Nurs 215

Front 1

What are the seven responsiblities of a RN?

Back 1

knowledge (use of drug, routes of administration, range of dosages,etc), math skills, client's history(allergies), assess for response (client's response to drug), nursing process (planning and evaluating care of clients), Question orders (if incorrect/imcomplete), continue ed

Front 2

what are five rights of the patient?

Back 2

1. complete nursing assessment before administration of drug
2. infro about drug (action, side effects, reason, dosages)
3. receive shot safely and with no pain
4. right to refuse
5. written consent if experimental

Front 3

what is the difference between a drug and a medication?

Back 3

a medication is a drug but is only used for therapeutic effect. a drug may or may not be a medication depending on the use. GOALS for both are different.

Front 4

chemical compound/ molecular structure
i.e. acetylsalicylic acid

Back 4

chemical name

Front 5

name found in FDA publications
i.e. aspirin

Back 5

official name

Front 6

manufacturer gives drug this name - no trademark. i.e. aspirin

Back 6

generic name

Front 7

registered trademark name. i.e. bayer aspirin/tylenol

Back 7

brand name

Front 8

Three main drug resources?

Back 8

1. formulary, 2. PDR(physician's desk ref), 3. TEXTS

Front 9

The difference between a medication order and a prescription?

Back 9

MO usually seen in hospital/HCF

Prescription is written for a drug (OTC)

Front 10

What are the 8 types of orders?

Back 10

1. written
2. verbal (VO) emergency*
3. telephone (TO) emergency/condition change*
4. continuous - staying longterm
5. standing - special situations/protocols
6. single, one time only
7. now, STAT
8. PRN - nurse discretion(severe pain)

Front 11

After giving pain medication a nurse should?

Back 11

check on patient after 15-20 minutes after..if not feeling better do something about it

Front 12

what 7 things should be included in a MED order?

Back 12

1. first and last name of patient
2. date and time order was written
3. name of med
4. dose of med
5. route of med
6. time, frequency, duration of med
7. signature of person writing order

Front 13

What are the nine "rights?"

Back 13

1. right medication (check 3 times)
2. right dose
3. right patient
4. right route
5. right time
6. right conditions(with food, before meals etc)
7. right documentation(before and after)
8. right reason (why are you giving meds?)
9. right evaluation (results of meds)

Front 14

what are the three checks that should be done for RIGHT medication?

Back 14

1. when you take med out
2. when you are ready to pour it
3. when you replace bottle

Front 15

how can you make sure it's the right patient?

Back 15

call patient by first and last name, check ID band, MAR (medication adminstration record) must be for correct date

Front 16

the three checks?

Back 16

check all info on med sheet (meds signed for, pt room #, expiration date, etc)
2. check the MAR as you pour the med
3. check at bedside what MAR reads

Front 17

what are the three bedside As

Back 17

armband(name, id# match MAR and band)
allergies (ask pt, check MAR)
assessments (before:BP/pulse, after: relief of pain)

Front 18

always document meds given _______after you give them

Back 18

immediately

Front 19

always tell pt ______they are getting and _____they are getting it

Back 19

what and why

Front 20

_____orders on MAR with orders on pt's chart

Back 20

verify

Front 21

if unsure of calculation one should?

Back 21

ask for second opinion

Front 22

if you are uncomfortable giving meds then?

Back 22

DON'T GIVE IT

Front 23

insulin syringes are divided into ____

Back 23

units

Front 24

1cc = ______syringes

Back 24

tuberculin

Front 25

covers needle on syringe

Back 25

cap

Front 26

enters body

Back 26

needle

Front 27

holds insulin/medication

Back 27

barrel

Front 28

pushes meds/ insulin into body

Back 28

plunger

Front 29

what site is used to administer herparin, insulin, some immunizations(peds)? *Sites include arms, abdomen, thighs, upperback, upper dorsogluteal.

Back 29

subcutaneous

Front 30

usually no more than 1 mL is given here and 5/8 needle at 45 degrees.

Back 30

subcutaneous

Front 31

what is the preferred area when giving Heparin (clot preventing)? How would you give this? **exception

Back 31

abdomen, at 90 degrees and grab fat, do not aspirate, do not rub.

Front 32

sites used to administer insulin?

Back 32

abdomen, arms, thighs, buttocks *do not massage

Front 33

example of how to give insulin

Back 33

arm in the AM, Stomach in Pm, Thigh at night, arm in the next AM

Front 34

safe site away from vessels, bones, nerves, no more than 5 ml of fluid should be injected, 72-90 angle, used for antibioticsm hormones, vaccines

Back 34

Intramuscular

Front 35

most safe, recommended for adults, kids, used for medications that are irritating or thick in consistency, form a triangle to give, many different positions pt can be in.(1 1/2in)

Back 35

ventrogluteal (intramuscular)

Front 36

thigh area, divide thigh into thirds, used for infants and children (5/8-1in)

Back 36

vastas lateralis (intramuscular)

Front 37

small muscle, poor absorption, radial nerve and artery, only adults and up to 1ml of solution, good aread for HEP B

Back 37

deltoid (intramuscular)

Front 38

NO LONGER RECOGNIZED - located in buttock

Back 38

dorsogluteal

Front 39

20 steps of injection procedure

Back 39

1. gather equip
2. explain proced.
3. apply gloves
4. prepare syringe/meds
5. identify patient
6. provide comfort/privacy
7. locate site
8. cleanse area
9. remove cap
10. hold syringe between thumb and forefinger
11. DART the needle (IM/ SQ)
12. aspirate if appr.
13. inject
14. remove needle steady/slowly
15. apply pressure
16. do not recap
17. make pt comfortable
18. remove gloves and dispose
19. chart the administration
20. evaluate pt response

Front 40

takes the longest time to absorb, placed just below epidermis, common sites: forearm, upper arm, upper back. used for TB, allergy. Tuberculin syringe used (less than 0.5ml)

Back 40

intradermal injection

Front 41

humolog/ novolog insulins are:

Back 41

clear in appearance, short acting used with long acting insulin many times

Front 42

humulin R/ Novolin R

Back 42

regular- clear in appearance, short acting, diabetic emergencies

Front 43

NPH, Humulin N, Novolin N

Back 43

intermediate acting, cloudy in appearance

Front 44

humulin U, Ultralente

Back 44

long acting, given once a day cloudy in appearance

Front 45

lantus and levemir

Back 45

long acting yet clear

Front 46

symlin

Back 46

short acting, used with mealtime, rapid

Front 47

the mixing insulins rule

Back 47

"cloudy, clear, clear, cloudy."

Front 48

____insulin should never be contaminated by any insulin modified protein (NPH)

Back 48

regular

Front 49

enteric coated

Back 49

prevent stomach irritaion

Front 50

extended release meds

Back 50

slow, continous

Front 51

anaphylaxis

Back 51

immediate, sometimes life threatening

Front 52

Serum : therapeutic range, peak, trough

Back 52

desired effect, highest concentration, lowest concentration

Front 53

cumulative effect

Back 53

build up, can't get rid of previous dose

Front 54

antagonist

Back 54

lesser effect

Front 55

synergistic

Back 55

greater effect

Front 56

teratogenic

Back 56

causes embryonic defects