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31 Cards in this Set
- Front
- Back
What are 6 Nurse Responsibilities when administering drugs to a patient?
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-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 |
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What are some common drug administration errors? (name 4)
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-Wrong medication
-Wrong time given -Wrong route -Wrong patient -Over OR under dose -Not identifying patient using two identifiers -Lack of documentation |
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Med errors are real…How can nurses help to prevent them?
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-Know the seven rights of medication administration.
-Know the three checks of medication administration |
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What are the seven rights of medication administration, used as the basis of safe delivery of medications?
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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 |
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What are the three checks of medication administration?
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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 |
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When using the seven rights and three checks, will mistakes still occur?
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YES
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Who is responsible for correct administration of drugs?
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Nurses are held accountable for correct administration of drugs, but responsibility also rests on other positions like physician and pharmacist
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Define an allergic reaction?
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Allergic reaction - an acquired hyper-response of body defenses to a foreign substance
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If an allergic reaction is discovered what is the nurse responsible?
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-labeling charts
-informing all personnel - placing alert bracelet on patient |
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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
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If an anaphylactic reaction occurs how quickly should a nurse respond?
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Requires immediate treatment
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What is Drug Compliance?
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Compliance is taking a medication in the manner prescribed by the health care provider
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Who is has an active role in ensuring compliance?
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Patient has active role.
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What are some factors that cause a patient to be non-compliant with prescribed medication regime?
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-Cost of drug
-Forgetting doses -Annoying side effects -Self-adjustment of doses -Fear of dependency |
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Does the Nurse need to be vigilant in questioning patients about their medications?
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YES
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What is meant by STAT?
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medication is to be given immediately, and only once
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What is meant by the term ASAP?
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drug should be available for administration within 30 minutes of the written order
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What is meant by the term PRN?
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drug administered as required by the patient’s condition
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Define Single order.
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– drug to be given only once at a specific time
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Define routine orders.
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Orders not written as STAT, ASAP, NOW, or PRN.
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Define Standing order.
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written in advance of a situation that is to be carried out under specific circumstances.
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Who sets the standards for using abbreviations to practitioners?
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The Joint Commission
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How often are drug orders required to be reviewed by the attending physician?
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With-in specific time frames, at least every 7 days.
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What is important to be aware of in relation to drugs administration and foods/meals?
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-Drugs may need administration during or between meals, depending on interaction with food.
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When is the best time to administer Central nervous system drugs and anti-hypertensives?
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at bedtime
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Who is responsible to educate patients carefully about timing of taking medications?
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The nurse.
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When does the Nurses carefully document the details of medications given to patient?
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after they have been given
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Should the nurse document Refusal or omission of medication?
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YES.
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What are Three Systems of Measurement Used in Pharmacology?
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- Metric—most common
- Apothecary—oldest - Household |
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Should a Nurse Be Able to Convert Among All Three Systems?
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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 |
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Should the Nurse encourage use of accurate medical dosing devices at home?
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YES
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