Medication Administration Flashcards
(18 cards)
What are the nursing actions when a patient refuses a medication?
- Provide education
- If refusal persist, notify provider of patient’s refusal
-Document patient refusal, education provided, and the provider who was notified
What is an instance that requires 2 nurses in regards to medication administration?
Wasting narcotics when it is partially used or being discarded
Routine/standing order
order that is followed until a new order cancels it; order thats in place;
PRN order
Nurse precautions with PRN orders?
PRN meds are given as needed
Good clinical judgement and assessment needed
IS PRN SAFE TO GIVE/ IS IT NEEDED AT THIS TIME
Standing protocols
STANDARDIZED set of instructions in place for a med to be given in a specific situation
One time orders
given one time and one time only
STAT orders
are to be given immediately
Medication orders should include 8 Thing
Patient Name
Provider Name & Signature
Medication Name
Date Written
Time
Frequency
Dose
Route
A medication order is incomplete? What do you do, nurse?
Do not pursue order.
Reach out to ordering provider, to have it corrected.
What is a high alert medication?
Medications that can cause serious harm if used incorrectly
Example of high alert meds
Heparin- risk for bleeding events
Insulin- can severely drop blood sugar
Opioids- can depress respirations
Potassium- can stop someone’s heart
What is the therapeutic effect vs adverse affect?
therapeutic- a drugs desired/intended effect
adverse effect- anything other than the desired effect
Synergistic drug compatibility vs
Antagonistic drug compatibility
synergistic-drugs that work together and INCREASE drug effects
antagonists- drugs that work together and decrease drug effects
3 Safety Check for Med Admin
Check when pulling from Pixis
Check when at the computer
Check when at the bedside
Things Nurse Should review regarding medication assessment
Medication Hx
Allergies/Intolerances
Medical History
Pregnancy + Lactation Status
What should nurse check in patient’s chart prior to giving meds?
What should nurse check on patient, prior to giving meds?
Chart- Medication order, pt diet, lab values
On Patient- Pt ability to swallow, pt IV access
Routes of administration
PO
ID
SubQ
IM
IV
Sublingual
Buccal
Topical
Inhalation
Opthalmic
Otic
Nasal
Rectal
Vaginal
Parenteral
Can you crush enteric coated medications?
Coated medications should not be crushed as it will cause med to be absorbed more rapidly
