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31 Cards in this Set

  • Front
  • Back
What are the 6 rights of Medication Administration?


1. Right Patient


2. Right Medication


3. Right Dose


4. Right Method/Route


5. Right Time


6. Right Documentation


What are the Parenteral medication routes?
SubQ, IM, IV, and Intradermal
What are the Topical medication routes?

Skin, instillations, irrigations, and inhalations

What are the Nine Parts to Medication orders?


1. Patient Name/DOB


2. Date of the order


3. Name of Medication


4. Route & Specific Instructions


5. Time/Frequency


6. No unapproved abbreviations


7. Missplaced decimals?


8. Verbal orders


9. Provider signature


What is the definition of STAT order?

Right NOW- within 15 minutes

What is the definition of a single order?

Only given ONCE

What is the definition of a standing order?

given per provider instructions

What is a PRN order?

Only given as needed

How to you prepare an enteral feeding?


Check MD order, ID Patient, Explain procedure


Hand hygiene & don gloves


Provide privacy, patient in Semi-Fowlers


Attach syringe, aspirate (if more than 500ml re-instill contents, hold feeding


Check label on feeding- give @ room temp

What is the MAX hang time for enteral feeding?

4 hours

When should enteral feeding bag/tubing be changed?
Every 24 hours or based on facility policy
How to you check enteral tube placement?


#1- XRay


Aspirate contents-pH paper test


Auscultate- NOT BEST PRACTICE


Check length of tube


How do you prepare enteral medications?


Crush each pill individually dissolve in warm water


**Liquid meds is preferred

How do you administer enteral meds?


Flush with 30 mL of water


Give meds


Flush with 15 mL of water

What size needle should be used for a Intradermal Injection?


27g


1/4-3/8" needle


What is the max dose for a intradermal injection?

1 mL

What size needle should be used for a subcutaneous injection?


25-27 g


5/8 in needle

What is the max dose for a subcutaneous injection?


1 mL


What needle size should be used for a Intramuscular injection?


21-22 g


1 1/2-2"

What is the max dose that can be given in a IM injection?

3 mL

What does Regular insulin look like?

Clear, short acting

What does NPH Insulin look like?


Cloudy, intermediate acting

What is Lantus?


Long acting


SHOULD NOT BE MIXED WITH OTHER INSULINS


How do you mix insulins?


Inject air into cloudy


Inject air into clear


Draw up clear


Draw up cloudy

How do you monitor an IV infusion?


Check fluids- does it match order?


Follow tubing to the pump- does it need to be changed?


Check the pump- is the infusion rate correct?


Inspect tubing for kinks & air obstructions


Check IV Site- dressing intact, site change?

What is IV infiltration?


Swelling, cool to the touch


IV is no longer infusing into the vein


What is IV Phlebitis?


Vein becomes inflamed due to injury or irritation


Red & warm to the touch

What are the 3 cautions when giving enteral feedings?


1. Re-feeding syndrome


2. Hyperglycemia


3. Diarrhea

What are the 3 check's when gathering meds?


1. Read MAR- select med from drawer


2. After retrieving med from drawer & compare to MAR


3. When meds are prepared recheck labels to MAR or when at bedside recheck label to MAR after ID patient before giving med


Where is a G-Tube placed into?


Stomach

Where is a J-Tube placed into?

Small intestines