34 Flashcards
1
Q
The different type of orders
A
Routines and scheduled PRN Stat One time Renewal Prescription
2
Q
Carried out until it is canceled by the provider until the prescriber number of doses has been given
Ex: For 10 days
A
Routine and schedule
3
Q
As needed basis ex: ANALGESICS to control pain or laxative for constipation
A
PRN
4
Q
But a drug to be giving once
A
One time order
5
Q
It mediately for a single dose of meds to be given right away
What time should it be administered
A
Stat
15 minutes
6
Q
To continue certain meds provider must give or write a renewal order
A
Renewal order
7
Q
The only difference between physician order is that it needs to have the amount in the container
Example if it is to be given two times a day for one week they need to put 14 tablets
A
Prescription
8
Q
Oral meds
A
Tablet Capsule Spansule Enteric coated ELIXIR LOZENGE Sublingual Buccal Syrup Suspension
9
Q
Powder compress into______What a binding substance
A
Tablet
10
Q
Tablet
route and abbreviation
A
By mouth
tab
11
Q
Powder placed in a_____
A
Capsule
12
Q
Capsule
abbreviation and route
A
Cap
by mouth
13
Q
Time released PELLETS placed in capsule shell
A
SPANSULE
14
Q
SPANSULE
Abbreviation & route
A
Span
By mouth do not open
15
Q
Tablet with coating That does not dissolve until in the intestines
A
ENTERIC COATED
16
Q
Enteric coated
Abbreviation & route
A
EC
by mouth do not crush
17
Q
Sweetened flavoring substance w an active medicinal ingredient
A
ELixir
18
Q
ELIXIr
Abbreviation and route
A
Elix
By mouth or feeding tube
19
Q
Medicated tablet or disk
A
LOZENGE
20
Q
LOZenge
Abbreviation and route
A
None
by mouth to be sucked on until totally dissolve
21
Q
Tablet formulated To quickly dissolve under the tongue
A
Sublingual
22
Q
Sublingual
abbreviation and route
A
Subling
badmouth place under tongue until dissolved
23
Q
Tablet formulated To dissolve when placed in the inner cheeks the mouth
A
BUCCAL
24
Q
BUCCAL
abbreviation and route
A
Bucc
by mouth in cheek pocket
25
Take sugar solution combine with a medicinal ingredients
Syrup
26
Syrup
| abbreviation and route
SYR
| by mouth feeding tube
27
Medication particles suspended rather than dissolve in a liquid substance
Suspension
28
Suspension
| abbreviation and route
SUSP
| by mouth or feeding tube
29
Topical meds
```
Lotion
ointment
cream
tincture
drop
patch
inhalant
suppository
```
30
TM
| Liquid suspension
Lotion
31
Lotion
| abbreviation and route
None
| apply to skin
32
TM
| a semisolid thick preparation containing a medical agent
ointment
33
Ointment
| abbreviation and route
Oint
| apply to skin or mucous membrane
34
TM
| A semi solid then preparation containing a medical agent
Cream
35
Cream
Abbreviation and route
None
| applied to skin or mucous membrane
36
TM
| Medication dissolved in alcohol
Tincture
37
Tincture
| Abbreviation and route
TINCT or TR
| apply to skin
38
Liquid medication provided in a dropper bottle
Drops
39
Drops
| Abbreviation and route
GT, GTT
usually for nose eyes or ears
although infant vitamins and other medication’s are made as drops
40
Adhesive substance with medication bounded to it that is slowly absorbed into the skin
Patched
41
The Abbreviation and route for patch
None
| apply to skin for up to seven days for transdermal absorption
42
Liquid placed in a pressurized container or a squeeze bottle so that it will form an aerosol when activated
Inhalant
43
Inhalant
| abbreviation and route
None
| inhaled through the mouth or nose
44
Solid medication mixed with a viscous substance that dissolve at body temp
Suppository
45
Suppository
| abbreviation and route
Supp
| place in the vagina, rectum or urethra
46
Please describe what can you do if elderly patient has difficulty swallowing a pill
Crash or cut the pill unless contraindication or ask the provider for a liquid form of the drug
47
What form of medication administration is the simplest most convenient and the least expensive
oral route
48
In the form of eyedrops or eardrops or applied as ointment,paste, patches or lotion to the skin or mucous membrane
Topical medication
49
What route of medication administration is commonly used For children and patient that are vomiting
Rectal route or Ivy
50
Medication administration record
This is part of the patient’s medical record
Nurses refer to when administering med to the patient
MAR
51
Three types of med administration system
Stock supplies of medicine
Individual prescription system
Unit – dose method
52
Similar to unit doses system except pharmacy supplies enough doses for several days
Individual prescription system
53
Drugs package in single individual doses all of the morning pills in one bag for the patient
Unit doses method
54
What type of meds have to be locked up safely at all times
Legally control substance must be locked away example narcotics sedative
55
What must the nurse do Before removing the above medication from the PYXIS or any other fixed site dispenser
Sign in with username and password or biometric identification system Count the pills
56
What information must be documented when giving a patient fluids to swallow meds
Make sure they swallow before giving it. Any fluid must be documented in the intake
57
What is meniscus
Curved upper surface lowest point of the liquid in the cup when held at I level
58
Ashley liquid medication be poured from the bottle
Label must be protected in the palm of hand so the label does not get distorted from any residual liquid
59
Is it OK to swallow/ chew sublingual medication
No
60
What should you do if a medication dropped on the floor or the patient’s bed
Document that it waste
get two nurses have and witness and call the pharmacy for a new one
Document how much was billed and clean the patient’s bed after documentation
61
What are different forms of OPHTHELMIC medication
Drops ointment or an eye disk
62
Before instilling OPHTHALMAC medication which should you have your patient remove
Contact lenses
63
Please describe how and Otic medication is instilled
Position patient supine and in a lateral position
Straighten the ear canal by drawing back the pinna up and back
And still the medication and place a cotton in the external meatus to prevent medication from escaping
Keep the patient in lateral position for 5 to 10 minutes
64
How can you decrease systemic absorption of an eyedrop medication
Blocking the entrance to the lacrimal gland By placing finger over it
65
Briefly describe the steps for applying ophthalmic Medication
Expose the conjunctival sack and apply a thin ribbon of appointment along the entire length of the visible conjunctival sac
66
How should a patient receiving a eyedrop medication be position
Sitting or reclining position and ask them to look at the ceiling and tilt their head slightly to the side of the affected at
67
Where in the eye should the eyedrops be placed
Directly into the conjunctival sac do not place the drop on the cornea because it causes discomfort or damage
68
How should a patient receiving a nasal drop medication be positioned
The patient should lay down face up with the head off the bed and the neck hyperextended
69
What are the 5 common inhalant groups of drug prescribed for respiratory problems
```
Beta-agonist drug
Anticholinergics
Corticosteroids
Leukotriene modifier
Antiallergic med
```
70
Where should the mouthpiece be placed before administration of an inhalant medication
In the mouth between the teeth and seal the lips around it
71
When should the canister for inhalant medication be depressed
Inhalantion
72
How long should the patient hold their breath after administering the inhalant medication
10 seconds
73
When should the second puff if ordered be administered
Wait at least one minute before repeating the procedure and shake it again before giving it
74
What is the purpose of The spacer are used for inhalant medication
Enhances the delivery of medication deeper into the bronchioles
75
What are some different type of vaginal medication
Cream suppository or a douche
76
Where are the conditions in which suppositories are use
```
To prevent vomiting,
soothe hemorrhoids,
prevent bladder spasms ,
promote bowel evacuation,
and reduce fever.
```
The medication is absorbed through the mucous membrane
77
Where is the proper placement in the rectum in a patient receiving a suppository for bowel evacuation
Towards the umbilicus above the splinter so it’s not immediately expelled and against the bowel not in the store so it can be absorbed
78
How should the patient receiving a suppository be position
Place the patient in the left sims position
79
What are the proper technique for placement of a trans dermal medication
Supplied in a sustain release patch That is applied to clean dry hairless skin and left in place
As a paste that is spread on a small area of skin should be applied to areas with adequate circulation such as chest shoulders are upper arms and rotate site
Date time and initial the patch measure the old patch is removed before placing the new patch
80
Why should gloves be worn when applying nitroglycerin ointment
You do not want to absorb the medication through your hand
81
Life or death situation patient safety
Sentinel event
82
Should nitroglycerin paste be placed on the side of the paper with the writing or on the blank side
Paste on the blank side. Be sure to write the date time in initial on the paper
83
How should a pill be a minister through a feeding tube
Crush tablet or pills are open capsule.
See if you could get a liquid form of the medication
Do not mix medication and flush before and after
84
Can you crush ENTERIC COATED Sublingual or sustain released medication
No
85
How much water should each medication be mixed when ministering through feeding tube
Makes each medication with 30 mL of tepid/Luke warm water
86
Send medication mixed separately
Yes
87
What should you do if you discover a medication error
Report every medication error so that the medication safely can be improved ASAP
88
Would you be responsible to fill out an incident report if you found a medication error made by another nurse
The nurse who discovered the era is the one to report it and fill out the report.
Therefore the nurse that made the air does not have to be the one who reports it.
If that nurse did not report it you would have to report the med error
