Med Prep
How many times do we check the medications before administering?
THREE TIMES!
first check-- review mar to orders
second- compare medications to mar
third- at the bedside compare medications to mar
What does the abbreviation 'QID' mean?
4 times a day
Older adult clients generally need a _________ dosage than the average person.
1. higher
2. lower
3. the same
Lower
this is due to physiological changes affecting the absorption and excretion of medications.
True or False
PRN medication orders are on the MAR with routine medications.
ANSWER: FALSE
Remember, PRN meds will be in a designated area of the MAR or on a different MAR altogether
WHAT ELSE DO WE KNOW ABOUT PRN MEDS
What is the BEST way to identify your patient before medication administration?
Compare name and DOB pt gives/ on wrist band to MAR
Which of the following is NOT an appropriate abbreviation?
1. tab (tablet)
2. mL (milliliters)
3. u (units)
2. u for (units)
refer to list in calculate with confidence book, last page
A patient given a new medication via continuous IV is experiencing shortness of breath and hives, what is the PRIORITY action of the nurse?
Stop infusion
Assess airway
What do we think the patient is experiencing
what are they at risk for
When a medication comes prepackaged, premeasured and prelabeled it is from what type of medication system?
ANSWER:
UNIT-DOSE SYSTEM
Name the SIX RIGHTS of med admin
Right:
patient
medication
dose
route
time
documentation
What does the abbreviation 'hs' mean
True or False:
If a patient is having difficulty swallowing their medication, it is okay to crush an enteric-coated pill.
FALSE
Enteric coated medications are to prevent the medication from dissolving in the stomach, typically due to adverse affects.
Crushing enteric coated tablets may result in the drug being released too early, destroyed by stomach acid, or irritating the stomach lining.
True or False
It is ALWAYS okay for a patient to refuse a medication they do not wish to take
FALSE
*Kendra's law- dangerous/mental health concerns
*Emergency court orders
If a patient is allowed and refuses what do we need to do as the nurse?
educate, document, notify
Is this medication transcribed correctly? Yes/No
Furosemide, 25 mg vial B.I.D.
No
Requires:
Name of med
dosage
route
frequency
Correct order would be
Furosemide, 25 mg vial IV B.I.D.
What does the abbreviation 'BID' mean?
Two times a day
Opioid analgesic orders should be renewed how often?
1. every 24 hours
2. every 48 or 72 hours
3. every 7 days
2. every 48 or 72 hours
this is facility protocol as mentioned in your book/slides some may have a 30 day limit for all medications like in a SNF
A patient receiving furosemide for congestive heart failure has excreted 200 mL of urine in the last hour. This is an example of what?
1. adverse effect
2. desired effect
3. emergency
2. Desired effect
All of the following should be researched in a reliable drug book before medication administration, EXCEPT?
1. Common dosages and routes
2. Potential side affects and adverse reactions
3. The chemical makeup of the drug
ANSWER: 3
What are some other things we might find in the drug book?
What does the abbreviation 'ac' mean
before meals
TRUE OR FALSE
If a patient has difficulty tolerating the route of a medication, it is okay for the nurse to change the route.
FALSE
the nurse can discuss changes needed with he doctor but the order must be changed by the doctor.
TRUE OR FALSE:
It is okay to give medications to another nurses patient as long as you verify patient and complete the 3rd check at the bedside
FALSE