quiz 1 Flashcards
(19 cards)
Proper
Numerator is less than denominator; the fraction has a value of less than 1 ¾
Improper
Numerator is larger than, or equal, to denominator; the fraction has a value of 1 or greater than 1
Whole numbers
Have an expressed denominator of one (1)
A decimal i
s a fraction with a denominator that is a multiple of 10. The decimal (.) is used to indicate place value.
ratio
Used to indicate relationship between two numbers
5% = 5 g in 100 mL
5% = 5 g in 100 mL
Intravenous (IV) solutions are given directly into a patient’s vein
Percentage = number of grams (g) of solute (powder) in 100 mL of diluent
1,000 mL of 5% Dextrose
5% = 5 g in 100 mL
5 g in 100 mL = (x) g in 1,000 mL
100(x) = 5(1,000)
x = 50 g
25% = 0.25
1.4% = 0.014
KG G MG MCG
KG G MG MCG
Move decimal point 3 places to the right for each step (×1000)
350 mg = 0.35 g
2.2 lb = 1 kg
Round answers to nearest tenth
To convert from Fahrenheit to Celsius:
Subtract 32 from °F and divide by 1.8 Example: Convert 75 °F to °C °C = (°F – 32) / 1.8 °C = (75 – 32) / 1.8 °C = 43 / 1.8 = 23.88 (round to the nearest tenth) °C = 23.9
To convert from Celsius to Fahrenheit:
Multiply by 1.8 and add 32
Example: Convert 38.4 °C to °F
°F = (1.8 x °C) + 32 °F = (1.8 x 38.4) + 32 °F = 69.12 + 32 = 101.12 (round to the nearest tenth) °F = 101.1
Types of Medication Orders
Direct orders
Medical Directives
Verbal Orders
Telephone Orders
PRN Orders
STAT Orders
9 Rights of Medication Administration
Right CLIENT - can be ensured by verifying that the medication record and the client wristband agree
Right MEDICATION - can be ensured by reading the label or medication form three times - for new medications consult with pharmacy
Right DOSE - The nurse must be able to calculate, accurately, the correct dosage to be given
Right TIME (24 hour time/military time) - the medication can be considered given “on time” if administered within ½ hour prior to or ½ hour after the time ordered
Right ROUTE – oral, inhalation, dermal, rectal, vaginal, parenteral
Right FREQUENCY – od, bid, tid, qid
Right SITE – ID, SubQ, IM
Right REASON – Nurses’ can refer to the CPS under “drug uses” to determine that this is an appropriate medication for the reason in which this patient is being treated
Right DOCUMENTATION
Instillation
Placed in the eye, nose, or ear
Parenteral
IV, IM, Subcut (SubQ), or ID
Equipment for Medication Administration
Medicine cup Used for liquid medication 5-30 mL Soufflé cup Used for solids such as tablets or capsules Calibrated dropper Used to administer small amounts of liquid medication Oral syringe To administer liquid medications orally Most accurate method Parenteral syringe Used for IM, Subcut, ID, IV meds Barrel marked in mL or units Needle attached to tip Plunger pushes medicati
Eight ESSENTIAL components
of an order
Order date Client’s full name Name of medication (generally generic) Dose with appropriate units of measurement Route Frequency Purpose Prescriber’s name, signature and designation
Written in following order:
Name of medication
Dosage
Route
Frequency
Medication reconciliation is done when the patient is…
- admited to the hospital
- transfered from one area t another
- discharged from hosp.