All about MEDS
what are the three medication checks
Removing medication from med cart
comparing medication to the MAR
Rechecking the mar at the bedside prior to admission
Daily Weekly or monthly medication administration should be given how early or late
2 hours before or after
What can be considered a patient identifier
Name
DOB
MRN
(Compare to MAR)
Fill in the blank
___ recap, bend or break a used needle, _____ of the needle in a ______ container
NEVER
Dispose
Sharps
What are the brown syringes for
oral does ONLY
What does Dr. TIM stand for
Right dose
Right route
Right Time
Right Individual
Right medication
If medication is Q2 is scheduled Q2 1835 what is the latest and earliest you can administer the medication
Before 1805
After 1905
What should you do if you make a medication error
Check the patient condition
obtain a set of vital signs
Notify nurse manager and primary care provider
complete form used for reporting errors
True or False
You should aspirate Subcutaneous Intradermal and Intramuscular injections
false
( HoweverAspiration may be indicated for IM injections of large molecules medications such as penicillin)
Why might you need a straw to drink the medication
May stain teeth
issues with jaw
What are the 6 types of medication orders
Verbal
Telephone
STAT
One time
PRN
Standing
For medications given every Q1-Q4 how early and late can the medications be administered
30 minutes before and after
What should we document about medications
Drug given: sites and parameters
Doses missed: Explanation of why
Refused medications
incident reports for medication errors
What is the needle size of intramuscular injections
What needle size and gauge is used for intramuscular injections
what are the intramuscular sites
Do you apply gentle pressure or massage
5/8 inch -1.5 inch needle
20-25 gauge
Deltoid Ventral Gluteal Vastus Lateralis sites
Gentle pressure
How should you administer sublingual medications
How should you administer buccal medications
Sublingual -Place under tongue let dissolve do not chew swallow or crush
Buccal- place in cheeks let dissolve do not chew swallow or crush
How often is QID
TID
BID
4 times a day
3 times a day
2 times a day
For medications given every Q6 how early and late can the medications be administered
60 minutes before or after
Fill in the blank
Controlled substances should be _______, and a ___________ should be done
locked
narcotic count
What needle size and gauge is used for intradermal injections
How much can it hold
What angle should you inject at
Do you aspirate or massage
Ex of intradermal injections
1/4 1/2 inch
25 G 27 G
Less than 0.5 ml
5-15 degrees
no
TB and Allergy
Fill in the blank
SR,XL, CR _____ be cut and crushed
Enteric coated pills ____ ____ swallowed _____ and never ______
Scored pills can be ____
can not
should be whole crushed or cut
be cut (according to the lines on the pills)
What does PC
AC
HS
stand for
After
Before
bedtime
what time is 1322 1835 2247
0000
0110
1047
1159
1322 (1:22 pm)
1835 (6:35pm)
2247 (10:47 am)
0000 (12:00am)
0110 (1:10am )
1047 (10:47am)
1159 (11:59am)
Fill in the Blank
_______ any discrepancies with controlled substances
________ Partial doses of controlled substances
Report
Record
What needle size and gauge are used for subcutaneous injections
How much can it hold
What angle should you inject at
Do you aspirate or massage
ex of subcutaneous injection
3/8 5/8
25G 30G
1 ml
45 90 degrees
no
Insulin heparin
What are the 7 drug responses in older adults
Decreased kidney function
Decreased liver function
Decreased lipid content in skin
decreased total body water
decreased gastric motility
Adverse CNS effects
altered peripheral vascular tone