Med Admin 1.0
What type of medications cannot be crushed?
Extended release or enteric coated
Subcutaneous needles may be given where?
Abdomen, upper hip, thighs, lateral upper arms
What is a PRN order?
"pro re nata" AKA as needed
When a medication is given via a different route than ordered, what must be done once the client is deemed stable?
Create an incident report
True or false: a written order must be typed or written and signed by the prescriber
False: it may be typed or written by others, but must be signed by the prescriber
When administering liquid medication, what must the nurse do?
Shake bottle, use measuring cup at eye level on a solid surface
What environmental factors affect medication administration?
Smoking, alcohol use, occupational exposure
First pass is when?
The drug is absorbed through GI tract, then directly into liver where it undergoes metabolism before entering blood stream
Fluid/electrolyte imbalance, potassium levels, BUN levels, NSAIDS
Therapeutic range is
The concentration that the med starts working til when it could produce adverse affects
True or false: You must shake the insulin vial prior to drawing it up
False: do not shake, gently rolly
If a medication causes nausea/vomiting/diarrhea, the nurse may suggest?
Symptoms may be minimized with changes to diet
How is a needle disposed of?
Into the sharps container
Controlled substance inventory logs must be maintained and checked how often?
At least daily, at shift change
Plasma protein binding is
When meds bind with proteins in blood which will affect how much gets to the target
When putting a transdermal patch on, the nurse must
Wear gloves
What type of inhaler can be shaken?
Metered Dose Inhaler (MDI)
What med admin route works the fastest?
Intravenous
What types of disease processes may require altered dosing?
Abnormal liver or kidney function
Biotransformation is when
The med is gradually transformed to a less active or inactive form
What is the Z track technique?
Pull skin and underlying tissues to the side and hold it
What is the NRRN way of mixing insulin?
Inject air into the NPH insulin vial > Inject air into the regular insulin vial > Withdraw insulin from the regular insulin vial > Withdraw insulin from the NPH insulin vial.
What medications cannot be given via verbal order?
Schedule II drugs
What type of adverse reaction needs to be reported immediately?
Anything concerning breathing which could indicate anaphylaxis
This Schedule of drug is highly addictive and may be used in carefully controlled research facilities?
Schedule I