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47 Cards in this Set
- Front
- Back
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The 10 rights when administering medications are: |
Right Patient Right Medication Right Dosage Right Route of Administration Right Time Right Reason Right Documentation Right Response Right Form Right to refuse |
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“3 Checks” prior to medication administration: |
Check before removing the drug from the shelf. b. Check before preparing or drawing up the medication. When examining the medication also check the expiration date and concentration. c. Check before placing the drug back on the shelf or discarding. |
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Medication Verification |
Medical Assistants need to get ALL medications and immunizations verified by RN, LVN, or Provider prior to administration. EXCEPT PPD administration. All medications and immunizations need to be scanned prior to administration. Please follow the Orange County Ambulatory MAR Workflows and remember S.A.D.E. (scan, administer, document, exam room) workflow. |
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Intradermal injections must produce a bleb, bubble, or wheal. |
PPD can be administered by MA, RN, & LVN. Measurement and interpretation of PPD results is by RN & LVN only. |
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Intradermal injections are generally administered with a ½ inch 27-gauge needle. |
True |
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Subcutaneous injections are given at a 45-degree angle. |
Recommended needle size is 5/8 inch. • Maximum volume is 2 ml. • The procedure for giving subcutaneous injection is the same for an adult and child. |
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The average needle size for an intramuscular injection is 1 inch. |
For deep IM, use 1 ½ inch needle size. |
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When choosing an injection site, consider the amount and type of medication and size of the patient’s muscle mass. |
Okay |
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Ventrogluteal is the preferred site of deep IM. |
Dorsogluteal site is not an approved IM injection site. Administering medication to this site can cause damage to sciatic nerve. |
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Suggested maximum amount (ml) |
Deltoid – 2 ml o Vastus Lateralis –3 ml o Ventrogluteal – 5 ml |
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The preferred injection site for an infant or small child under the age of 3 is the |
anterior lateral aspect of the thigh – vastus lateralis. |
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Ways to reduce a child’s risk for needlestick injury is to use proper restraining techniques. |
Ok |
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Ways to reduce a child’s fear before giving injections are: |
Prepare the medication out of the child’s sight o Explain to the child what will happen right before you give the injection o Explain that the shot will hurt a little |
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Other medication principles: |
Never administer a medication that another staff has prepared. |
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Other medication principles: |
RN, LVN, MA can administer Narcan with a written physician order. Verbal order is acceptable during emergency/physician STAT only by RN and/or LVN. |
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Other medication principles: |
• It is not within the scope of practice of the medical assistant to calculate medication doses. MA can only administer unit dose or standardized dose. |
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Other medication principles: |
Per KPOC Scope of Practice Grid, MA cannot administer inhalation therapy and cannot measure and interpret PPD results. |
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Other medication principles: |
Per KPOC Medication Policy and Procedure, MA’s may NOT administer narcotics, antigens (excluding TB skin test), anesthetic agents (except eye drops), anti-coagulants, epinephrine, chemotherapeutic drugs, IV medications, Insulin, blood products nor anti-neoplastic drugs. |
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Other medication principles: |
Examples of topical form of skin medications: medicated lotion, ointment and cream. |
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Other medication principles: |
Elixirs are flavored, sweetened hydro alcoholic liquids intended for oral use. |
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Drug Calculations: |
Equivalents: 1 gram = 1000 mg 1 kg = 2.2 lbs |
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Calculation formula: |
Dosage ordered = Desired amount Dosage on hand Have amount |
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Calculation formula: |
Dosage desired diluent (mls) Dose Dosage available |
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A patient is to receive Benadryl 25 mg daily PO. Available is a bottle labeled 12.5 mg = 5 ml. How much medication should the patient receive? |
25 mg = x ml (Multiply 12.5 mg by x ml and 25 mg by 5 ml) 12.5 mg 5 ml 12.5 mg (x ml) = 5 ml (25 mg) 12.5x = 125 X = 125 divided by 12.5 |
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A patient is to receive Penicillin V potassium (V-Cillin K) 1 gm. V-Cillin K is available in 250 mg tablets. How many 250 mg tablets should the patient receive? |
You must first convert the dosage desired (1 gm) and the dosage available (250 mg) to milligram of measure. Conversion for 1 gm = 1000 mg. 1000 mg = 4 tablets 250 mg |
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A patient is to receive Zyloprim 0.2g daily PO. Zyloprim is available in 100 mg tablets. How many 100 mg tablets should the patient receive? |
You must first convert the dosage desired (0.2g) and the dosage available (100 mg) to one unit of measure. This can be accomplished by moving the decimal point three places to the right, changing 0.2g to 200 mg. You can also convert g to mg if you know that 1000 mg = 1g. Therefore, 1000 mg times 0.2g = 200 mg.
200 mg = x tabs 100 mg 1 tab
100 mg (x tabs) = 200 mg (1 tab) 100x = 200 X = 200 divided by 100 X = 2 tabs
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Ordered: Delestrogen 20 mg IM. Available: Delestrogen 20 mg/ml |
Give 1 ml
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Ordered: Aspirin 650 mg PO. Available: Aspirin 325 mg per tablet |
Give 2 tab(s) |
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Ordered: Compazine 10 mg IM. Available: Compazine 5 mg/ml |
Give 2 ml |
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Ordered: Vistaril 50 mg IM. Available: Vistaril 10 ml vial with 50 mg/ml |
Give 1 ml
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Ordered: Prednisone 40 mg PO. Available: Prednisone 10 mg/tablet in 100 tablet bottle |
Give 4 tab(s) |
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Ordered: Lanoxin 0.25 mg PO. Available: Lanoxin 0.125 mg per tablet |
Give 2 tab(s)
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Ordered: Lasix 20 mg IM. Available: Lasix 40 mg in 2 ml ampule |
Give 1 ml |
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Ordered: Rocephin 25 mg/kg IM. Patient weighs 33 pounds |
Give 375mg
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Ordered: Digoxin 0.125 mg. Available: Digoxin 0.5mg/ml |
Give 0.25mg/ml
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Ordered: Benadryl 10 mg. Available: Benadryl 12.5 mg/5ml |
Give 4 ml |
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Study Packet Calculations Answer Key |
1. 1 ml 6. 2 tabs
2. 2 tabs 7. 1 ml
3. 2 ml 8. 375 mg
4. 1 ml 9. 0.25 mg
5. 4 tabs 10. 4 ml
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Aspirin. = Aspirin |
Fever, pain, stable angina |
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Atenolol = Tenormin |
Acute MI, angina pectoris, HTN |
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Diphenhydramine = Benadryl |
Allergies, common cold, insomnia |
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Famotidine = Pepcid |
Indigestion, GERD |
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Furosemide =. Lasix |
CHF, edema |
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Ketorolac = Toradol |
Inflammation, Pain |
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Medroxyprogesterone. = Depo-provera |
Prevention of Pregnancy |
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Metoclopramide. = Reglan |
GI disorder, monitor for black box warning: tardive dyskinesia |
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Naloxone. = Narcan |
Opioid overdose |
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Ondansetron. = Zofran |
Nausea and vomiting |
