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23 Cards in this Set

  • Front
  • Back

What are the 3 checks of medication?

When getting it out of the drawer


When comparing to the MAR


When giving it to the patient

What are the 5 rights of medication administration?

Right medication


Right patient


Right dosage


Right route


Right time

What is the right documentation?

Medication given, dose and route


Time it was given


Signature of legal name


Document medication AFTER it is given


Patient refusal of medication

True or False: You always waste narcotics with another RN in the sharps container

True

What should you do when you make a medication error?

First check client for effects


Notify Prescriber


Document error and steps taken


Incident report

What are the routes of medication?

Enteral


Topical


Rectal


Inhaled


Parenteral

What position should the patient be in when being administered medication?

Fowlers or Semi-Fowlers

How should you administer elixirs?

Buccal administration if using a syringe

How many mL and how frequently should the nurse flush a feeding tube?

15-30 mL of water before and after meds

How should the nurse administer inunctions?

Wear gloves


Avoid inhaling poweders


warm creams and oils


massage ointments thoroughly in the skin

How should the nurse administer transdermal medications?

remove old transdermal


apply to hairless areas


rotate sites


discard in sharps container


Secure with palm of hand for 10 secs


monitor for skin irriation


Never cut patches

Who should the nurse administer Opthalmic medication?

Administer med into conjunctival sac


Use surgical aseptic technique


Have pt look at ceiling


Put pressure to tear duct for 30-60 sec

How should the nurse administer otic medication to children?

straighten ear canal


Pull down and back


Apply gentle pressure to tragus


Wait 5 minutes to administer to other ear

How should the nurse administer otic medication to adults?

Straighten ear canal


Pull up and out


Apply gentle pressure to tragus after


Wait 5 min to administer to other ear

How should the nurse administer nasal spray medication?

Aim spray toward medial canthus


Occlude opposite nostril


Avoid blowing nose for 5 min

How should the nurse administer vaginal suppositories?

Pt positioned in modified lithotomy position


Use an applicator


Pt will remain in that position for specified time

How should the nurse administer rectal administration?

Position pt in left later position


Insert just beyond interal sphincter


Instruct to retain medication for 20-30 min to stimulate defecation


60 min if for system absorption

How should the nurse administer inhaled medications?

Exhale completely, inhale deeply


Hold breath 5-10 sec after administered


Wait 1 minute bwt puffs

What are parenteral medication routes?

IV


IM


Intradermal


Subjcutaneous

What are the slowest routes of absorption?

Intradermal


Subcutaneous


Abdomen

What are the faster routes of absorption?

IM


Vastus lateralis


Deltoid


Ventrogluteal

How should the nurse administer a vial?

Insert needle


Turn vial upside down


Insert prescribed about into vial with air above liquid level

How should the nurse administer insulin?

draw up short acting first and then long acting