Week 5 Flashcards

1
Q

When is an order used?

A

typically used in inpatient setting

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2
Q

When is a prescription used?

A

typically used in outpatient setting

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3
Q

What is a standing order?

A

carried out until cancelled by another order
routine order
examples could be IV or straight cath

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4
Q

What is a PRN order?

A

as needed

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5
Q

What is a now order?

A

90 minutes to give meds

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6
Q

What are the 7 parts of a medication order

A
  1. pt’s name and secondary identifier (DOB or medical record #)
  2. date and time the order was written
  3. name of drug
  4. dosage
  5. route
  6. frequency
  7. signature of prescribing provider
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7
Q

What are the 3 checks of medication administration?

A
  1. include 6 rights of medication administration
    1st check: order received
    2nd check: medication is being prepared for administration
    3rd check: right before pt ingests the medication
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8
Q

Rights of medication administration?

A

-right pt
-right medication
-right dosage
-right route
-right time
-documentation
-always check for allergies prior to giving meds
-expiration date

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9
Q

2 questions to ask self during right medication check?

A

-Has pt been given this medication before?
-Does it make sense, given the pt’s symptoms and diagnosis, for the pt to have this med?

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10
Q

Where do oral meds absorb in the body?

A

stomach or small intestines

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11
Q

When should you not give oral meds?

A

-when there is swallowing difficulty or pt is on aspiration precautions
-pt cannot follow commands
-vomiting
-Nothing by mouth order (NPO)

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12
Q

What are the solid oral route administrations?

A

-tablets
-capsules
-pills

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13
Q

What are the oral liquid route administrations?

A

-elixirs
-spirits
-suspensions
-syrups

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14
Q

What oral meds should not be crushed or split?

A

enteric coated
extended release, sustained release, sustained action, controlled release
capsules

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15
Q

2 questions to ask during frequency of med check?

A

When was the medication last given?
Administration, before, with, or after meals

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16
Q

Which meds must be given right on time?

A

pre op meds

17
Q

What is CJMM model?

A

Recognize cues
Analyze cues
Prioritize hypotheses
Generate solutions
Take action
Evaluate Outcome

18
Q

What to consider when recognizing cues?

A

time of medication ordered
vital signs of pt
medication allergies

19
Q

What to consider when analyzing cues?

A

pt not allergic to medication due?
medication can be given 1/2 before to 1/2 hour after time due, within this time frame
vital signs within normal limits

20
Q

What to consider when prioritizing hypotheses?

A

med due now
can be given with other meds?
can be given with food?

21
Q

What to consider when generating solution?

A

pt verified for correct pt
right dose, right time, right route, right drug, right documentation

22
Q

What are expected goals for receiving medications?

A

Expected therapeutic effects will be demonstrated within a specified amount of time
expected change in symptoms; for example, the pt’s pain will be relieved, or vital signs will return to baseline
maintenance of therapeutic blood levels of medication