Chp 51

Question 1

t/f: you should always prep your own meds

Answer 1

true

Question 2

what are the 7 rights

Answer 2

patient, medication, dose, route, time, technique, documentation

Question 3

how do you fulfill the pt right of medication

Answer 3

pt cites full name & one other identifier

Question 4

how do you fulfill the medication right of the 7 rights

Answer 4

verify meds when prepping, bringing meds to pt, before administration, and after administration

Question 5

what are factors for a route of medication

Answer 5

age, general physical condition, body size/mass, gender, other medical problems/needs

Question 6

how do you fulfill the time right of the seven rights

Answer 6

check expiration and see if pt needs to be under certain conditions before meds (like NPO)

Question 7

list different routes of administration

Answer 7

oral, buccal, sublingual, drops, inhalation, intra-arterial, ID, IM, IV, intranasal, intraosseous, intrathecal, ophthalmic, otic, rectal, subcutaneous, topical, transdermial, vaginal

Question 8

how are buccal meds administered

Answer 8

between gum and cheek

Question 9

list forms of buccal meds

Answer 9

solution, gel, spray, or dissolvable tablet

Question 10

benefit of sublingual meds

Answer 10

fast absorption

Question 11

list forms of sublingual meds

Answer 11

dissolvable tablet/gel/spray

Question 12

list forms of inhaled meds

Answer 12

gassess, sprays, fluids, and powders

Question 13

where are drops administered

Answer 13

eyes, ears, nose, & mouth

Question 14

define intrathecal adminstration

Answer 14

meds into spinal canal by infusion/injection

Question 15

define ophthalmic administration

Answer 15

ointment/drops into eyelid/lacrimal opening

Question 16

define otic administration

Answer 16

into ear canal

Question 17

list forms or rectal meds

Answer 17

ointment/dissolvable tablet

Question 18

list forms of topical meds

Answer 18

sprays, lotions, creams, ointments, paints, salves, wet dressings, transdermal patches

Question 19

give examples of topical meds

Answer 19

nicotine, nitroglycerin, estrogen, fentanyl, exelon, daytrana

Question 20

list forms of vaginal meds

Answer 20

ointment, dissolvable tablet, douches, foams, creams, suppositories, sprays, salves, tampons

Question 21

what are the elements of a medication order

Answer 21

• full name of pt
• name and dosage of meds
• route
• frequency
• date and time order written
• specific instructions
• signature of prescriber

Question 22

who should do your documenting

Answer 22

for yourself

Question 23

what are elements of documentation

Answer 23

• who ordered meds and who should take it
• what meds & how much
• when meds administered & check expiration
• where meds given
• why meds given

Question 24

what things are required to be included in documentation

Answer 24

• pt’s name
• DOB
• medication name, amount, site, route, time administered, reactions
• patient education
• ordered by

Question 25

what should be documented if given an immunization

Answer 25

manufacturer lot number, serial number, expiration date

Question 26

what should be included when documenting side effects

Answer 26

date, time, type of reaction, medication administered to reverse reaction/restore function, airway support, level of care, outcome of interventions, instructions for further observations, (for immunizations: name of company, lot & serial number, container's expiration date)

Question 27

function of Vaccine Adverse Event Reporting System (VAERS)

Answer 27

- detect new & unusual adverse events - monitor increases in adverse events - identify potential risk factors - identify increase in events associated w/certain numbers - track safety of new vaccines - reporting & vaccine safety surveillance program

Question 28

what are the pros of oral medication

Answer 28

convenience, easy storage, more economic, generally lower risk, easy self-adminstration

Question 29

define PARENTERAL

Answer 29

administered by routes other than alimentary canal

Question 30

when are meds given rectally

Answer 30

- unable to swallow meds - unable to ingest meds orally - need imaging materials - treat local symptoms