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Essentials Exam 1 > Medication Administration > Flashcards

Medication Administration Flashcards

(64 cards)

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1
Q

Generic Name

A

official name
ex. ibuprofen

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2
Q

Trade Name

A

brand name; companies
ex. Motrin

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3
Q

Nonprescription medications

A

over the counter meds
without prescription
ex. cold medications
interreact with prescription medications

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4
Q

Prescription medications

A

dispended by a pharmacists

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5
Q

who can legally prescribe medications

A

physician, PA, NP, dentist

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6
Q

Medication Administration Record (MAR)

A

an inclusive list of all medications that is ordered for the patient (routine, as needed, one time, etc)

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7
Q

Routine order

A

administered until the health care provider discontinues the order or until a prescribed number of doses or days have occurred

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8
Q

Pm order

A

given only when the patient requires it. Use is determined by objective and subjective assessment and clinical judgement of the nurse

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9
Q

One-time or on-call order

A

given only once at a specified time, often before a diagnostic or surgical procedure

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10
Q

Stat order

A

given immediately and only once in a single dose; frequently given for emergency situations

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11
Q

Now order

A

used when a medication is needed quickly but not as immediately as a star medication; given one time

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12
Q

Oral

A

by mouth

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13
Q

Buccal

A

inside mouth against cheek

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14
Q

Sublingual

A

under the tongue

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15
Q

Sublingual

A

under the tongue

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16
Q

Parenteral

A

injection or infusion

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17
Q

Topical

A

on skin or mucous membrnae

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18
Q

External

A

NG tube, PEG tube, intestinal tube

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19
Q

Most common medication route

A

oral

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20
Q

Advantage of oral administration

A

safest, most convenient, least expensive

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21
Q

Disadvantage of oral administration

A

slower onset of action - have to ensure it was swallowed (pocketing)

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22
Q

What tablets should never be crushed

A

enteric-coated or sustained release

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23
Q

Oral admin: sublingual

A

under the tongue to dissolve
don’t eat or drink

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24
Q

Oral admin: buccal

A

placed against the mucous membrane of the cheek until dissolved
not be chewed, swallowed, or taken with liquids

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25
oral admin: enteral route
can be given via nasogastric, gastric, and jejunal tubes - must be ordered that route
26
Topical administration sites
eyes, ears, nose, rectum, vaginal lungs
27
Tropical administration must knows
absorption is affected by vascularity Cleanse skin before applying use gloves
28
Transdermal patch
designed to absorb through skin and deliver medication slowly for systemic effect
29
Transdermal patch must know
Rotate patch placement sites Remove current patch before apply to clean, hairless (upper arm, back, chest) Apply gentle pressure (don't massage)
30
Inhaled medication administration
taken into body via respiratory tract
31
Rinse mouth after receiving
steroids to prevent oral fungal infection
32
Ophthalmic administration
treat eye irritation, infection, or disorders
33
Otic instillation
treat ear infections soften earwax to ease removal
34
What temperature should eardrops be at
room temperature
35
Vaginal medications
creams, foams, tablets, liquids infection, itching, for surgery refrigerate before use no tampons
36
Rectal Medication
effects can be local (laxative) or systemic (antiemetic) refrigerate until use place above internal anal sphincter and against mucous membranes
37
Parenteral medication administration
injecting into tissue, muscle, or a vein absorption is faster risk of tissue damage
38
Luer-lock syringe
can be directly attached to access port of IV tubing or saline lock or can "twist on" needle to secure
39
Standard syringe
3,5,10 mL 0.5 to 3 inches 18,21,21,25 gauge
40
Tuberculin Syringe
1 ml 0.5 to 0.625 inches 26 to 28 gauge
41
Insulin syringe
30 units, 50 units, 100 unit capacity 4mm - 12.7 mm length 26 to 30-gauge
42
Needle gauge sizes biggest to smallest (21 G, 22G, 18 G, 25G)
The smaller the number bigger the gauge 18,21,22,25
43
Parenteral medication preparation
ampules and vials powdered medication prefilled cartridge or syringe mixing medications in one syringe
44
What significantly decreases needlestick injuries
needleless delivery system
45
Intradermal (ID)
shallow injection into the dermal layer just under the epidermis
46
Subcutaneous (subcut or SQ)
injection into the subcutaneous tissue just bellow the skin
47
Intramuscular (IM)
injected into a muscle of adequate size to accommodate the amount and type of medication
48
Intravenous (IV)
injection or infusion directly into the bloodstream through a vein
49
Intradermal administration
tb shot inner forearm, upper arm 15 degree angle
50
Subcutaneous administration
in fat tissue insulin and heparin insert at 90 degree angle (thin patient 45 degree angle)
51
Intramuscular administration
absorbed rapidly b/c higher vascularity arm, side leg, front of leg no not do aspiration
52
Z-track technique
seals the medication into the muscle tissue, with no tracking of medication into the subcutaneous tissue when the needle is withdrawn
53
Intravenous administration
used when rapid drug effect is needed catheter inserted into a vein deliver large fluid volumes
54
IV disadvantage
cost, difficulty maintaining access into vein, increased risk of infection, leaking our of vein into tissue, vein inflammation
55
Six Rights
Right patient, medication, dose, route, time, documentations
56
Right Patient
check ID band ask to state name and DOB (not room)
57
Right medication
always repeat back verbal orders review abbreviations
58
Right dose
check range calculate if necessary
59
Right route
can't sub one route for another without an order
60
Right time
administer within 30 mins before or after designated time time with meals if needed
61
Right Documentation
MOST important If never documented didn't happen
62
3 Checks - 1st Check
as you are pulling the medication
63
3 Checks - 2nd Check
As you are preparing the medication
64
3 Checks - 3rd Check
at the bedside

Essentials Exam 1 (6 decks)

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