Pharmacology 3 Pg 35-46

Front 1

The purpose of ADM medications is to evoke a ________ response

Back 1

Therapeutic

Front 2

The basic requirements for accurate drug ADM are the ____________

Back 2

6 RIGHTS OF MEDICATION ADMINSITRATION

Front 3

What are the rights of Medication ADM?

Back 3

Right Documentation, Right Dose, Right Drug, Right Patient, Right Time, Right Route, Right Reason

(Rights require knowledge of the drugs to be given, nursing skills & interventions)

Front 4

The implementation of the nursing process in adm of medications provides a systematic way of gathering and using information to?

Back 4

Plan and provide individualized patient care as well as to evaluate the outcomes of that care (cognitive and psychomotor skills)

Front 5

What are the five steps of the nursing process?

Back 5

Assessment, nursing diagnosis, planning and establishing goals for care, interventions, and evaluation as applied to med ADM

Front 6

General Principles of Accurate Drug Administration include?

Back 6

Follow the rights, learn essential information about each drug, interpret the prescribers order accurately (question if information unclear/if drug seems inappropriate for patients condition), in the event that a verbal or telephone order is given by a prescriber write down the order/enter it in computer + read order back to prescriber, read labels of drug containers for drug name and concentration (usually in mg/tablet, capsule, or mL of solution), use only approved abbreviations for drug names/doses/routes of ADM/times, calculate doses accurately, measure doses accurately, use the correct procedures and techniques for all routes, seek information about patients medical diagnosis/condition in relation to drug ADM, verify identify (2), omit or delay doses as indicated by patients condition, be vigilant when giving medications to children, pay attention to time.

Front 7

Examples of drug information we need to pay attention to:

Back 7

Indications for use, contraindications, therapeutic effects, adverse effects, any specific instructions about administration)

Front 8

Many medications are available in different dosage forms/concentrations. It is important to the use the _______ones

Back 8

CORRECCT

Front 9

Measure doses accurately, asking a colleague to double check measures of? (3)

Back 9

Insulin & Heparin + any drugs given IV

Front 10

Patient information to keep in mind

Back 10

Ability to swallow, allergies, new signs or symptoms that may indicate adverse effects of adm, heart, liver, kidney disorders that may interfere with patients ability to (distribute, metabolize, or eliminate drugs)

Front 11

Reason why we need to pay SPECIAL attention to children

Back 11

1) Great diversity in age from birth to 18 years+ in weight, many drugs not tested in children, many drugs marked in dosage forms/concentrations suitable for adults (for children dilution, calculation, and proper prep for small doses), children have limited sites for ADM of IV drugs

Front 12

RN and licensed practical nurses are legally empowered under state nurse practice acts, to give medications ordered by? (2)

Back 12

Licensed physicians and dentists (in some states, nurse practitioners may prescribe medications)

Front 13

The fact that physician wrote an erroneous order does not excuse the nurse from legal responsibility if she carries out the order, T or F?

Back 13

True

Front 14

The nurse is also legally responsible for actions delegated to?

Back 14

Nursing assistants

Front 15

Nurses are expected to monitor patient?

Back 15

Responses to drug therapy (Therapeutic and Adverse Effects), to teach patients safe and effective self ADM of drugs when indicated

Front 16

Medication mistakes primarily due to? And can also occur due to?

Back 16

Miscommunication; Giving an incorrect dose, not giving a drug, giving the wrong drug

Front 17

Specific drugs often associated with errors and adverse drug events (ADE) include? (3)

Back 17

Insulin, Heparin, & Warfarin (risk increases with the number of drugs a patient is on)

Front 18

Medication errors can happen during any step of the medication administration process, including:

Back 18

Prescribing, transcribing, dispensing, and administering

Front 19

There is an index for categorizing medication errors, ranked from?

Back 19

A-> I

Front 20

What does A identify?

Back 20

Circumstances that have the capacity to cause an error (didn't actually happen)

Front 21

Category I

Back 21

Identifies an error that contributed to a patients death (gives health care institutions the ability to track the RATE of medication errors)

Front 22

Each health care facility has a system for ______ drugs. What is the commonly used system?

Back 22

Distributing; The UNIT DOSE system, where most drugs are dispensed in single-dose containers

Front 23

It is essential that each dose of a drug be recorded on a patients _____ after administration

Back 23

MAR (Medical Administration Record)

Front 24

Institutions are using automated, computerized, locked cabinets that require a password/code for obtaining a drug dose. Who replaces maintains the medications when necessary?

Back 24

The Pharmacy

Front 25

Where are the controlled drugs kept (opioid analgesics)

Back 25

Stock supply in locked drawer or automated cabinet/replaced as needed (nurse needs to SIGN for each dose, record it on patients MAR) Comly with legal/institutional policies

Front 26

List some changes to prevent medication errors

Back 26

1) Computerized provider order entry (CPOE) A prescriber TYPES a medication order directly into a computer instead of handwriting, bar coding (FDA passed a regulation REQUIRING drug man. to put bar codes on current prescription meds and non prescription meds that are commonly used in the hospital- includes identification number, strength, dosage form of drug, + patients identification band contains the MAR (which can be displayed when a nurse uses a scanning handheld device), point-of-care, limiting use of abbreviations ( do not use), and medication reconciliation: avoid omissions, duplications, dosing errors, or drug interactions that occur when a patient is adm to a health care facility, transferred, or discharged)

Front 27

When ADM medication, the nurse scans the bar code on what three things?

Back 27

Bar code on drug label, on patients badge, and on their personal identification (nurses) badge. A wireless computer network processes ALL of this. Will give an error message on the scanner if wrong drug, or even the right drug at the right time.)

Front 28

What does it automatically record?

Back 28

The time, drug, and dose given on MAR

Front 29

What do medication orders need to include?

Back 29

The full name of the patient, the NAME of the drug (generic), the dose, route, frequency, date, time, and signature of prescriber

Front 30

Orders in a health care facility can be either (2)>

Back 30

Typed into a computer (preferred method) or handwritten on an order sheet in the patients medical record. Occasionally, verbal or telephone orders are acceptable.

Front 31

When telephone orders are taken they need to be?

Back 31

Written on the patients order sheet, signed by the person taking the order, and later countersigned by the prescriber. After written, copy sent to pharmacy where order is recorded and the drug is dispensed to the appropriate patient care unit.

Front 32

For drugs to be taken at home, ______ prescriptions are given

Back 32

Written (Should include dose, frequency, instructions, whether refilled for prescription.)

Front 33

Which prescriptions can not be refilled?

Back 33

Schedule II

Front 34

Some drugs are available in only one dosage form, others in multiple forms. T or F?

Back 34

True

Front 35

Controlled-release dosage forms allow for less?

Back 35

Frequent drug administration. Allow for drugs to be absorbed slowly and act over an extended period of time, they should NEVER be crushed , opened, or chewed.