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Nursing Unit Clerk > MOT: Review for Exam including Pharmacology > Flashcards

MOT: Review for Exam including Pharmacology Flashcards

1
Q

azithromycin

A

Zithromax (ABX)

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2
Q

ciprofloxacin

A

Cipro (ABX)

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3
Q

metronidazole

A

Flagyl (ABX)

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4
Q

vancomycin

A

Vancocin (ABX)

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5
Q

acetaminophen

A

Tylenol, Atasol, Tylenol Plain (Analgesic)

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6
Q

hydromorphone

A

Dilaudid (Narcotic Analgesic)

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7
Q

meperidine

A

Demerol (NA)

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8
Q

morphine

A

MOS, MS Contin, M-Eson, MSIR (NA)

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9
Q

Acetaminophen with 30mg Codeine, and 15mg Caffeine

A

Tylenol #3 (Combination drugs)

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10
Q

oxycodone and acetaminophen

A

Percocet (Combination drugs)

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11
Q

naloxone

A

Narcan (Narcotic Antagonist)

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12
Q

ibuprofen

A

Advil, Motrin (Anti-inflammatory Analgesic)

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13
Q

diclofenac

A

Voltaren (Anti-inflammatory Analgesic)

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14
Q

lorazepam

A

Ativan (Antianxiety Agents)

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15
Q

diazepam

A

Valium (Antianxiety Agents)

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16
Q

zopiclone

A

Imovane (Sedative/Hypnotic Agent)

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17
Q

dimenhydrinate

A

Gravol (Antiemetics)

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18
Q

ondansetron

A

Zofran (Antiemetics)

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19
Q

ducusate sodium

A

Colase (LAX)

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20
Q

sodium phosphate

A

Fleet Enema(LAX)

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21
Q

ranitidine

A

Zantac (Antacid)

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22
Q

pantoprazole

A

Patoloc (Gastrointestinal Tract Med.)

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23
Q

diphenhydramine

A

Benadryl (Antihistamine)

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24
Q

Dietary Cutoff Times

A

06:30, 10:30, 15:30

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25
Q

Late Tray Cutoff Times

A

09:30, 13:30, 18:30

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26
Q

AD

A

right ear

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27
Q

AS

A

left ear

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28
Q

AU

A

both ears

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29
Q

BTP

A

break through pain

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30
Q

CBG

A

capillary blood glucose

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31
Q

cc

A

with meals

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32
Q

cc

A

cubic centimeters

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33
Q

CPS

A

Compendium of Pharmaceuticals and Specialties

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34
Q

CVC

A

central venous catheter

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35
Q

CVL

A

central venous line

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36
Q

DS

A

double strength

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37
Q

EC

A

enteric coated

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38
Q

FDHS

A

for duration of hospital stay

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39
Q

GT

A

gastrostomy tube

40
Q

I.U.

A

international units

41
Q

L

A

litre

42
Q

L.A.

A

long acting

43
Q

LMWH

A

low molecular weight heparin

44
Q

lpm

A

litrers per minute

45
Q

MR

A

may repeat

46
Q

MS

A

morphine sulfate

47
Q

OD

A

right eye

48
Q

OS

A

left eye

49
Q

OU

A

both eyes

50
Q

PCA

A

patient controlled analgesia

51
Q

PRBC’s

A

packed red blood cells

52
Q

R/O

A

Re-order

53
Q

S/L

A

saline lock

54
Q

str.

A

strength

55
Q

U.

A

unit

56
Q

K

A

The order has been transcribed into the Kardex, also indicates that the order has been discontinued or erased from the Kardex.

57
Q

RMO

A

A requisition has been completed for diagnostic tests, treatment, or follow up card has been given to the patient.

58
Q

MAR

A

The medication order has been transcribed on the Medication Administration Record

59
Q

APPT

A

A test or treatment has been booked with another department or facility.

60
Q

I/C

A

The order has been entered into the computer.

61
Q

AWARE

A

Indicates the appropriate department or medical staff have been notified of the order.

62
Q

DONE

A

The order has already been completed previously.

63
Q

GIVEN

A

STAT medication or one time medication has been given by the nurse.

64
Q

FAXED

A

Indicates that the Physicians order sheet was faxed to Pharmacy- record the date and time the PO was faxed on the stamp.

65
Q

VM

A

Voice message has been left to a health care team member to advise of call/referral.

66
Q

PAGED

A

Indicates the Physician, individual/department have been paged

67
Q

NOTED

A

Indicates NUC has read the order and it has been transcribed/processed accordingly.

68
Q

Device used to administer intermittent IV meds

A

Saline Lock or Heparin lock

69
Q

Concentrated amount of medication injected into a vein

A

IV Push/Bolus

70
Q

Medications administered through a tube for patients who cannot swallow or are too weak or nauseated

A

Nasogastric Tube

71
Q

Fluids or medication given by injection or intravenously

A

Parenteral

72
Q

5 components of a medication order that are transcribed onto the MAR

A

Drug, dosage, route, frequency, misc.

73
Q

Definition of the MAR

A

A record that lists all the current meds to be given to the patient while in the hospital. Used by the nurse to record and administer medication.

74
Q

Two purposes of the MAR

A

1) is used to record the drug/dosage, route, frequency, and misc. 2) used to record administration times of all meds ordered for the patient.

75
Q

What records are used in transcribing Physician’s orders?

A

Physician’s order, MAR, Kardex, Computer, Requisitions

76
Q

4 reasons IV fluid might be administered

A

Maintenance therapy, replacement therapy, when a patient requires rapid and continuous infusion of meds, when a patient is unable to take meds orally, when a patient requires a transfusion of whole blood or blood components

77
Q

List 5 common IV solutions

A

1) 5%D/W (D5W): 5% dextrose in water
2) 5% D/S: 5% dextrose in saline
3) 2/3 1/3 (code 8): 2/3 dextrose 1/3 saline
4) NS (normal saline): saline solution
5) D51/2NS: 5% dextrose in 1/2 strength NS

78
Q

3 components of an IV order?

A

IV, solution, flowrate

79
Q

Another name for Saline Lock?

A

Heparin Lock

80
Q

When a Physician gas finished writing an order and is close to the bottom of the order sheet, what should the unit clerk do after signing off the order? Be specific

A

1) draw diagonal lines in red ink to “close the gates”
2) stuff the chart with blank Dr.s orders
3) flag for the nurse

81
Q

Where do you record orders for BG on the K and MAR?

A

K: under the monitoring section Glucometers: QID
MAR: make an entry in the scheduled/routine Glucometers QID at 7:30,11:30, 16:30, 21:30

82
Q

Where do you record the following

A

Large volume infusions with meds? Routine section of the MAR and IV section of K
Large volume infusions containing KCL? IV section of the K, Routine section of the MAR
Saline Lock? IV section of the K, On MAR under routine/scheduled Saline Lock/Flush
IV solutions containing no meds? IV section of the K

83
Q

What is the most common additive added to an IV Solution?

A

KCl

84
Q

Medication orders include?

A

New orders, changes, reorders, d/c’s and repeats

85
Q

What is the purpose of the Physician’s Order?

A

To communicate all medical care to have carried out by the medical staff.

86
Q

When do we have to Nurse Aware?

A

1) when there is a STAT order,NOW, IV Push, IV Bolus
2) When admin of a med is due 20 min. After the order has been written or within 1 hr before the order has been written
3) when there is more than 8 hr. Until the next dose or when the med will be missed for the day
4) when there is a new IV or SL set up is required
5) when an IV is d/c’d
6) when a med is ordered that the patient is allergic to
7) when a med is ordered routine and it has already been ordered prn
8) when DAT is ordered.

87
Q

When do we Dept. Aware?

A

STAT medication order (pharmacy), STAT blood work (lab), ABG’s (lab), blood cultures (lab), add on blood work (lab), when procedural trays are required and we need to order them from sterile processing dept.,dietary cut off times 06:30, 10:30, 15:30, dietary late tray times

88
Q

Basic guidelines for transcription of Doctor’s Orders

A

1)scan po and ppo, 2) check and double check patient’s name 3) fax to pharmacy, 4) Nurse Aware, 5) Dept. Aware, 6) MAR, 7) input into computer, requ’s 8) Kardex, 9) f/u apps., 10) symbolize, 11)check and double check orders are complete, 12) close the gates 13) stuff chart, 14) flag for nurse

89
Q

Love notes

A

Scan po and ppo, check and double check patients name, f/u appts, check and double check orders are complete, stuff chart, flag for nurse

90
Q

How do you transcribe sliding scale order on the MAR?

A

Insulin sliding scale per recent physician’s order under routine/scheduled section of the MAR. Depending on your site you may have a stamp of the sliding scale that you include on your MAR

91
Q

What is an activity order?

A

A Dr.’s order that defines the type and amount of activity a hospitalized patient will have. The amount dof activity will change to coincide with the patient’s stage of recovery; CBR, Dangle, up with help, BR with BRP, up in chair, recorded under activity on the K.

92
Q

What is a patient positioning orders?

A

When a Dr. Wants the patient to remain in a special body position to maintain body alignment, to promote comfort, and facilitate body functions.
HOB 30 degrees, log roll, Fowler’s position, turn q 2 hours; shall be recorded under activity on the K

93
Q

What is the meaning of Nursing Observation Orders?

A

When the Dr. Wants the nurse to observe the patients condition for a periodic observation time. VS q 4 h, BP q h x 4, wt. daily, I and O,Neuro checks q 2 h. These are recorded on the K under monitoring

94
Q

What is the definition of nursing intervention or treatment orders

A

Any act performed by a nurse that implements the nursing care plan or any specific objective of the clinical plan or pathway

95
Q

5 examples of nursing intervention or treatment orders?

A

Intestinal elimination orders, suction orders, urinary cath orders, heat and cold application orders, IV therapy orders, blood transfusion orders

96
Q

What is the meaning of heat and cold application orders?

A

Heat is used to promote comfort, relaxation, healing, and to reduce pain and swelling, and to promote circulation; cold is used to relieve pain, reduce inflammation, control hemorrhage and decrease circulation. Exp. hot compress to abscess 10 min. q h, spitz bath 30 min TID, ice bag to scrotum as tol., alcohol sponge for temp over 102, soak hand 20 min. in warm NS q 4 h while awake.

Nursing Unit Clerk (8 decks)

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