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Med Admin
Medication Administration
| Question | Answer |
|---|---|
| What does the FDA regulate or monitor? | * Regulate production and distribution of meds. * Monitors drug efficacy and safety * Controls testing of meds * Does not regulate herbal remedies and some naturopathic supplements |
| Review steps for administering meds. (end of chp 36). | |
| What are some common causes of med errors? | Ordering or prescribing the wrong drug, dosage or route. (Physician) * Transcription errors (Physician, clerk) * Dispensing errors (pharmacy and tech * Administration errors (Nurses) Highest percent of errors. |
| What are the components of the med order? | * Clients full name * Date and time order was written * Name of medication * Dosage size, frequency, number of doses * Route of administration * Indication (mostly PRNs) * Signature of prescriber |
| What is the Nurse Practice Acts include? | RN scope of practice includes administering prescribed aspects of care (e.g. treatments, therapies, and medications.) * Clarifies health care provider orders when needed. |
| What are some guidelines for safe use of ET Tubes for admin. meds?? | * Do not add meds directly to feeding * Each med separately * Dilute solid or liquid medications as appropriate * Avoid mixing medications being administered through an ET Tube. * Stop feeding-Flush w/15mL before and after each med. * Flush again. C |
| Continued............ | * Restart enteral feedings when appropriate. * Collaborate with your pharmacist. |
| What are some important points to remember about ET Tubes? | * Follow hospital policy and procedure. * Verify placement using two methods. * Crush meds thoroughly - no enteric coated * Prepare Singly * Check residual for any type of feeding or decompression tube * Notify Pharm what meds are used with tube feed |
| Continued............ | * some meds such as Dilantin are a problem due to slow absorption. |
| What are some of the Parenteral medications? | * Intradermal * Subcutaneous * Intramuscular * Intravenous |
| List the different Parenteral sites. | * Deltoid IM (.5 to 1mL of fluid) 3 finger widths below process. * Ventrogluteal IM *Vastus Lateralis IM (mid thigh, lateral from midline) |
| Define a medication error | A preventable event that leads to inappropriate medication use or patient harm. |
| What is the estimation of people harmed every year? | 1.5 mil |
| What are the Three Checks used to assure safety when giving meds? | * BEFORE YOU POUR (check med label w/ Med Admin Record * AFTER YOU POUR (verify the label with the MAR * AT THE BEDSIDE (check the medication again) |
| What are the Six Rights? | * Drug * Client * Dose * Time * Route * Documentation |
| What are some other Rights? | * Reason * Right to know * Right to refuse |
| List five High alert medications. | * Heparin * Insulin * Lidocaine * Magnesium Sulfate * Potassium Chloride and Potassium Phosphates * Sodium Chloride * Warfarin |
| What are three safety steps taken with Narcotics? | * Double Locked * Narcotic Counts * Wasting Narcotics |
| What are some patient teaching points? | * Explain Purpose, side effects, drug interactions * Explain how drug is prescribed and when to take * Take as prescribed * Ways to minimize side effects * Cultural issues related to taking meds. * Self administration if appropriate. |
| List some adverse drug effects. | * Side effects * Adverse Reactions (harmful to body) * Toxic reactions * Allergic reactions * Idiosyncratic reactions * Cumulative effect (increases w/added doses) |
| What are the three types of drug interactions? | * Antagonistic * Synergistic * Incompatibilites |
| What do you do when you commit a med error? | * immediately assess the patient's VS and physical status. * Report findings to PCP. * Notify nurse manager * Check with institution for policy and procedure. |
| What are the Nursing Actions to prevent Med Errors? | * Check Physicians order against MAR * Follow 6 rights * Check for compatibility * Check for bioavailability * Verify any allergies * Explain rationale to Pt. * Perform assessments needed prior (VS) * Document medication administration immediately |
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zj mepn
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