Med Admin

Question 1

What organs are most directly involved with medication clearance/metabolism

Answer 1

Liver and kidneys

Question 2

Guidelines for safe admin

Answer 2

Administer drug accurately
10 rights, 3 checks
Aseptic or sterile techniques
Talk to Pts

Question 3

Continuing order

Answer 3

Carried over, Ongoing

Question 4

Standing Order

Answer 4

There if you need it, written in advance, to be carried out in advance

Question 5

What is enteral

Answer 5

The digestive system

Question 6

Benefit of enteral route

Answer 6

Less invasive, safer
Convenient
Cheaper
Mistakes can be corrected easier

Question 7

SR (Sustained release tablet)

Answer 7

Released over long period of time

Question 8

Benefits of enteric coated and SR tabs and what are the precautions

Answer 8

You cannot crush EC drugs, bc it will be innefective or damage the stomach

SR tabs cannot be crushed because it is a large dose, meant to be slow release

Question 9

Benefit of SL and buccal

Answer 9

If someone is experiencing N/V they can hold it in as opposed to swallowing

Question 10

When shoud SL/bucca lbe given

Answer 10

AFTER PO meds

Don’t eat or drink until SL tab has been dissolved

Question 11

Elixer

Answer 11

Water and alcohol mix

Question 12

Suspension

Answer 12

A solute and solution that needs to be mixed prior to admin

Question 13

NG tube

Answer 13

Inserted in the nasopharynx with tip lying in stomach

Question 14

Gastronomy tube

Answer 14

Inserted into pts stomach

Question 15

What steps do we take if the meds we are giving via G tube are incompatible?

Answer 15

Turn Tube feed off 30 minutes after medication and do a big flush before and after med

Question 16

Points to remember when administering transdermal

Answer 16

Gloves
Date and time of administration
Switching the locations
Take the previous one off
Document it all

Question 17

Rectal medications avoid the _____

Answer 17

First pass

Question 18

What are some PR meds?

Answer 18

Tylenol

Question 19

Risks of pareteral

Answer 19

Infection

Question 20

Intradermal max dose

Answer 20

0.1-0.2mL

Question 21

SQ dosage

Answer 21

1.5-2 mLs

Question 22

IM dose

Answer 22

2-3mLs

Question 23

Preferred site for IM

Answer 23

Ventrogluteal - no large BVs or nerves

Question 24

General ethical principles of nursing

Answer 24

non-maleficence and beneficence

Question 25

Medication incident

Answer 25

event that can impede pharmacotherapeutic outcomes, can cause more serious illness and death

Question 26

Med error

Answer 26

An error in the administration of a drug

Question 27

most common single preventable clause of client injury ...

Answer 27

Med error

Question 28

Investigations for med errors are conducted how?

Answer 28

Non-punitive manner

Question 29

Most frequent categories of errors

Answer 29

Error in client assessment Inaccurate prescribing (wrong drug, incorrect dose) Errors in administration (wrong route or time, omissions)

Question 30

Any time medication relevant to BP is given - what must be done

Answer 30

Check BP

Question 31

Factors that can contribute to med incidents

Answer 31

Omitting one of the 10 rights of drug administration Failing to perform an agency system check Failure to account for client variables Giving medications based on verbal/phone orders Giving medications based on incomplete/illegible order Practising under stressful work conditions

Question 32

How do clients contribute to med incidents

Answer 32

Taking drugs prescribed by several healthcare practitioners without informing those providers Getting prescriptions filled at different pharmacies Not filling or refilling prescriptions Taking medications incorrectly Taking medications leftover from a previous illness Taking medications prescribed for something else `

Question 33

Most common medication that is errored

Answer 33

Antibiotics

Question 34

Failure to document med error could be interpreted as

Answer 34

negligence

Question 35

Medication incidents should be reported to _____ through MedEffect and through Institute for Safe Medication Practices (ISMP

Answer 35

Health Canada

Question 36

Strategies for Reducing Medication Incidents

Answer 36

Following Nursing Process Assessment Planning, Minimize factors that contribute to med errors

Question 37

Med education talking points for pts

Answer 37

names, uses, doses, how and when to take adverse reactions and which to report immediately

Question 38

High Alert meds top 5

Answer 38

Inj K Chloride Insulin Heparin NaCl solutions above 0.9% Anticoagulants