Safety
Right Patient, Right Drug, Right Dose, Right Route, and Right Time
What are the 5 "R's" of medication administration?
Acknowledge, introduce, duration, explain and thank you
What is AIDET?
Potential for high abuse with not accepted medical use. Ex. heroin or LSD
What is a Schedule I Controlled Substance?
CNS depression, nausea, vomiting, anorexia, respiratory depression
What are complications for Benzodiazepines
Sudden onset and linked to a specific event.
Situation, background, assessment and recommendation
What is SBAR?
Valium is also known as Diazepam
What is the generic name?
Diazepam
What is the generic name for Valium
Pain lasting more than three months to years.
Chronic Pain
Patient name and DOB
PO, SQ, IM and IV
What are routes of medication administration?
Has potential for fetal abnomalities.
What is Pregnancy Category X?
To taper the dosage of a Benzo
How to discontinue a Benzo?
The patient describes their pain for their ingrown toenail as 10/10.
Subjective
Elderly patients decreased hepatic function
What is slower drug metabolism in the elderly?
Causes organ damage and death
What is lethal dose?
Absorption, distribution, metabolism, excretion
What are pharmacokinetics?
Sleep apnea, respiratory depression or breastfreeding
What are contraindications for Benzo's?
What is respiratory distress, ortho static hypo tension, and sedation
What is a complication of narcotic administration?
Immature renal and hepatic functions delay metabolism and excretion of drugs.
Who are infants?
FDA alerts public and health care providers of serious side effects.
What is a Black Box warning?
Decreases available amount of medication after going thru the liver
What First Past Effect?
Enhances the action of the gamma-aminobutyric acid (gabba) in the CNS
What is the mechanism of action for Benzo's?
Can be used with verbal and non-verbal patients to describe their pain.
Wong-Baker Faces Pain Scale