Class 1 Flashcards
(17 cards)
Nurses use measurements in multiple was for patient care:
- intake of _______
- _________
- _________
- _________
- fluids
- output
- height
- weight
Intake and Output
- Recorded in ____
- ____ may still be seen from time to time for I & O, but the Joint Commission has recommend no use of ___
- absolutely no use of ___ in ________ orders
- mL
- cc; cc
- cc; MEDICATION
Output measurements
- hospital _______ (used by male patients)
- urine ______ (placed in toilet to collect urine)
- _______ drainage is collected and included in the output value (ex: _____ _____ drain)
- urinal
- hat
- wound; Jackson Pratt
Reading Drug Labels
- ______ of the medication
- dosage of medication (______ ______)
- ______ that it comes in
- _________ date
- ______ number
- __________
While the RN may not see the actual label, they must understand _____ parts of it
- Name
- dosage strength
- form
- expiration
- lot
- manufacturer
ALL
Name: Each Medication Generally Has Two Names
1. ________ name
- named by ________ composition of drug
- If only one name appears, its usually the generic one
- Only ____ generic name per drug
- _______ name
- Named by the _________ company
- Also known as the _____ or _______ name- may be ______ trade names for one generic name
- Generic
- chemical
- ONE - Trade
- pharmaceutical
- brand; proprietary
- many
Dosage strength: “______________”
- is clearly written on the label
- may be called “_________” for a liquid
- Two parts: indicates (1) _______ of medication and (2) ______ ______
- 25 mg per tablet
- 200 mg per 5 mL
- Dosage Strength is often the most commonly ordered dose or average dose
- Dosage strength is determined by the _____ _______
WHAT per WHAT
- concentration
- amount; dosage unit
- drug company
Form of the Drug: _____________________
- ________
- _______
- _______
- ____-____
- ______________
- _______-
- _________
- _________
- _________
how does it come to ME
- tablet
- capsule
- caplet
- gel-cap
- enteric coated tablet
- elixir
- emulsion
- solution
- suspension
Scored versus non-scored
- only _______ tablets can be split/broken by the nurse
- If it is ______, it should only be given as a full tablet
- If the label does not specify, assume the tablet is ________
- tablet
- capsule
- caplet
- gel-cap
- enteric coated tablet
- scored
- non-scored
- NOT scored
All solid preparations cannot be split or broken into partial doses
- Tablet: depends on the _____ of tablet
- ______ tablets: ONLY tablets that can or should be broken
- ________ coated:
- coating allows med to be dissolved in a ______ medium
- should never be _______ or _______
- must be intact for enteric component to be effective
- _________ release:
- coated to allow release of the med over a specific _______ _______
- TYPE
- scored
- enteric
- basic
- broken; crushed
- extended
- time frame
All solid preparations cannot be split or broken into partial doses
- Capsule: ______ should ever be made into partial doses
- _________ release capsules
- _________ capsules
- _________ capsules
- some may be opened and ________ on food as a ____ dose
- dose is never “_______” or made into a ______ dose
- NONE
- sustained
- gelatin
- regular
- sprinkled; FULL
- split; partial
General guidelines of Rounding Doses in SOLID Format:
- _________ capsules
- _____
- _________
- ________ tablets to ______ numbers only
You ________ administer a partial dose of these types of preparations
- if the dose is rounded to a whole number, this rounded dose may _____ be a safe dose!
- round
- pills
- suppositories
- unscored; whole
CANNOT
- NOT
Liquid Forms of Medication
- ___________ (water based)
- __________ (alcohol based)
- __________ (two liquids)
- _________ (water based liquid)
- __________ (solid particles mixed in liquid)
- Aqueous
- Elixir
- Emulsion
- Solution
- Suspension
Medication Routes: ___________________
1. ____________:
2. ____________:
how does it go in the patient
1. nonparenteral: non-injectable
2. parenteral: injectable
Nonparenteral:
- ______ (enteral)
- mouth
- buccal and sublingual
- ____________ (enteral)
- ____________ (intestinal)
- _____ and _____
- _________ (enteral)
- _________
- _________
- _________
- oral
- nasogastric
- enteric
- eye and ear
- gastric
- rectal
- topical
- vaginal
Parenteral:
- _____________
- ____________
- ____________
- ____________
- _____________
- _____________
- intradermal
- subcutaneous
- intramuscular
- intravenous
- epidural
- Intrathecal
Expiration date:
- expired medication may lose _______ or become chemically _______ to produce a _____ form
- RN are responsible for this
- potency; altered; toxic
Lot number:
- needed in case a dose of a drug ever needs to be _______
- manufactures keep track of what shipments of drug are delivered where
- they monitor shipments by their lot numbers
- a common example is _________
- the nurse writes the lot number on the patient chart, along with the dose that they received
- traced
- immunizations