Week 2 - Medication Management via different routes Flashcards

Question

what to consider for the Cold Chain Management

Answer 1

System of transporting and storing vaccines within the temperature range of +2C to +8C * Ideal is + 5C * Staff in hospitals/clinics responsible for: – receiving – stocking – storing – administering * Must ensure cold chain is maintained at all stages

Answer 2

* Drugs of addiction * Stock levels of S8 and S4D/R medications should be kept to lowest level practicable * Must be stored in separate medication storage unit: – Metal safe – Securely attached to floor or wall – Kept locked – Lock should be five lever lock – Close to CCTV monitoring

Answer 3

1. All medications must be stored in a locked cupboard, room, drawer or trolley when not in immediate use 2.Except for emergency trolley medications 3.All medications must be stored in same container as received from Pharmacy 4.Medications must be stored in manner that minimizes medication error 5.Medication keys must be kept separate from other ward keys

Answer 4

Dose ordered/stock strength

Answer 5

dose ordered/stock strength x volume (mM)/1

Answer 6

dose ordered/stock strength x volume (mM)/1

Answer 7

1. All patients advised to bring current medications with them to hospital 2.Once medication history documented – advise patient to send medications home 3.Patient’s own medications should not be used for inpatient use expect: 1.not available from Pharmacy department 2. only used until stocked by pharmacy then sent home 3. Patient is day-only admission

Answer 8

* Purpose built vaccine fridges – glass door * Daily log of fridge temperature * Do not open fridge until you have located vaccine you need * Document vaccines placed in fridge * Place stock in labeled containers

Answer 9

* Under direct supervision for EVERY step of the procedure * Must be supervised by a REGISTERED NURSE only * Must have a valid written order * Medication categories include Schedule 2, 3 and 4 … NOT Schedule 4D/R or Schedule 8 * Routes of medication include ONLY those taught in the semester and that appear in your Professional Practice Book

Answer 10

Precautions associated with comorbidities * Polypharmacy – prescription, over the counter drugs, ‘sharing’ * Interactions between drugs * Higher rate adverse effects and mortality * Increase risk falls, frailty and disability

Answer 11

* Variables impacting on the calculation of a medication dose: height/length, weight, age, body surface area * Liquid forms * Use disposable syringe to prepare dose < 10 mL

Answer 12

Medication doses for the very young and older adult need to be adjusted due to pharmacokinetic variations such as: – immature or age affected organs – skin, intestine, liver & kidneys – poor peripheral tissue perfusion – higher (very young) or lower (older adult) water content – composition of body fat – lower plasma proteins (albumin) – Weight

Answer 13

the process by which a medication passes from the source of administration into the bloodstream. It is influenced by factors such as o body surface area, blood flow, presence of food, ability of medication to dissolve, lipid solubility of medication o the route of administration, such as: oral, inhalation, topical, IM, IV o medication form, such as: liquid, capsule, tablet, enteric coated, sustained release, suppository, transdermal patches

Answer 14

* Generic name & brand name(s), & pharmaceutical company * Medication Schedule * Therapeutic class * Use * Contraindications, precautions & interactions * Adverse effects * Medication forms (appearance, description, stock strength available) * Recommended dose * Directions for use

Answer 15

> Nebules are preferred source of solutions for inhalation > If nebuliser solutions must be measured with a syringe then label the syringe - white

Answer 16

> Container and line labels available > Syringes for non-injectable solutions must not be compatible with parenteral entry portals - green

Week 2 - Medication Management via different routes Flashcards

(40 cards)