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31 Cards in this Set

  • Front
  • Back
What are 6 Nurse Responsibilities when administering drugs to a patient?
-Know classifications, actions and side effects of drug
-Know patient details and why drug was prescribed
-Before drug administered, nurse must know all variables of the client’s condition
-Know how drug is acquired and pharmacy procedures
-Know how to prepare and administer drug safely
-Be prepared to recognize and react to adverse effects
What are some common drug administration errors? (name 4)
-Wrong medication
-Wrong time given
-Wrong route
-Wrong patient
-Over OR under dose
-Not identifying patient using two identifiers
-Lack of documentation
Med errors are real…How can nurses help to prevent them?
-Know the seven rights of medication administration.
-Know the three checks of medication administration
What are the seven rights of medication administration, used as the basis of safe delivery of medications?
1. Right client/patient
2. Right medication
3. Right dose
4. Right route of administration
5. Right time of delivery
6. Documentation
7. Product within expiration date
What are the three checks of medication administration?
1.Checking the drug with the MAR or the medication information system when pulling it from storage
2.Checking the drug when preparing it, pouring it, taking it out of the unit-dose container, or connecting the IV tubing to the bag
3.Checking the drug before administering it to the patient
When using the seven rights and three checks, will mistakes still occur?
YES
Who is responsible for correct administration of drugs?
Nurses are held accountable for correct administration of drugs, but responsibility also rests on other positions like physician and pharmacist
Define an allergic reaction?
Allergic reaction - an acquired hyper-response of body defenses to a foreign substance
If an allergic reaction is discovered what is the nurse responsible?
-labeling charts
-informing all personnel
- placing alert bracelet on patient
Define an anaphylactic reaction?
Anaphylaxis
A severe allergic reaction involving the massive, systemic release of histamine and other chemical mediators of inflammation that can lead to life threatening shock
If an anaphylactic reaction occurs how quickly should a nurse respond?
Requires immediate treatment
What is Drug Compliance?
Compliance is taking a medication in the manner prescribed by the health care provider
Who is has an active role in ensuring compliance?
Patient has active role.
What are some factors that cause a patient to be non-compliant with prescribed medication regime?
-Cost of drug
-Forgetting doses
-Annoying side effects
-Self-adjustment of doses
-Fear of dependency
Does the Nurse need to be vigilant in questioning patients about their medications?
YES
What is meant by STAT?
medication is to be given immediately, and only once
What is meant by the term ASAP?
drug should be available for administration within 30 minutes of the written order
What is meant by the term PRN?
drug administered as required by the patient’s condition
Define Single order.
– drug to be given only once at a specific time
Define routine orders.
Orders not written as STAT, ASAP, NOW, or PRN.
Define Standing order.
written in advance of a situation that is to be carried out under specific circumstances.
Who sets the standards for using abbreviations to practitioners?
The Joint Commission
How often are drug orders required to be reviewed by the attending physician?
With-in specific time frames, at least every 7 days.
What is important to be aware of in relation to drugs administration and foods/meals?
-Drugs may need administration during or between meals, depending on interaction with food.
When is the best time to administer Central nervous system drugs and anti-hypertensives?
at bedtime
Who is responsible to educate patients carefully about timing of taking medications?
The nurse.
When does the Nurses carefully document the details of medications given to patient?
after they have been given
Should the nurse document Refusal or omission of medication?
YES.
What are Three Systems of Measurement Used in Pharmacology?
- Metric—most common
- Apothecary—oldest
- Household
Should a Nurse Be Able to Convert Among All Three Systems?
YES. Metric, Apothecary, and Household Approximate Measurement Equivalents are important to know.
--NOTE: The Joint Commission (JC), the accrediting organization for health care agencies, has placed apothecary measurements on its “recommended do not use” list
Should the Nurse encourage use of accurate medical dosing devices at home?
YES