Medication Safety
What are the 5 rights of medication administration?
Patient, medication, dose, route, and time
What medication treats malignant hyperthermia?
Dantrium (Dantrolene Sodium)
What is the reversal agent for Demerol/opioids?
Narcan (Naloxone)
When does the intraoperative timeout occur?
Just prior to incision or invasive procedure
350 mL equals how many liters?
0.35 L
What does VORV stand for?
Verbal order read back and verified
What is the initial dose of Dantrolene for MH?
2.5 mg/kg
What is the reversal agent for Versed?
Romazicon (Flumazenil)
What should you do if you contaminate the sterile field?
Immediately notify the scrub person
1 liter equals how many mL?
1000 mL
Should all medications and syringes on and off the sterile field be labeled?
Yes
Which muscle relaxant is a triggering agent for MH?
Succinylcholine
Patients receiving Romazicon should be monitored for what?
Re-sedation
Should medication containers be kept until the end of the case?
Yes
1 gram equals how many mcg?
1,000,000 mcg
What is the purpose of the red mat in front of the med station?
It indicates a no-talk zone to reduce interruptions
Which inhalation agent is safe for patients with MH history?
Nitrous Oxide
Narcan is a narcotic antagonist for what drug class?
Opioids
What should happen before meds are delivered to the sterile field?
Verbally and visually verify name, dose, and expiration
Give 2500 units of Heparin from 10,000 units/mL. How many mL?
0.25 mL
When should medication allergies be assessed?
On admission, on transfer, and before administering medications
A 12 kg child with MH needs what initial Dantrolene dose?
30 mg
Versed is what type of respiratory effect?
A potent respiratory depressant
If there is a miscount, should you skip the X-ray?
No
Give 7500 units of Heparin from 5000 units/mL. How many mL?
1.5 mL