a MUST
What does WIPES refer to?
Wash hands, ID patient and yourself, provide privacy, explain the procedure, provide safety.
What is the Therapeutic Effect of a medication?
•Expected or predictable physiological response a medication causes. This is the desired effect.
What is Pharmacokinetics?
Pharmacokinetics tells us about how the drug is utilized by the body: absorption, distribution, metabolism & excretion.
1 gram = ? milligram
1000mg
Types of oral route medications and nursing considerations??
Oral: tablet, capsule, elixir, syrup. Sublingual and Buccal.
Upright position. Assess swallowing ability.
Water restriction for SL and buccal meds after administration.
What can you use as a patient identifier?
Asking the patient for the full name and comparing it to the patient's armband or medical record.
Asking the patient for date of birth and comparing it to the patient's armband or medical record.
Comparing patient's armband medical record number to the paper or electronic medical record.
What is the Adverse Effect of a medication?
• other than the intended therapeutic effect. It's also called a side-effect. Some adverse effects may be predictable, but they are unintended/ secondary effects.
What is Medication reconciliation?
The process of creating the most accurate list of all the medications a client is taking (drug name -trade/generic, dose, frequency, route)
The formula used to calculate the correct/right dose?
Desire x Quantity
_______________
Have
Types of Topical medications and nursing considerations??
Ointment, lotion, powder, transdermal patch.
Clean area before applying, rotate site, wear gloves,
(date/time + initials on patch).
How many checks you must perform with medication administration? and when do you perform each check?
4
1. When you come in contact with the medication
2. When you discuss the medication use with the instructor.
3. When you are scanning the medication in the patient's room for administration.
4. When you check the empty wrappers against the EMR.
What is a Toxic Effect of a medication?
•May develop after prolonged intake of the medication, or when the drug accumulates in the body due to impaired metabolism or excretion.
What are Non-parenteral medication routes?
Oral, Topical, Inhalation, Instillation.
•Administer 1 gram of Cipro PO q 6 hours.
•Supply: 200 mg/5mL
•What volume will you administer for each dose?
1000mgx5 mL/200mg= 25 mL
Types of Inhalation medication and nursing considerations?
Nebulizer, metered-dose, and dry-powder inhalers.
Provide teaching before you start: how to take the medication. Clean mouthpiece. Wait before you administer a second puff. Rinse mouth after use.
List the 6 rights of safe medication administration.
Right patient, right medication, right dose, right route, right time, right documentation.
What is an Idiosyncratic reaction?
•Unpredictable effect: over or under reacts, or has a reaction different than normal.
What is Medication Interaction?
•Occurs when a medication modifies the action of another medication. Can be undesirable or not.
•Administer 750mgAleve PO q 6 hours.
•Supply: 500 mg/1 tab
•What volume will you administer for each dose?
750 mg x 1tab/500 mg= 1.5 tab
Types of Instillation medication and nursing considerations?
Ear & eye drop, nasal spray, rectal & vaginal applications.
A sterile technique for eye drop.
The correct position for application of medication.
List the parts of the provider's order.
Provider's name/ signature, Date the order was written, Patient name, Medication name, Medication dose, Medication route, Medication frequency.
What is an Allergic reaction?
•Unpredictable response to the medication.
•Can range from mild to severe
•May increase in severity with each use
What is Medication Dose-Response?
•Onset: When the drug starts to work
•Peak: Maximum effect of the medication
•Duration: how long it stays/ works in the body
•Administer 0.5 grams of Furosemide PO q 6 hours.
•Supply: 200 mg/3mL
•What volume will you administer over 24 hours?
500mg x 3 mL/ 200 mg= 1500/200= 7.5 mL x4 =30 mL
List some of the medication safety reminders.
•Only give medications that you prepare
•Prepare one patient’s medications at a time.
•Never leave medications unattended. Always lock the medication cart or med room when walking away from it.
•Do not leave the medications at the bedside.
•Always check the 6 rights when you are performing the 3 checks & allergies of the patient
•Provide patient education always.