Safety in Med Admin
A regulatory Board that is responsible for Nurse Practice Acts that define the scope of practice in nursing
What is the State Board of Nursing?
Cold, clammy, dizzy, weak
What are symptoms of hypoglycemia?
Medication taken by mouth
What is oral administration?
60 gtt/mL
What is the delivery of microdrip tubing?
Sterile formula administered directly to the patient from a bottle
What is a closed feeding system?
1 unique name for a medication
What is the generic name of medication?
Regular insulin (Novolin R)
What is a type of short acting insulin?
Medication applied to the skin
What is topical administration?
10 gtt/mL, 15 gtt/mL, 20 gtt/mL
What is the delivery of macrodrip tubing?
X-Ray
What is the gold standard of verification of feeding tube placement?
Call the provider for clarification
What should a nurse do if an order is illegible or dosage is out of range?
Insulin glargine (Lantus)
What is a type of long acting insulin?
Medication given through the dermis
What is intradermal medication administration?
Intermittent medication can be administered through this
What is secondary tubing?
Administration of 200-400mL of formula over 10-20min
What is a bolus feeding?
Organization responsible for improvement of patient safety.
What is the Joint Commission?
Insulin production in the pancreas is affected by an autoimmune process
What is type 1 diabetes?
Medication given into the fatty layer of tissue
What is subcutaneous administration?
Treats fluid loss from diarrhea, vomiting, burn
What are replacement fluids?
Route can lead to risk of aspiration
What is a priority safety disadvantage of a nasogastric tube?
What are the Six Rights of medication administration?
Right patient, right drug, right dose, right route, right time, right documentation.
A provider orders this sliding scale insulin protocol for a patient: Administer insulin aspart (Humalog), subcut, before each meal, based on the following blood glucose (BG) levels:
BG level less than 110 mg/dL: 0 units
BG level between 111 to 150 mg/dL 2 units
BG level between 151 to 170 mg/dL 4 units
BG level between 171 to 199 mg/dL 6 units
BG level over 200 mg/dL Call provider
The patient’s blood glucose just before breakfast is 176 mg/dL. How many units of insulin aspart (Humalog) will the nurse administer?
6 units
Medication given via a vein or into muscle
What is parenteral administration?
Liquids containing dissolved substances
What are crystalloids?
Aspiration of stomach contents and gastric residual
What should the nurse do prior to administering medications or feedings?