1 Fundamentals - Medical Administration B

Front 1

In addition to checking Mr. Browns ID band before administering Medication - you can correctly ID him by

Back 1

Asking him his name

Front 2

a medication reads K_Dur, 20 meq PO BID , this drug is administered :

Back 2

Twice a day BID
By Mouth PO

Front 3

when making a medication error, the FIRST response is

Back 3

check the PT condition to note any possible effect of the error.

Front 4

RN follow written orders unless in an emergency

t/f

Back 4

true

Front 5

what are the 7 components of a medication order?

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PATIENTS FULL NAME
DATE AND TIME ORDER WRITTEN
DRUG NAME
DOSAGE
ROUTE OF ADMINISTRATION
TIME/FREQUENCY
SIGNATURE

Front 6

systems for medical distribution are

Back 6

stock
individual pt supply
unit dose
compute controlled pixus
automated dispensing
med cart

Front 7

3 goals of planning medication orders are

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clinical symptoms will imrpove

pt will recieve theraputeic dose

pt will demonstrate education regarding meds

Front 8

controlled substances (narcotis)
must have double locked, narcotic record, pt name/dose/time/dr/amount/rn giving
shift change count
and discarding

Back 8

true

Front 9

name the 3 checks for medication

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1. label on med is checked 3 times

a)when you reach for container
b) before pouring
c) upon replacing container

Front 10

name the 5 rights for medication

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1. right med
2. right pt
3. right dosage
4/. right route
5. right time

(right DOCUMENTATION)

Front 11

What would you do when an error occurs with medication?

Back 11

notify physician and nursing supervisor

description on PT chart

incident report

prompt acknowledgement of errors may minimize detrimental effects

Front 12

what are PT's rights regarding meds?

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1. to be informed about med
2. to refuse meds
3. to be advised if medication is experimental
4. to recieve correct dose and med
5. not to recieve unecessary meds

Front 13

intended for absorption in stomach and small intestines. a solid or liquid.

the most common method of administration.

Back 13

oral administration

Front 14

when pouring a liquid, you must pour away from the label

t/f

Back 14

true

Front 15

after administering all oral medications, you can administer this under the tongue/side of gum between cheek. it is absorbed quickly

Back 15

sublingual/buccal

Front 16

the procedure for med administration is head back, look up , avoid touching eye, lower conjunctival sac

Back 16

opthalmic (Eye)

Front 17

OD is abbreviation for what

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the RIGHT eye

Front 18

OS is abbreviation for

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the LEFT eye

Front 19

OU is abbreviation for

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BOTH eyes

Front 20

administration by pulling ear lobe differently depending on age

ex) adult pull pinna up and back

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Otic (Ear)

Front 21

this administration occurs by obtaining meds as liquid first then crushing. elevate head of bed. give meds seperately and then flush with H20 between drugs.

no suction for 20-30 minutes after administration

Back 21

feeding tube

Front 22

clean area first with soap and water and then rub meddication into this area...can be powders, ointments, creams and oils.

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skin application

Front 23

a disk of medication applied to skin, this application can be worn while showering. absorption increased with local heat and cleaning skin.

NEVER APPLY HEAT TO PATCH AREA

Back 23

Transdermal

Front 24

meds forced in respiratory tract via mouth and nurse. alveolar capillary network absorbbs rapidly.

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inhalant

Front 25

foams gels creams suppositories
can be inserted

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Vaginal

Front 26

very vascular method of administration. suppositories, enemas, local or systemic.

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rectal

Front 27

this injections are given outside the intestines, faster action.

must be sterile technique!

Back 27

parenteral injections

Front 28

consider this when using a needle and syringe

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route
viscosity (thickness of needle)
quantity of medication
body size of pt
type of medication

Front 29

never mix more than 2 drugs in 1 syringe
and make sure those 2 drugs
are compatible.

Back 29

you may use multi dose or single dose vials.

Front 30

this injection is given into the loose connective tissue under the epidermis/dermis...slower than IM or IV.

give injection at 90 degree angle. skin taut 45 degree angle.

Back 30

subcutaneous

Front 31

the larger the number the smaller the diameter of the needle

t/f

Back 31

true

Front 32

the slowest injection below the epidermis.

this is used for skin testing for allergy/diseases. this is given in the inner surface of forearm, upper arm, upper back.

10-15 degree angle. no massage.
no more than 1 cc per shot.

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Intradermal

Front 33

faster absorption due to greater number of blood vessels. no greater than 5 ccs.
3 sites (vastus lateris, deltoid, ventrogluteral)

90 degree angle, skin taut. z track method to prevent seepage of med.

Back 33

intramuscular

Front 34

vastus lateralis injection... you would give injection in

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thigh

Front 35

deltoid injection...you would give injection in

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upper arm

Front 36

ventrogluteal injection...you would give injection in

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hip area

Front 37

this is the msot dangerous method due to medication being placed direct into bloodstream. IMMEDIATE action.

push single injection into IV line over 1 minute.

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Intravenous IV

Front 38

always inject into relaxed muscles. never use hard or tender areas

t/f

Back 38

true

Front 39

be sure needle is free of any medication to avoid irritation into subcutaneous tissue as inserted

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true

Front 40

dartlike injection, remove needle at same angle inserted, inject meds slowly and rotate sites

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true

Front 41

needle length is based on pts age, site and body mass

Back 41

true

Front 42

what is the slowest of all parenteral routes

Back 42

intradermal

skin taught. inner surface of forearm, upper arm, upper back.

Front 43

injection with faster absorption due to greater number of blood vessels

Back 43

intramuscular

Front 44

why is the IV method considered the most dangerous route of administration?

Back 44

the drug is placed directly into bloodstream and action is immedaite

Front 45

you administer meds through a NGT connected to continuous suction. how will you do this accurately?

Back 45

disconnect tubing from suction
administers meds
clamp for 20-30 minutes

Front 46

you understand that a contraindication for the intake of medication via the oral route is

Back 46

unconscious patient

Front 47

mr. J is recieving heparin subcutaenously. which is the correct procedure

Back 47

do NOT massage or aspirate

Front 48

darting action without massage is through

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intramuscular

Front 49

skin taut . no massage. 10-15 degree nagle

Back 49

intradermal (slowest of all parenteral)

Front 50

why is intravenous injections the most dangerous

Back 50

the injection is giving directly into the bloodstream making it the fastest method of reciveing meds