 30 mins
What is the advantage of administering drugs via the rectal route?
it avoids irriating the mouth, esophagus and stomach by bypassing those digestive enzymes and can be an alternative when a patient is feeling nauseous or vomiting
What is an example of a computer-controlled medication dispensing system that is commonly used in hospitals?
Pyxis
The nurse is responsible for __________________ narcotic controlled substances at the end of each shift with another nurse present
counting and documenting
If no disposal instructions are given for a medication, what is the recommended process for disposing of the drug?
Follow the specific instructions on drug label. Do not flush down toilet, unless specifically instructed to by the manufacturer. Place in household trash in a empty can or baggie mixed with coffee grounds, kitty litter or some other undesirable thing. Scratch out identifiable information on empty prescription bottles. Controlled substances should be flushed down the toilet to reduce unintentional use or overdose ans illegal abuse
What 7 elements must be present on a medication prescription order?
1) Patient’s full name
2) Date of the order
3) Medication name
4) Dosage of the medication
5) Route of administration
6) Frequency of administration
7) Prescriber’s signature
How does the nurse ensure that the client’s home medications are correct and match the medication list at the hospital?
Medical reconciliation is a single, shared, and updated medication allergy list for all patients. it contains all the medications a patient is taking along with their current medication orders. This list is comprised and accessed through physicians, nurses, and pharmacists who have an active role in reviewing, managing, and monitoring a patient’s medications. All providers in this role, including nurses, are in charge of the five-step process that helps to (1) develop a list of current medications being administered (2) develop a list of medications that were prescribed, (3) compare the medications on the two list (4) make clinical decisions on the basis of this comparison, and (5) communication the new list to appropriate caregivers and to the patient
What are the 7 rights of drug administration?
Right Time
Right Indication
Right Patient
Right Medicine
Right Route
Right Dose
Right Documentation
What four types of providers can order/prescribe medications?
Nurse Practitioners (NPs), Licensed Primary Healthcare Providers/ Medical Doctors (MDs), Physician Assistants (PAs), and Dentists [Also, Psychiatrists]
Why is it important for the stomach to maintain a pH of 1 to 4/5?
It is important to maintain a pH of 1 to 4/5 (depending on the presence of food and medication) for: protein digestion, killing bacteria that enters the digestive tract, the absorption of nutrients, emptying the stomach at a rate that allows proper digestion.
It is the nurse’s responsibility to provide education to the client on their medications?
Yes
What type of bacteria is thought to cause stomach ulcers?
H.pylori
