MED Admin & Safety
What are the 6 rights of Medication Passing?
Rt. patient
Rt. med
Rt. time
Rt. route
Rt. dose
Rt. documentation
What is the difference between the Schedule II and the Schedule III controlled substances?
Schedule II - ex. MS, high potential for abuse and addiction, prescription needed, limited qualities 7-30 day supply, cannot be refilled, will need a new script.
Schedule III - ex. Tylenol with codeine, lower potential for addiction & abuse, prescription needed, 30-day supply only, refill up to 5 times but outdates at 6 months.
Double Jeopardy
1. Define liberation in pharmacokinetics.
2. _____ refers to transportation of drug throughout the body.
a. absorption
b. excretion
c. metabolism
d. distribution
1. Drug is released from its dosage form during this stage.
2. d. distribution
1. Give 1 example of a high alert med.
2. Prior to admin a high alert med - what should the nurse do before adm. the med to the patient?
DOUBLE JEOPARDY
1. Heparin
Insulin
Potassium
2. Have another nurse check the med, vial, expiration date, dosage calculation
What is a way in which drugs are classfied?
give 1
1. Body system in which it works
2. Their clinical or therapeutic action
3. Their chemical or physiological actions
1. Define absorption in pharmacokinetics.
2. TRUE or FALSE
A drug with a long half-life is given more than 1 time a day.
DOUBLE JEOPARDY
1. Drug is transferred from its site of entry to the circulating body fluids.
2. FALSE
A med that has a long-half-life given 1 time a day.
A drug that interacts with a receptor to stimulate a response is called an agonist or antagonist?
agonist
What stage of pharmacokinetics is the nurse checking a patient's renal function labs?
a. absorption
b. excretion
c. metabolism
d. distribution
b. excretion
A pt. is given an IV ANTIBIOTIC, a trough is ordered. When would trough be done - initial dose 0600, second dose 1800
Immediately before the 1800 dose - trough
________ refers to the inactivation of drugs by cytochrome P450 enzyme system in the liver?
a. absorption
b. excretion
c. metabolism
d. distribution
c. metabolism
Patient refuses their insulin, as the nurse what would do 1st, 2nd, 3rd, 4th, and 5th?
1. Look into why the patient refuses their insulin.
2. Explain the importance of why they are refusing the insulin.
3. Document the refusal on the MAR.
4. Notify the HCP.
5. Report the refusal to the charge nurse.
When is it legally allowed for nurse to have controlled substances?
When administering, wasting, with a witness, transporting them according to facility policy.
True or False:
Dealing with protein binding - a low serum albumin can cause toxic drug effects in a person.
TRUE