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Meds Damelio
Meds ppt. Ch 5 Damelio
Question | Answer |
---|---|
Before administering meds, know these 3 things` | Mode of Action/ Purpose of medication/ Side effects or contraindications Also - interactions and proper admin |
Define the 3 checks | 1. When you reach for the drug. 2. After you get it, compare to the MAR. 3. Before giving to patient |
Name the 6 Rights of Med Admin. The RIGHT.... | 1. medication 2. patient 3. dosage 4. route 5. time 6. documentation |
Defining needles: The first number is the ___ and the second number is the ______ | 1. gauge or diameter 2. length |
Some considerations when giving meds to older people | 1. slower gastric motility 2.decreased total body water (higher plasma concen)3. increased adipose (higher levels of fat soluble drugs)4. Decreased # or protein binding sites (saturation) |
The most common route of administration is___ | oral |
Drugs given orally are intended for absorption in the ___ and _____ | stomach and small intestine. Drug has a slower onset and more prolonged though less potent effect. |
Before giving meds, what must you ask the patient? | 1.Name 2.Birthdate 3.Allergies |
Should you perform an assessment prior to giving meds? | Yes, according to the action of the drug. If it is a BP drug, check the blood pressure. If it is a narcotic, check the pulse and RR and warn the patient not to get out of bed but to use the call button. |
True or False? It is permissible to turn your back on your medications if and only if the patient is in a coma. | But of course..... False! |
What 2 things should you do after administering meds? | 1. Document immediately 2. Evaluate the patient's response to the meds after an appropriate amount of time. |
T or F? It is possible to deliver all medications via a gastric tube. | False. There are pills that can NOT be crushed. |
When holding a bottle of medicine, make sure that the label is ___________ | against the palm. |
Before giving meds via a gastric tube you should | check for residual. Note amount and type. Pour 30 mL of water through to cleanse. Pour the meds and follow with 30-60 mL to clean. |
Can you give .5 mL of codeine? | NONONONONO. You can give 0.5 mL. Do NOT forget again! |
If a medication order is a narcotic, what else must be included? | The DEA# for the drug. |
6:30 pm in military time is what? | 1830 hours |
If a medication error is averted, does it still need to be reported? | Yes. All errors must be reported. |
Patient Rights of Medicine | Right Reason / Right to know / Right to refuse/ Right assessment by nurse |
Right med assessment by nurse | Knowledge of drug / relevant vitals / ability to swallow / allergies / Evaluate after administration for effect, side effect, toxicity |
Name 5 routes of oral administration | pills (whole or split) / capsules / liquids/ sublingual / buccal |
When is it improper to split or crush a pill to give half of the dosage? | When it is not scored, when it is time-released or XL, when it is enteric. |
Name several different ways to administer topically. | ointments, lotions, creams, Transdermal. |
What should you remember when applying transdermals? | gloves/ rotate spots/ take off old patches/ check to see how long they are to be worn. |
Eye drops/ear drops are referred to as? | Instillations |
Nebulizers and Inhalers are ? | Inhalations |