Medication Administration Test

Front 1

Pharmacology

Back 1

Study of medications and drugs, including their forms, intentions for use and effects derived from plants, animals, minerals and synthetically

Front 2

Reasons Drugs are Prescribed

Back 2

--Improve Condition (antihypertensive)

--Eradicate a condition (antibiotics)

--Prophylactic Drugs (prevents onset of condition)

Front 3

Drug Types

Back 3

--Prescription

--Nonprescription

--Controlled Substances

Front 4

Controlled Substance Log

Back 4

--inventory in stock / who administers drug

--How much was given / how much wasted

--date/name of patient.

--Must be available for inspection from DEA and must be kept on file for at least 2 years.

Front 5

Drug Administration Routes and Methods

Back 5

--Oral / Parenteral / Sublingual / inhalation

--Topical / Drops / Suppositories

Front 6

Parenteral

Back 6

Given outside the digestive tract typically by ID, IM, IV, SC

Front 7

Prescription Parts

Back 7

--Superscription / Inscription / Subscription

--Signa / Physician's info / # refills

--DAW (dispense as written)

Front 8

Computerized Physician Order Entry (CPOE)

Back 8

In order to enter into CPOE, you have to be credentialed!

---Credentialed MAs are allowed to enter orders into the EHR. Credential must be obtained from an outside credentialing agency not associated with employment such as AAMA or the AMT.

Front 9

Controlled Substance Schedule

Back 9

I - highest potential for addiction & abuse

V - Low potential for addiction & abuse

--II - DEA lisc. DR must complete required triplicate forms entirely written in his/her writing

--II - Drugs must be kept under lock & key

--III - can provide written, called in or e-prescribed prescription

--IV - MA may write prescription order for DR, but must be signed by DR

--V - Inventory records must be maintained on these drugs

Front 10

Commonly Abused Drugs

Back 10

--Analgesics - Demerol/Vicodin/Percocet

--Antianxiety - Valium/Xanax/Librium

--Antidepressant - Prozac/Elavil/Tofranil

--Sedative - Dalmane/Restoril/Seconal

--Illegal Drugs - Heroine/Marijuana/Cocaine

Front 11

When an Order is recieved

Back 11

Check order, making sure you clearly read order and completely understand what is being ordered.

--Continue with 3 before and six rights

Front 12

REVIEW the 3 BEFORE

Back 12

--Medication must be checked 3 times BEFORE administration:

--Before meds are removed from cabinet

--Before poured, drawn up or put in cup

--Before meds are returned to cabinet

Front 13

SIX RIGHTS

Back 13

--Right PATIENT

--Right MEDICATION

--Right DOSAGE

--Right ROUTE

--Right TIME

--Right DOCUMENTATION

Front 14

Oral Medication Types

Back 14

--Oral - Pills, syrups and other liquids

--Liquid - suspension, emulsions, elixirs, syrups

--Sublingual - under tongue

--Buccal - between cheek and gums

Front 15

Parenteral Medication Administration

Back 15

outside the gastrointestinal tract entering bloodstream more rapidly than medication given by other routes

--IM / SQ / ID / IV

Front 16

Syringe Parts

Back 16

--Lumen / Shaft / Hilt / Hub

--Barrel / Flange / Plunger

Front 17

Lumen

Back 17

Bore of hollow needle

Front 18

Shaft

Back 18

Length of needle

Front 19

Hilt

Back 19

Connects shaft to hub

Front 20

Hub

Back 20

Connects needle to syringe

Front 21

Barrel

Back 21

Holds liquid in syringe

Front 22

Flange

Back 22

Prevents needle from rolling on flat surfaces

Front 23

Plunger

Back 23

Expels meds from syringe or gathers meds into syringe

Front 24

Tuberculin Syringe (gray cap)

Back 24

calibrated in hundredths of a mL and used with 27/28 gauge needle.

Front 25

Insulin Syringe (orange cap)

Back 25

only type of syringe that is used for measuring or injecting insulin which is administered SQ in arms, abdomen, or thighs with 25/26 gauge needle

Front 26

Types of Injectable Medication

Back 26

--Vials

--Ampules - use filter needle to give to pt & clean neck before using

--Pre-filled cartridge Injection Systems

Front 27

Charting Medication Administration

Back 27

--Name of medication / Dosage

--Route / Date / Site

--Signature of person administering meds

Front 28

Intramuscular Injections

Back 28

Administered directly into skin at 90 degree angle given in deltoid, vastus lateralis, dorsogluteal, and ventrogluteal muscles

Front 29

Deltoid Muscle

Back 29

--(shoulder) Located on upper out surface of upper arm for small volume injections eg: tetanus boosters

--Location: measure 2 finger widths below top of shoulder

Front 30

Vastus Lateralis Muscle

Back 30

(Front of thigh) safest site for IM injections

--Location: extends from middle of front thigh to middle of outer thigh.

--1 handbreath below greater trochanter and extends to 1 handbreath above knee

Front 31

Dorsogluteal Muscle

Back 31

(buttocks) upper outer quadrant of buttocks used for large volume, deep IM injections or for irritating viscous medication

--Location: w/ pt laying prone (or bent over table), point toes inward causing muscles to relax. Draw imaginary line from greater trochanter of femur to posterior superior iliac spine. Give injection above and lateral to this line.

Front 32

Ventrogluteal Muscle

Back 32

Best/safest site to use because there is no major nerves or blood vessels in the muscle.

Location: place palm of RT hand on greater trochanter and index finger on superior iliac crest. Stretch index finger as far possible along iliac crest and spread middle finger away from index finger. Injection is made in space between index and middle finger.

--Always use hand opposite side of planned injection. eg: LT hand and PT RT gluteus medius

Front 33

Subcutaneous Injections

Back 33

Injection just under skin in fat (adipose) tissue for small doses of non-irritating meds such as immunizations, insulin & heparin in back of arm (most frequently used), upper back, abdomen and thigh.

--Given at 45 degree angle unless heparin or insulin which is 90 degree angle

Front 34

Intradermal Injection

Back 34

Injection of a substance into the dermis, just below the epidermis at a 10-15 degree angle.

Front 35

Tuberculin Skin Test

Back 35

Test to see if pt has ever been exposed to TB by applying a small amt of TB protein (antigen) injected under top layer of skin of inner forearm. If positive, a firm red bump at site will develop within 48 hours.

--Mantoux Test - used when symptoms, screening or test shows person may have TB

Front 36

TB Skin Test Questions

Back 36

--Experienced recent symptoms of TB?

--Positive TB test in the past?

--have you had TB in the past?

--Experienced risk factors for TB (contact )

--recently been TB vaccinated

--Treated w/ meds that affect Immune system

--infected with HIV virus?

--Skin rash on arm making reading test difficult