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53 Cards in this Set

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Which act classes controlled substance medications into 5 schedules?

The controlled substance Act of 1970

What's a kardex

-Can be written in pencil and erased but is usually a pen and paper flip-file


-Not a legal document, is discarded when the patient is discharged


-Regularly updated to reflect current orders

Dr. Timed

Dose


Route


Time


Individual


Medication


Expiration


Document

What everything needed in a drug order?

Patients FULL name


Date


Name of med


Dose


Frequency


Duration


Route


Signature of physician

Prn

Medication order for "As needed"

TID

Medication order for "3 times a day"

BID

Medication order for "2 times a day"

What is percocet a combination of

Oxycodone and acetaminophen

Why shouldn't you mix percocet and acetaminophen

Bc percocet is already acetaminophen with oxycodone in it

Docusate sodium

Stool softener

What's a good to know fact about docusate

Usually prescribed along pain medication because pain pills cause constipation

Common brand names for docusate sodium

Colace


Dulcolax


Stool softener

What might interact with docusate sodium

Mineral oil

Ibuprofen

Pain (headaches, arthritis, etc.) , fever reduction, inflammation

What's a good to know fact about ibuprofen

It can cause GI bleeding

What are some common brand names for ibuprofen

Advil, midol, motrin

What might interact with ibuprofen

DO NOT TAKE:


- cidofovir


- ketorolac


- methotrexate


- pemetrexed



Can interact:


Alcohol, aspirin, diuretics, lithium, other inflammation drugs like prednisone, warfarin

Iron

Iron deficiency, Anemia

What's some good to know facts about Iron

May cause black/dark stool


May need a stool softener bc Iron can cause constipation

What are common brand names for Iron

Ferate, fergon, ferretts, ferrimin, Ferroctie


bifera, auryxia, feosol, duofer

What may interact with iron

Potassium

Prevent/treat low potassium


Potassium works with the heart, muscles, and nerves

What are some good to know facts about potassium

Too little can cause cramping (like Charlie horse)


Too much can cause death

What may interact with potassium

Certain diuretics (spironolactone, triamterene)


Certain meds for stomach probs (atropine, difenoxin, glycopyrrolate)


Eplerenone


Sodium polystyrene

6 rights

Right medication


Right dose


Right patient


Right root


Right time


Right documentation

ADME

Absorption


Distribution


Metabolism


Excretion

Upper respiratory system

Oral, nasal cavity, sinuses, pharynx, larynx, trachea

Lower respiratory system

Right and left bronchi, right and left lungs, bronchioles, and alveoli

Sympathomimetic decongestants

Vasoconstriction nasal mucous membranes

Antihistamines

Reduce or block histamines/allergic symptoms

H1 antihistamines

Block histamine for the sinuses/sinus allergies

H2 histamines

Blocks GI histamines/allergies/nausea, vomiting

Largest gage of needle

14

Smallest gage of needle

27

Gage for a sub q injection

25/27 (25 looks like 2S, s means sub q)

Smallest

Gage for intramuscular injection

21 (21 looks like 2I, I stands for intramuscular)

What needs to face up when giving an injection

The bevel

Degree intramuscular injection is given

90°

Degree subcutaneous injection is given

45°

Degree intravenous injection is given

25°

Degree intradermal injection is given

10-15°

1 tsp

5 mL

1 tbsp

15 mL

1 kg

2.2 Lbs

What degree is Heparin injection given at

45

What's the preferred IM site for a 6 month old

Vastus Lateralis

Which parenteral route has the longest absorption time

Intradermal

Site that is identified by the posterior superior iliac spine and greater trochanter

Dorsogluteal

An important nursing action when administering an IM injection using the Z track method

Add 0.5 mL of air to the syringe

What gauge is used for subcutaneous injections

25-29

How much is injected when administering an intradermal injection

0.1 mL

What to remember when administering meds parenterally

1-1.5 in needle length for IM injections



2mL or less should be admin in a subcut site



The scapular area of the back may be used for intradermal injections

What's parenterally

Injection