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Pharm Ch. 10
Question | Answer |
---|---|
Keeps in minds your 6 rights? | right drug, right time, right pt, right route, right documentation, and right dose |
Always do what when giving meds? | wash hands |
When calculating meds you should? | double check |
Obtain drugs how? | 1 pt at a time |
Check the drug how many times before giving it? | 3x |
Check what on all meds? | expiration date |
Meds used after expiration date can cause? | less potent or harmful |
Make sure drugs given together are? | compatable |
before giving meds check what on the pt? | braclet |
open the drug when? | in front of the pt |
Stay with the pt while? | they take the meds |
Chart the medication on what? | medication record |
Response time will vary with? | route |
If the pt can't swallow well some meds can be? | crushed |
Crush? | one pill at a time |
Offer the pt how much to drink? | a whole glass |
T or F: you can place meds on pt's tongue? | T |
Sublingual and buccal routes are for? | rapid absorption |
Sublingual? buccal? | Under tongue, Between cheeck and molar |
Allow the drug to completely dissolve before? | swallowing |
Fluids should not be taken with ? | buccal or sublingual |
Orally disintegrating meds do what in the mouth? | dissolve without water in 60 seconds, placed on the tongue |
In orally disintegrating meds you have to make sure? | the pt has not eaten or drank in the last 5 min |
orally disintegrating meds cannot be? | split, broken, or torn |
If you overfill a liquid med you get rid of there excess where? | sink |
You can mix baby liquid meds? | with sweet tasting foods |
Do not mix meds with what? | honey it can cause botulism |
Before giving meds through a tube you should? | put pt in semi fowler position |
Tube, you should assess? | whether fluid restriction or fluid overload is a concern |
Tube, if a tablet must be given? | crush it if you can |
Tube, you should dilute what with 15-30 ml of warm water? | the tablet |
Tube, you should allow liquid to move? | by gravity |
Tube, do not try to? | force the medication |
After giving meds through a tube you should always? | flush it with 15-30 ml warm water |
Rectal, assess for what? | rectal bleeding or diarrhea |
Suppositories should not be? | divided |
The suppositorie should not be? | inserted into stool |
You should always do what with a suppositorie? | lubricate it |
While putting in the suppositorie you should tell the pt to? | take a deep breath, and exhale through mouth |
Never recap? | a used needle |
How do you recap a needle with meds in it? | scoop method |
What needles should be used when withdrawing meds from an ampule? | filter needles |
T or F: never use a filter needle for injection into a pt | T |
When removing meds from an ampule what needle should you use? | sterile filter needle |
Medications in a ampule rest where? | the top |
Multidose vials should have what on them? | date and time and discard date |
When getting meds from a vial you must? | inject air first |
The amount of air injected into a vial should be what? | the same amount taken |
How do you get meds from two vials? | inject air into first vial, then inject into the second, get does from second vile, and then get dose from first |
What is the air lock technique? | After getting the meds you need, add .2 ml of air |
When getting two insulin meds you should draw up which first? | clear then cloudy |
Why is the z track method used? | to prevent irritating substances from getting in other parts |
What method of injection is considered the safest? | ventrogluteal |
What is the ventrogluteal site? | pt is placed on their side, injection on side |
What should you do when giving a ventrogluteal site injection? | make a triangle and the site is the center |
What is the preferred vastus lateralis site for? | infants |
Iv's are more what than others? | dangerous |
Before giving IV's assess the pt for? | drug allergies, for phlebitis and inflammation |
Check what on IV bags? | expiration date |
Most iv's have what to add to them? | mixtures, add under hood |
Some IVPB have to be wat to be activated? | snap line |
When hanging IV bags do not? | squeeze the bag |
Always label IV bag with what? | pt name and room number, name of meds,dose, date and time mixed, your initils and date and time meds were given |
Label IV bag when? | meds are added |
How do you flush an IVPB? | usuing backpriming method (fluid is drained through the tubing into the old intravenous piggyback bag |
RN and only RN can give? | intravenous push meds |
What does bolus mean? | a dose given all at once |
When putting in eye drops make sure the pt is not? | wearing contacts |
wipe eye from? | inner to outer canthus |
Never apply drops to the? | cornea |
You apply pressure to the pt's nasolacrimal duct for? | 30-60 seconds, to reduce systemic absorption |
Wait several min before? | administering the 2nd eyedrops |
For ear drops in adults you should? | pull ear up and back |
For ear drops in children you should? | pull ear down and back |
How are nose meds given? | spray, drop, and dose metered sprays |
What is a flowmeter used for? | for pts to monitor the peak expiratory flow rates |
After pushing the inhailer how long do you inhale? | deep for 5 seconds, and have them hold breath for 10 seconds |
How long should you wait between puffs? | 1-2 min |
How long do you wait between meds? | 2-5 min |
pts should be taught? | to count puffs per day (needed), and divide by actual puffs taken |
Do not cut? | transdermal patches |
measure what topical med? | nitroglycerin ointment |