Med Admin
Something that should be verified prior to giving meds through an NG tube
What is placement?
Patient has Norco 5/325 ordered. Patient states they can't breathe when they take Tylenol but it's not listed in their allerigies.
Clarify
Patient has an anaphylatic reaction to Tylenol.The amount of IV Potassium you can push
No, you can't push IV Potassium
This is needed prior to deaccessing a port
What is a heparin flush?
Low molecular weight heparin used to prevent DVTs and PEs
What is Lovenox?
High risk medications require this prior to administration
What is a cosign?
The patient is NPO for a debridement. They have PO metoprolol 25mg ordered.
Give
Important meds such as beta blockers should still be given with a tiny sip of water.
Patient has a PEG Tube. Potassium tablets ordered
What is switching to liquid potassium?
Nurse can give this if pain scale medications are not effective
What are breakthrough pain meds?
Common anti rejection medication used in patients with kidney transplants. This requires a level drawn
What is tacrolimus (prograf)
If infection is suspected, these should be drawn prior to giving antibiotics
What are blood cultures?
Patients BP is 145/82. Midodrine 5mg ordered
Clarify
Midodrine is usually used to increase BP, however may be used in cases of orthostatic hypotension
If given too much, Vancomycin can affect this organ
What are kidneys?
This is attached to a med order that the nurse can follow to decide if a medication can be held or not ex. BP meds
What are parameters?
Common medication used to lower ammonia
What is lactulose?
Something that should be verified on admission and before med administration
What are allergies?
Patient has an I&D of the ankle scheduled for the afternoon. Plavix is ordered for 0900.
Clarify
Plavix is usually held 5 days before surgeries or biopsies. The patients are usually switched over to heparin.
Lab that should be checked if patient is on Lasix
What is potassium
Lab used to titrate heparin drip
What is aPTT
IV Push Blood pressure med that can be given on Med Surg
What is Vasotec
The six rights of medication administration
What is the right patient, right med, right dose, right route, right time, and right documentation?
Patient with cirrhosis has an ammonia level of 72. The patient complains of diarrhea. They have lactulose ordered three times a day.
Give
Bowel movements help eliminate ammonia. Lactulose is given to titrate to 3 BMs a day.
Patient had a stroke and now has dysphagia. PO Keppra ordered
What is switching route to IV
Patient has Tylenol ordered for pain 1-3 but has a fever of 102.1
What is getting indication changed?
Alternative to heparin drip if patient is allergic to heparin
What is argatroban?