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Principles-ATI 47-51
Medication Administration
| Question | Answer |
|---|---|
| What is a meds chemical name? | medication is named by its chemical composition |
| What is a meds generic name? | official or non proprietary name that is given by the US |
| What is a meds trade name? | brands or proprietary name that is given by the company that manufacturers the med, multiple trade names |
| Uncontrolled substances require monitoring by? | a provider |
| Uncontrolled substances do not pose a risk for? | addiction |
| controlled substances have a potential for? | abuse |
| Catagory A for meds during preg are? | safe |
| Catogory X for meds during preg are? | dangerous |
| Meds are organized according to? | pharmacologic action, therapeutic use, body system, chemical makeup, and safe use during preg. |
| What is mechanism of action? | how the med produces the desired therapeutic effect |
| What is therapeutic effect? | preferred and expected effect for which the med is administered |
| What does a routine prescription identify? | meds that are given on a regular schedule |
| What is a single one time prescription? | once at a specific time or as soon as possible |
| What is a stat prescription? | only given once, and given now |
| What is a standing prescription? | written for specific circumstances or for specific units |
| A prescription includes? | Clients name, date and time, name of med, dose of med, route of med, time and freq. to take, and sig. by provider |
| When taking a telephone prescription try to have? | a second nurse listen on an extension |
| With multiple tablets or vials you should? | question it |
| Only give medications that are? | personally prepared |
| 1 mg = | 1,000 mcg |
| 1 g = | 1,000 mg |
| 1 kg = | 1,000 g |
| 1 0z = | 30 ml |
| 1 L = | 1,000 ml |
| 1 tsp = | 5 ml |
| 1 tbsp = | 15 ml |
| 1 tbsp = | 3 tsp |
| 1 kg = | 2.2 lbs |
| 1 gr = | 60 mg |
| IV flow rates must be calculated for? | electronic IV pumps or manual infusions |
| IV pumps are set in whole? | ml/hr |
| Manual IV is based on? | ggt/min |
| Dimensional analysis is a method of calculation in which? | a series of ratios or factors, organized in the form of fractions are multiplied |
| IV therapy involves? | administering fluids via an IV catheter |
| Advantages of IV therapy are? | fast absorption, less discomfort, constant therapeutic blood levels, less irritation |
| What are the disadvantages of IV therapy? | fluid overload is possible, immediate absorption leaves no time to correct errors, irritation, infection |
| IV access can be via a? | peripheral or central vein |
| Do not write on IV bags with? | pens or markers |
| Fluids should not hang more than? | 24 hrs |
| 16 gauge for truama clients for? | rapid fluid volume |
| 18 gauge for surgical clients for? | reapid blood administration |
| 22-24 gauge for ? | all other clients |
| What are signs of infiltration? | pallor, local swelling, low skin temp around the site, damp dressing, slowed infusion |
| What are signs of phlebitis? | edema, throbbing, burning, pain, red line up the arm, slowed infusion |
| What are signs of hematoma? | ecchymosis at site |
| What do you do for phlebitis? | stop, elevate, warm compress, restart dif. spot |
| What do you do for hematoma? | do not appy alcohol, pressure, warm compress |
| What are signs of cellulitis? | pain, warm, edema, induration, red streaking, fever, chills, and malaise |
| What do you do for cellulitis? | stop, elevate, warm compress, specimen for culture, administer antibiotics, analgesics, and antipyrectics |
| What are sings of fluid overload? | distended neck veins, increase blood pressure, tachycardia, short breath, crackels in lungs, edema |
| What do you do for fluid overload? | stop, raise HOB, VS, Adjust rate, administer diuretics |
| What are signs of catheter embolus? | missing catheter tip, severe pain |
| What do you do for catheter embolus? | place the tourniquet high on the extremity, prepare for removal under x ray |
| CNS stimulation causes a risk for? | seizures |
| NSAIDS cause? | GI upset |
| MAOI= | No TYRAMINE |
| Category A: | no risk to fetus |
| Category B: | no evidence in animal fetus |
| Category C: | AE in animals |
| Category D: | AE in human |
| Category X: | AE in animal and human |
| Read Again? | But know most! |
Created by:
alicia.rennaker
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