*CH 47 Safe administration and error reduction

Question 1

Chemical name

Answer 1

meds chemical component

Question 2

Generic name

Answer 2

official or nonproprietary name of US adopted names council gives medication.
each meds has only on generic name

Question 3

trade name

Answer 3

manufacturers given name

Question 4

uncontrolled substances are?

Answer 4

require monitoring by provider but does not pose a risk for addiction or misuse

Question 5

controlled substance

Answer 5

potential misuse and dependent and has a schedule classification.
ex. heroin is schedule 1 med. no medical use

Question 6

what is an example of schedule 1 medcation

Answer 6

heroin. has no use medically

Question 7

what is a schedule II medication ?

Answer 7

morphine

Question 8

what is a schedule IV medication

Answer 8

phenobarbital

Question 9

Medication Category

Answer 9

has pharmacological action
therapeutic use
body system target
chemical make up
classification for use during pregnancy's

Question 10

Mechanism of action

Answer 10

how the medication produces its therapeutic effect

Question 11

Adverse effect

Answer 11

undesirable and potentially dangerous response to medication

Question 12

toxic effect

Answer 12

medication can have a specific risk and manifestation of toxicity

Question 13

interactions

Answer 13

meds interact with other meds that can cause beneficial or harmful effect.

Question 14

fun fact

Answer 14

giving beta blocker atenolol concurrently with calcium channel blacker nifedipine helps prevent reflex tachycardia

Question 15

what is precautions and contraindications

Answer 15

conditions that make it risky or unsafe for people to take

Question 16

Routine standing prescriptions

Answer 16

meds prescribed on a regular without a termination date. will stay in effect till provider discontinues it or discharge client

Question 17

opioids and antibiotics prescriptions

Answer 17

providers prescribe with given time and amount

Question 18

now prescription

Answer 18

is only for administration once or up to 90 min from when nurse received the order

Question 19

components of a medication prescription

Answer 19

full name
date and time 
name of meds 
strength and dosage 
route
time and frequency
quantity to dispense and refills
signature

Question 20

taking phone prescription:

Answer 20

read back prescription
ensure name, meds name, dosage, time to give, frequency, route
spelling is correct
state number separately
provider signature
write or or enter the prescription in patient medical record
have second nurse listen if possible

Question 21

pre assessment for medication therapy

Answer 21

health history

physical examination

Question 22

Rights of safe medication administration

Answer 22

right patient 
right medication
right dose
right time 
right route
right documentation
right client education
right to refuse 
right assessment 
right evaluation

Question 23

resources for medication information

Answer 23

nursing drug handbook
pharmacology textbooks
professional journals
physicians desk reference
professional website
pharmacists

Question 24

Common medication errors

Answer 24

wrong meds
incorrect dose
wrong client, route, time
administration of medication to which the client is allergic 
omission of a dose or extra doses
incorrect discontinuation of meds
inaccurate prescribing

Question 25

Institute for safe medication Practices ISMP

Answer 25

nonprofit organization working to educate about safe medication practices.

Question 26

high alert meds are

Answer 26

high risk of causing harm if administered incorrectly
error prone abbreviation
DO NOT CRUSH meds
look alike and sound alike meds

Question 27

minimize risk of medication error

Answer 27

avoid distraction, interruption
read meds label slowly and carefully
follow right meds administration

Question 28

Assessment of medication

Answer 28

knowledge of meds and why
medical dx 
can the pt take it
allergic?
obtain proadministration data ( HR, BP)
is med prescription complete  
interpret meds prescription accurately 
question provider if prescription is unclear or inappropriate for clients condition
question provider about drastic med dosage change
determine clients learning needs

Question 29

Planning medication

Answer 29

ID clients outcomes for meds

prioritize meds administration

Question 30

implementation of meds

Answer 30

avoid distraction
prepare meds for one client at a time
check labels
dose amount. 
follow right med admin 
only give meds that i have prepared
encourage pts to become part of safety net 
follow procedure route administration
communicate clearly in writting and speaking
do not leave meds at bedside

Question 31

evaluation for medication

Answer 31

eval clients response to meds
document
report
recognize adverse effects document and report them
notify providers of all errors and implement corrective measures immediately