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Pharm 2 intro

Pharm 2

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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