Medication rules
Right patient, Right drug, Right time, Right dose, Right route, Right reason and Right documentation.
What are the 7 rights of medication administration?
Most drugs are excreted through the __________.
What are the kidneys? Be EXTRA careful with renal patients and older patients!
With your geriatric patients the reduced glomerular filtration rate delays excretion, increasing chance for toxicity. Also, in older adults, gastric motility and respiratory compliance decrease.
Convert 1 gram to kilograms?
What is 0.001?
Divide the number of grams by 1,000
Assess for _________ before preparing to give patient a medication.
What are allergies?
What are the 7 rights of medication administration?
Mr. Jones is ordered Dilantin 50mg elixir PO now. Medication on hand is Dilantin 10mg/ml. How many ml do you give?
What is 5ml?
IM, PO, NG, PR
What drug routes?
When administering a medication to a patient, what is the first thing a nurse must do in the patient's room before giving the medication?
What is hand hygiene?
What is a x3 point ID check?
A 1L bag is to be infused over 6 hours. Calculate how many mls per hour the patient will receive.
What is 167mls/hr?
The nurse is caring for two patients with the same last name. In this situation which right of medication administration is the priority to reduce the chance of an error?
Verify patient by 3 identifiers- ask patient to state name, DOB and check UR number
The window of time for administering medications on time
What is within 30 minutes before or after scheduled dose
Name a site that is safe to give a subcutaneous injection?
*outer aspect of upper arm
*outer aspects of the thighs
*abdomen below the costal margin to the iliac crests
*upper ventral
*dorsogluteal area?
The order is for Hydrocortisone 75mg IV now. You have Hyrdocortisone 100mg/2ml. How many mL needs to be given?
What is 1.5ml?
Prescribed dose – 50 mg/kg
Patient’s weight – 79 kg
What is the dose required?
What is 3950 mg?
Transdermal form of opioid pain medication.
What is fentanyl patch?
What is norspan patch?
You have a question regarding a patient's status and medication order and will be contacting the DR. The communication tool that can be utilized to organize thoughts and data and to provide a thorough explanation of the patient’s current status
What is ISBAR?
Identify
Situation
Background
Assessment
Recommendation
You administer Lorazepam to a combative patient. Instead of calming the patient it makes the patient more anxious and combative. What type of reaction is this?
What is an idiosyncratic event/reaction.
An idiosyncratic event is a reaction opposite to what the effects of the medication normally are, or the patient overreacts or underreacts to the medication.
600 mL of antibiotic is to be infused over the 180 minutes by an infusion pump. Calculate the flow rate (mL per hour).
What is 200 mL/hr?
Flow rate= Volume (mL) divide by Time (hr)
180 min ÷ 60 min/h = 3 h
Flow rate= 600ml/3hr = 200ml/hr
How many ml/hr would a patient receive if they were to have 500ml of fluid infused over 6 hours?
What is 83.3 mls?
83 mls rounded
A patient takes a medication and immediately has trouble breathing and clutches his throat. What is the patient experiencing?
What is an anaphylactic drug reaction?