Safety Checks
What steps must the nurse take during the 1st safety check?
Verify med order, check for allergies, review labs if needed, gather equipment
How do we verify we are administering meds to the "right patient"?
What boxed warning should the nurse anticipate for a client receiving Metoprolol Tartrate?
"Do not abruptly discontinue Drug"
What education should the nurse provide to a client taking an antibiotic medication?
Complete entire course of antibiotics even if symptoms resolve
What vital signs should the nurse closely monitor for a client with a nitrodur patch?
BP, HR
What steps must the nurse taking during the 2nd safety check?
Hand hygiene, retrieve meds, verify with MAR, check expiration dates, perform necessary calculations
If an action is not documented, it is not completed
How long before meals should the nurse administer Regular (U-100) insulin to a client?
The nurse should administer regular insulin 30 minutes prior to the client's meal
Name 3 adverse effects of a nitroglycerin patch?
HA, dizziness, syncope, hypotension, bradycardia, diaphoresis, etc.
When giving furosemide via IV push the nurse should administer the medication over how many minutes?
Slow 1-2 minutes, or per facility policy
Where does the 3rd safety check occur?
At the bedside
What are the 8 rights of medication administration?
The RIGHT: Patient, drug, dose, route, time, reason, documentation, response
Why might Ofloxacin be prescribed to a client?
To treat an ear infection
What adverse reactions might a client experience while taking Metoprolol?
Fatigue, dizziness, HA, bradycardia, palpitations, hypotension, nausea, pruritus, tinnitus, etc.
What herbal medications should be avoided by clients taking furosemide?
Aloe (increase drug effect), blue cohosh ginseng, licorice (may worsen HTN, cause rapid potassium loss)
What steps are included in the 3rd safety check?
hand hygiene, prepare meds, consider patient position, administer meds using appropriate technique, ensure PO meds are swallowed, dispose of equipment if indicated
Name 3 potential routes a medication can be administered?
PO, IV, Subcutaneous, IM, Transdermal, Topical, Otic, Optic, Buccal, etc
Why might a client be prescribed furosemide?
HTN, fluid overload, edema, acute pulmonary edema
How should the nurse verify that the client can properly self-administer insulin?
Observe client administering insulin
"See one, do one, teach one"
What are the most common side effects of Diazepam?
If the nurse identifies an error in a medication order what would be the appropriate action?
Hold the medication until the error can be identified/corrected by the provider
Following PO pain medication administration, the nurse should reassess the client's pain within what time frame?
30*-60 minutes, per facility policy
What class of drug is Diazepam?
Benzodiazepine
To prevent Timolol from entering the client's systemic circulation the nurse should complete what step when administering the eye drop?
Apply pressure to the lacrimal duct following adminstration
When taking Diazepam clients should avoid the use of what?
opioids, alcohol, any drug that slows respiratory rate