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16 Cards in this Set
- Front
- Back
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Chapter 35
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Medications
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Medication definition
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A substance administered for the diagnosis, cure, treatment, or relief of a symptom or for prevention of disease
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Factors affecting medication action
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Developmental-pregnancy, infants, geriatrics
Gender-distribution of body fat, fluid, hormones Cultural, ethnic, genetic-herbals Diet-nutrients affect action Environment-personality r/t mood altering drugs Psychologic-client expectations Illness and disease-altered drug action-aspirin Time of administration-GI absorption r/t food |
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Nurse practice act r/t medication administration
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Controls med administration by nurses
Nurses are responsible for teh own actions Knowledge of medication action Indications contraindications adverse effects appropriate dosages, schedules, routes knowledge of adverse reaction responses |
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Client's rights r/t medications
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The right to expect safe and appropriate drug administration
The right to refuse medications |
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Required parts of a medication order
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Full name of client
Date and time of order written Name of drug to be administered Dosage Frequency Route Signature |
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Routine order
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An order to administer a drug repeatedly over a long duration
Lasix 40 mg Q day po |
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Stat order
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The medication is to be given immediately and only once
Demoral 100 mg IM stat |
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Single order
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one time order for medication to be given once at a specific time-before surgery
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Standing order
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Follows hospital policy for response to a given situation??//
Nitroglycerin 0.4 mg SL Q5 minutes X3 for chest pain |
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PRN order
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Permits the nurse to give a medication when, in the nurse's judgement, the client requires it
Amphojel 15 ml po prn |
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First 5 "Rights" of medication administration
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Client
Medication Dose Time Route |
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Second 5 "Rights" of medication administration
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Client education
Documentation Refusal Assessment Evaluation |
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Laboratory values r/t medications
can be used to monitor |
Serum drug levels
Medication effects Medication side effects Liver, kidneys, electrolytes |
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Document
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Medications withheld or refused
Therapeutic effects and side effects of medications administered |
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Steps to administering oral medications
Review Utilize Assess Assess Perform Utilize Pull Check Identify Explain Unwrap Administer Document |
Review medication order
Utilize drug resources Assess allergies Assess ability to take Perform med specific assessments Utilize Mar Pull medications Check "5 Rights" three times Identify client with 2 identifiers Explain medications Unwrap meds and place in cup Administer to client Document as appropriate |
