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Pharm 2 intro
Pharm 2
| Question | Answer |
|---|---|
| What are the six rights? | Right Patient, Right Drug, Right Dose, Right Route of Administration, Right Time, Right Documentation |
| Factors influencing route of Administration (4) | Chemical properties, site where drug action to take affect, desired onset of action, route spelled out in order |
| Components of Dr order | ID of MAR, date & time order is written, name of drug, route, dosage, time/frequency, signature |
| Types of Drug Administration System (2) & define | Unite Dose system - each pt has own drawer, box or container and each med is individually wrapped; stock system - each pt has large quantity stock container - most commonly used. *most institutions use both* |
| Type of medication orders (6) | Single order, Routine orders, standing orders, PRN orders, verbal orders, telephone orders |
| Single order | 1 time order; given once then discontinued, could include STAT order |
| Routine order | carried out indefinitely, unless cancelled by another order |
| Standing order | Dr specifies that certain things is to be carried out under certain circumstances - examples include ICU, CCU, reg floor |
| PRN order | given when needed at pts request and/or nurses judgment - make sure to look at time last given and call Dr if pt wants it sooner; write whether med was effective or not |
| Verbal order | go by institution policy; repeat order back to the DR for verification |
| Telephone order | repeat everything back for clarification |
| Routes of Administration (5) | Oral, Sublingual, Buccal, Feeding tube, Parentral route |
| Oral route and disadvantage | most frequently used & safest - upright position & swallow; check for pocketing. When prepping pouring into cap then cup; suspension shake thoroughly & check expiration date; Disadvantage - discolor teeth, taste bad, cause choking/aspiration, irritating |
| Sublingual route | place under tongue to dissolve - no smoking or drinking for about 30min after |
| Buccal route | hold med between cheek & tongue to dissolve - no drinking or smoking |
| Parentral routes (6) | IM, IV, intra-articular (w/in joint) intradermal (under skin such as TB test), SubQ/SC - beneath skin surface, intrathecal - w/in spinal cord |
| Drugs administered for 2 effects are? | Local - effect confined to site of application in form of antiseptic, emollient, cleaner; Systemic - drug absorbed by body & goes into tissue. |
| What is included in an incident report? What is NOT included? | write clear description of event including time & date of error, what drug given & what the nurse did about it. Dr & supervisor will write & dr will tell you what to do, then put it on the pts chart. DONT WRITE THAT INCIDENT REPORT WAS FILED ON THE CHART |
| When is the drug count? | beginning and end of each shift - never 2 nurses at the same time |
| What drugs are automatically discontinued and whats time frame for when they are? | Opiods - after 48hours; antibiotics after 7 days |
Created by:
breinard
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