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56 Cards in this Set
- Front
- Back
What are the seven responsiblities of a RN?
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knowledge (use of drug, routes of administration, range of dosages,etc), math skills, client's history(allergies), assess for response (client's response to drug), nursing process (planning and evaluating care of clients), Question orders (if incorrect/imcomplete), continue ed
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what are five rights of the patient?
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1. complete nursing assessment before administration of drug
2. infro about drug (action, side effects, reason, dosages) 3. receive shot safely and with no pain 4. right to refuse 5. written consent if experimental |
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what is the difference between a drug and a medication?
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a medication is a drug but is only used for therapeutic effect. a drug may or may not be a medication depending on the use. GOALS for both are different.
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chemical compound/ molecular structure
i.e. acetylsalicylic acid |
chemical name
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name found in FDA publications
i.e. aspirin |
official name
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manufacturer gives drug this name - no trademark. i.e. aspirin
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generic name
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registered trademark name. i.e. bayer aspirin/tylenol
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brand name
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Three main drug resources?
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1. formulary, 2. PDR(physician's desk ref), 3. TEXTS
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The difference between a medication order and a prescription?
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MO usually seen in hospital/HCF
Prescription is written for a drug (OTC) |
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What are the 8 types of orders?
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1. written
2. verbal (VO) emergency* 3. telephone (TO) emergency/condition change* 4. continuous - staying longterm 5. standing - special situations/protocols 6. single, one time only 7. now, STAT 8. PRN - nurse discretion(severe pain) |
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After giving pain medication a nurse should?
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check on patient after 15-20 minutes after..if not feeling better do something about it
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what 7 things should be included in a MED order?
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1. first and last name of patient
2. date and time order was written 3. name of med 4. dose of med 5. route of med 6. time, frequency, duration of med 7. signature of person writing order |
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What are the nine "rights?"
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1. right medication (check 3 times)
2. right dose 3. right patient 4. right route 5. right time 6. right conditions(with food, before meals etc) 7. right documentation(before and after) 8. right reason (why are you giving meds?) 9. right evaluation (results of meds) |
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what are the three checks that should be done for RIGHT medication?
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1. when you take med out
2. when you are ready to pour it 3. when you replace bottle |
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how can you make sure it's the right patient?
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call patient by first and last name, check ID band, MAR (medication adminstration record) must be for correct date
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the three checks?
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check all info on med sheet (meds signed for, pt room #, expiration date, etc)
2. check the MAR as you pour the med 3. check at bedside what MAR reads |
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what are the three bedside As
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armband(name, id# match MAR and band)
allergies (ask pt, check MAR) assessments (before:BP/pulse, after: relief of pain) |
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always document meds given _______after you give them
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immediately
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always tell pt ______they are getting and _____they are getting it
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what and why
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_____orders on MAR with orders on pt's chart
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verify
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if unsure of calculation one should?
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ask for second opinion
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if you are uncomfortable giving meds then?
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DON'T GIVE IT
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insulin syringes are divided into ____
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units
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1cc = ______syringes
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tuberculin
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covers needle on syringe
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cap
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enters body
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needle
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holds insulin/medication
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barrel
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pushes meds/ insulin into body
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plunger
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what site is used to administer herparin, insulin, some immunizations(peds)? *Sites include arms, abdomen, thighs, upperback, upper dorsogluteal.
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subcutaneous
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usually no more than 1 mL is given here and 5/8 needle at 45 degrees.
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subcutaneous
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what is the preferred area when giving Heparin (clot preventing)? How would you give this? **exception
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abdomen, at 90 degrees and grab fat, do not aspirate, do not rub.
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sites used to administer insulin?
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abdomen, arms, thighs, buttocks *do not massage
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example of how to give insulin
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arm in the AM, Stomach in Pm, Thigh at night, arm in the next AM
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safe site away from vessels, bones, nerves, no more than 5 ml of fluid should be injected, 72-90 angle, used for antibioticsm hormones, vaccines
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Intramuscular
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most safe, recommended for adults, kids, used for medications that are irritating or thick in consistency, form a triangle to give, many different positions pt can be in.(1 1/2in)
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ventrogluteal (intramuscular)
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thigh area, divide thigh into thirds, used for infants and children (5/8-1in)
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vastas lateralis (intramuscular)
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small muscle, poor absorption, radial nerve and artery, only adults and up to 1ml of solution, good aread for HEP B
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deltoid (intramuscular)
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NO LONGER RECOGNIZED - located in buttock
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dorsogluteal
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20 steps of injection procedure
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1. gather equip
2. explain proced. 3. apply gloves 4. prepare syringe/meds 5. identify patient 6. provide comfort/privacy 7. locate site 8. cleanse area 9. remove cap 10. hold syringe between thumb and forefinger 11. DART the needle (IM/ SQ) 12. aspirate if appr. 13. inject 14. remove needle steady/slowly 15. apply pressure 16. do not recap 17. make pt comfortable 18. remove gloves and dispose 19. chart the administration 20. evaluate pt response |
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takes the longest time to absorb, placed just below epidermis, common sites: forearm, upper arm, upper back. used for TB, allergy. Tuberculin syringe used (less than 0.5ml)
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intradermal injection
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humolog/ novolog insulins are:
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clear in appearance, short acting used with long acting insulin many times
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humulin R/ Novolin R
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regular- clear in appearance, short acting, diabetic emergencies
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NPH, Humulin N, Novolin N
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intermediate acting, cloudy in appearance
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humulin U, Ultralente
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long acting, given once a day cloudy in appearance
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lantus and levemir
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long acting yet clear
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symlin
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short acting, used with mealtime, rapid
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the mixing insulins rule
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"cloudy, clear, clear, cloudy."
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____insulin should never be contaminated by any insulin modified protein (NPH)
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regular
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enteric coated
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prevent stomach irritaion
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extended release meds
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slow, continous
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anaphylaxis
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immediate, sometimes life threatening
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Serum : therapeutic range, peak, trough
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desired effect, highest concentration, lowest concentration
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cumulative effect
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build up, can't get rid of previous dose
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antagonist
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lesser effect
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synergistic
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greater effect
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teratogenic
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causes embryonic defects
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