Med Admin Flashcards

1
Q

Medication Errors can lead to

A

-deaths
-life threatening situations
-hospitalization
-disabilities
-birth defects

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2
Q

Points of medication error- when

A

-Ordering/Prescribing
-Transcribing
-Dispensing
-Administering
-Monitoring

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3
Q

Types of medication errors- What

A

Wrong:
-patient
-drug
-route
-time
-dose/omitted dose
-dosage form
-technique
-documentation

-compliance

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4
Q

Black box warning

A

Alert of increased risk- may result in death or serious injury
Strictest labeling requirements FDA can mandate for prescription drugs

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5
Q

When an error occurs, what is your priority?

A

Assess/monitor patient continuously for adverse reactions
Notify charge nurse and physician
Complete incident report

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6
Q

Standing or routine

A

Administered until the dosage is changed or another medication is prescribed

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7
Q

Single (one-time)

A

Given once only for a specific reason

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8
Q

Now

A

When a medication is needed quickly, but not STAT

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9
Q

Range order

A

Medication order is written with dosage having a range

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10
Q

PRN/Contingency

A

Given when the patient requires it

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11
Q

STAT

A

Given immediately in an emergency and only once

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12
Q

Prescriptions

A

Medication to be taken outside of the hospital

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13
Q

7 rights

A

Right patient
Right medication
Right dose
Right time
Right route
Right reason
Right documentation

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14
Q

Right patient

A

Use two identifiers- name and DOB

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15
Q

Right medication

A

Check label for spelling, expiration date

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16
Q

Right dose

A

Know what the appropriate dose ranges are based on the route and patient

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17
Q

Right route

A

Know how the drug can and cannot be given, order determines route

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18
Q

Right time

A

Know medication schedules

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19
Q

Right reason

A

Is the order/medication appropriate

20
Q

Right documentation

A

In the eMAR

21
Q

Non-Parenteral Medications

A

-oral
-topical
-suppository
-eye drops/ointment
-ear drops/ointment
-inhalant

22
Q

Toxicity

A

Severe Adverse Drug Reaction
-excessive drug dosing or therapeutic drug dosage

23
Q

Idiosyncratic Effect

A

Uncommon drug response because of genetic disposition

24
Q

Paradoxical effect

A

Opposite effect than drug was intended for

25
Q

Iatrogenic effect

A

Disease caused by drug

26
Q

Teratogenic effect

A

Causing birth defects

27
Q

Adverse Reactions indentification

A

Thorough comprehensive assessment
-Did symptoms occur shortly after drug use?
-Did symptoms leave after drug discontinued?
-Did symptoms reappear when drug was reinstituted?

28
Q

Ways to minimize adverse reactions

A

-Education (you & pt)
-Early identification (hourly rounding)
-Monitoring (lab values, signs/symptoms)

29
Q

Oral (PO)

A

-Tablets/caplets/capsules
-Modified release
-Syrups
-Suspensions

30
Q

Modified release

A

Delayed release- enteric coated
Extended release- controlled release, sustained release and long-acting
Oral disintegrating- disintegrates in mouth

31
Q

Patient position for administering oral meds

A

Semi- High Fowler (30º or higher)

32
Q

Avoid PO meds if

A

-Changes in LOC
-NPO status
-Altered GI function (NG tube, N/V)
-Dysphagia

33
Q

PO Meds NOT to crush, split, or chew

A

-Enteric coated- EC
-Sustained release- SR
-Time released- TR
-Controlled delivery- CR
-Sublingual- SL
-Buccal

34
Q

Where do you split pills?

A

At bedside

35
Q

Types of topical meds

A

-Powders
-Creams/Pastes/Gel/Ointments
-Drops
-Aerosols/Sprays
-Medicated patches
-Suppositories

36
Q

Avoid shaving when applying topical medications. Why?

A

Razorburn or cuts, use electric razor instead of

37
Q

What to use when administering suppositories?

A

Water soluble lubricant

38
Q

What position should the patient be in when giving vaginal medications?

A

Lithotomy

39
Q

What position should patient be in for rectal suppositories?

A

Left lateral side-lying (SIMS)

40
Q

Administering Inhalers

A

Shake 5-6 times. Deep breath then exhale, tilt head back slightly, depress canister x1 and then inhale slowly.

41
Q

Verification Steps

A
  1. Acknowledge prescriber’s order(s)
  2. Check eMAR vs meds in Pyxis
  3. Check eMAR vs meds with patient at bedside
42
Q

Components of Drug Label

A

-expiration date
-lot number
-drug form
-manufacturer
-generic name
-brand name
-dosage

43
Q

What to teach for medications

A

-Name of med (brand & generic)
-dosage
-route
-frequency
-reason
-side effects

44
Q

Don’t dilute meds

A

Unless ordered

45
Q

Peg tube- long term use:

A

-Dysphagia
-Cancer/Radiation affecting GI tract
-Neurological deficits
-Bowel diseases/dysfunction
-Cranio-facial abnormalities, trauma
-Malnutrition

46
Q

Tube placement confirmation

A

X-Ray = GOLD STANDARD for initial confirmation
-after initial confirmation,assess placement by tube measurement

47
Q

Deviations

A

-An increase in length (pulled out): From intestines to stomach, from stomach into esophagus, from GI into lungs

-Decrease in length (pushed in): From stomach into intestine