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Oral Medications
Pharmacology Lab
| Question | Answer |
|---|---|
| True or False: Oral medications can be left at the bedside | FALSE, medications can never be left at bedside - tell the patient you will come back at another time and DOCUMENT |
| What type of medication can be crushed? | Scored tablets |
| When administering the med, what should the nurse be doing? | ID the patient and explain what the medication does to the patient being administered |
| Lozanges are | Slow absorbing and have a hard, sugar coating for taste |
| Diabetic patients be cautious of blood glucose levels when administering | Syrup and or Lozanges |
| How do you administer suspension medications? | Shake and then pour immediately |
| How do you pour liquid medications? | Pour on flat surface, eye level, palm the label and measure at the meniscus |
| When utilizing a pill cutter the nurse must always | Clean hands and clean pill cutter after each pill to eliminate cross-contamination possibility |
| What identifiers can be used when administering medication? | Verbal (name, DOB, etc), ID band, License and Insurance card, Patient Registration forms |
| Sublingual medications are | Under the tongue |
| Buccal medications are | Between the cheek and gum |
| If an order is missing any information or seems abnormal | Immediately call MD |
| What is the most important thing to check for when administering oral medications? | Patient's ability to swallow - do they have an aspiration precaution order? |
| If a patient is NPO can we give meds? | A hold order is necessary for meds otherwise the patient is not able to medicate |
| Do you hold medication if patient is nauseas or GI upset? | No, medications are not contraindicated unless the patient has no gag reflex but use your nursing judgement |
| What is the most common error in nursing medication administration? | Drugs with similar names |
| When administering meds through NG tube | Always check for placement before flushing and listen with stethoscope for "whoosh" of air |
| What is the purpose of enteric coating on pills? | Absorption in the alkaline environment of the small intestine |
| Medication orders must include the following | Name, drug, dose, route, frequency, date, time, and MD signature otherwise RX is not valid |
| What medications are easiest for the nurse and patient? | Oral medications |
| When giving narcotics, what is a key item to check prior to? | Always check respiratory rate prior to and after |
| NPO | Nil por os - nothing by mouth |
| PO | Por os - by mouth |
| BID | Twice a day |
| PC | After meals |
| AC | Before meals |
| Number one step in prepping medications | Identify the patient |
| What does the nurse do immediately after knowing the wrong drug has been administered to the patient? | Assess the patient immediately |
| When should you check on a patient after administering an oral medication? | 15 to 30 minutes after med administration |
| Standing order | Prewritten order with specific instruction from the provider to administer medication under certain circumstances |
| PRN Order | Ordered as needed |
| Stat Order | Order that may be provided verbal, written or electronically for immediate/emergent usage |
| Administering PEG Tube Medication | Check placement, flush, admin first med, flush, admin second med, flush - *** be careful with patients on fluid restriction *** |
Created by:
ADurler1
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