Role limitations
Must be present and available to consult all MAC concerns during medication pass
Registered Nurse
applied to gap between eye and lower eye lid
eye drops or eye ointments
unusual side effect of antiemetics (more prominent in the elderly)
potential for sedation and hallucinations (think Phenergan)
Diabetic medications such as Metformin, glyburide or any insulins
risk for hypoglycemia
given with calcium to improve absorption
Vitamin D
Gives the 1st dose of a medication
LPN or RN
placement of rectal suppository
Watch for EPS symptoms such as dyskinesia, tongue protrusion, and eye spasms
Antipsychotics
Blood pressure medications such as ace inhibitors, calcium channel blockers, or beta blockers
monitor for hypotension
Vitamin C
Response for when someone asks the MAC to do some thing that is not safe or not trained to do.
required to refuse the task and explain why
placement of vaginal suppository or applicator (cream)
2-3 inches
Might cause deep yellow or orange urine
s/sx of infection
Carbidopa and Levodopa are given together to treat
Parkinsons
Schedule numbers a MAC can pass
schedule 3 or higher
length of nebulizer admin
10-15 minutes (or until no longer steaming after shaking canister)
Might cause dark or black stools
Iron or Pepto-bismol
Resident on a new antidepressant- what life-threatening side effect must you watch for
increased suicidal ideation
Medication commonly added to BP medications to improve care of resident with CHF (congestive heart failure)
HCTZ- hydrochlorothiazide (diuretic)
example: Lostartan-HCTZ, metoprolol-HCTZ
Best to avoid conversations with
anyone during med pass (only consult with nurses caring for residents, refer family to the nurse)
Done to admin ear drops to straighten ear canal
Pull up and back on outside edge of ear
may cause eye discoloration
glaucoma medication (prostaglandin analogs- xalatan, lumigan)
Side effects include- muscle weakness/soreness, anorexia and liver damage (liver enzymes must be monitored)
statins
Narcotics are commonly combined with _______ to improve the effectiveness of pain control
Acetaminophen (APAP)
example Hydrocodone-APAP 5/325