Medications
What does PRN stand for?
"As needed" (pro re nata)
An individual is tube fed and starts to vomit. What do you do first?
A- Call 9-1-1
B- Stop the feed
C- Reposition their chair so they do not choke
D- Call your coworker for help
B- Stop the feed.
Would you like to keep eating if you were vomiting?
What is the most common side effect of Ativan (lorazepam)?
Drowsiness
*Keep in mind the effects this may have on someone's ability to sit, transfer, swallow, etc). Ativan can also stays in the bloodstream 48-72 hours
Epipens are given for life-threatening allergic reactions. What color end of an Epipen is applied to the thigh muscle?
Orange.
Remember: "Blue to the sky, Orange to the thigh"
Where should you document after administering a PRN cream on a skin rash?
A- MAR
B- Progress Notes
C- All of the Above
D- None of the Above
C- All of the Above
*Remember to document in DETAILS what the area looks like (size, location, color, smells, drainage, appearance, etc)
You notice that the person supported's G-tube is further out than usual. What should you do?
A- Slowly push the tube back in and tape it to their skin.
B- Tape the tube to their skin and call the nurse.
C- Nothing, it is normal for the tube to move in and out.
D- Pull the tube out completely and re-insert it properly.
B- Tape the tube to their skin and call the nurse.
How long does it take for Ativan (lorazepam) in a tablet form to take effect in the body?
20-30 minutes
An individual is on Day 2 of their Bowel Protocol. During your shift, they have a small liquid BM. How would you document this in their Daily Care Checklist?
A- S/N Day #: 0
B- S/L Day #: 2
C- S/N Day #: 2
D- S/L Day #: 0
B- S/L Day #: 2
*Small/Loose and the Day stays at #2 because 'Small' is not enough to restart the days.
Name three things you find on a PRN Medication Protocol?
Name of the person, medication, dosage, time interval between doses, route, maximum daily dose, reason for medication, observations, steps to take prior to administration and if not effective, name of nurse and doctor.
What are some examples of why a person would need to be fed by Tube and not by mouth?
- Dysphagia (trouble swallowing)
- GERD (Reflux)
- Lack of strength to eat
- Metabolic disorders
- Severe eating disorders
- Renal, cardiac, and other disorders
If an individual at Feltham House has a seizure, you need to call 9-1-1 immediately. TRUE of FALSE
TRUE - No one at Feltham House has a seizure disorder, therefore any new seizure or medical emergency would require medical assistance right away.
You need to administer an Epipen to an individual having an anaphylactic (life-threatening) reaction. When do you call 9-1-1?
A- Immediately.
B- After the Epipen is given.
C- Only if they become unconscious.
D- Never. That's why they have an Epipen.
B- AFTER the Epipen is given.
9-1-1 is ALWAYS called when an Epipen is given - NO MATTER WHAT!
Name 5 of the 8 'Rights of Medication Administration'
- Person
- Medication
- Date & Time
- Dose
- Route
- Reason
- Documentation
- Response
What is the difference between a G-Tube and a J-Tube?
G-Tube is inserted in the stomach (G for Gastric).
J-Tube is inserted in the small intestine (J for Jejunum).
If someone has a seizure while in the bathtub, what do you do?
A- Drain the water from the tub, call for help, and follow their protocol
B- Drain the water from the tub, go get their medications, and follow their protocol
C- Call for help, re-assure the person, and follow the their protocol
D- Transfer the person out of the tub, go get their medications, and follow their protocol
A- Drain the water from the tub, call for help, and follow their protocol
*Safety first! Drain the water and NEVER leave a person unattended in the tub.
When administering an Enema, you should follow the instructions:
A- on the product insert
B- on the HSCL information sheet
C- in the person's care plan
D- the way the person tells you to
C- the person's care plan.
Ideally, the person's care plan should say if the person can direct their own care or not. It should also note if the person requires a different positioning than what is instructed on the packaging and HSCL sheet.