Medication Administration Flashcards

1
Q

Types of orders

A

Routine order - continues until someone stops it
As needed order - PRN
One time orders (STAT & NOW)
-Stat - asap
- NOW ( within 90 mins)

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2
Q

Parts of a medication order

A

client identifiers
date and time of order
name of med
dosage
route
frequency
signature of provider

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3
Q

Medication Supply Systems Advantages

A

computerized automated dispensing cabinets
accessed by individual username & passwords
client specific medication displayed

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4
Q

Medication Supply System Disadvantages

A

med restock error
removal of medication error
work arounds and overrides

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5
Q

Barcode Medication Administration advantages

A

reduce medication errors
easier documentation

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6
Q

Barcode Medication Administration Disadvantages

A

manually input administration
requires nurse compliance

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7
Q

Rights of Medication Administration

A

right medication
right client
right dose
right route
right time
right assessment data
right documentation
right response
right to refuse
right reason
right education

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8
Q

Routes of administration

A

oral
parenteral
topical
inhalant
instillation

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9
Q

Oral route advantages

A

most convenient
most comfortable
easy to administer

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10
Q

Oral route disadvantages

A

nausea/vomiting
unconscious clients
swallowing difficulty
slower onset

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11
Q

Oral Medications
wheres the absorption
what kinds of routes

A

absorption is in stomach and small intestines
routes;
solid
liquids
enteral
sublingual/buccal

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12
Q

solid oral medications

A

tablets
capsules

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13
Q

liquid oral medications

A

elixirs
spirits
suspensions
syrups

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14
Q

enteral medications
how to crush

A

used with GI tubes
preferred route; liquid and crushable meds
crush completely, mix in 15-30 mL, flush before and after each med with 30 mLs

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15
Q

Sublingual and Buccal meds slower or faster than oral

A

faster

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16
Q

Parenteral Route Advantages

A

used for drugs that are poorly absorbed orally
immediate onset of action
avoid compliance issues

17
Q

Parenteral Route Disadvantages

A

can be painful
aseptic technique
require additional equipment to administer
cause serious safety events

18
Q

Parenteral Medications
absorbed where
types

A

absorbed in circulatory system
types;
needleless syringe
ampule
vial
prefilled syringe
reconstituted powder medicines

19
Q

Parenteral Routes

A

Intradermal - 10-15°
Intravenous - 25°
Subcutaneous - 90°
Intramuscular - 90°

20
Q

IM Injection Sites

A

Deltoid
Ventral Gluteal
Vastus Lateralis

21
Q

Topical and Instillation Meds Places

A

Skin
ear
eye
nose
suppostiory

22
Q

Topical and Instillation Routes Advantages

A

painless
limited adverse effects

23
Q

Topical and Instillation Routes Disadvantages

A

messy/uncomfortable
time consuming
risk for skin irritation

24
Q

Topical Skin application rules

A

always wear gloves
rotate sites for adhesive patches if possible
massage thoroughly in skin

25
Q

Instillation Eardrops Takeaway

A

pull pinna up and back
drop on side of ear
pump inner cartilage
lay down upward for 5 mins

26
Q

Instillation Eye drops takeaway

A

place in conjunctival sac only
light pressure on inner eye

27
Q

Instillation Nasal Drops Takeaway

A

blow nose prior to administration
do not sneeze after administration

28
Q

Instillation Suppository Postion

A

Rectal; sims
Vaginal; dorsal recumbent

29
Q

Inhalant Medications

A

Metered Dose or dry powder

30
Q

Medication Documentation

A

Administered Medications
Omitted Medications
Refused Medications