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Medication Label
| Question | Answer |
|---|---|
| What does High Alert mean on a medication label? | listed label for medications which identified to have increased risk of causing harm |
| Which is the proper way to write milliliter, ml or mL | mL |
| Which is the proper way to abbreviate microgram, mcg or u? | mcg |
| Should I put a period after medication dose designations like mg, mcg? | No, no period just the abbreviation |
| Cant I write cc for mL? | No, cc is no longer used |
| How would I properly write Heparin five thousand units? Heparin 5,000 units, or Heparin 5000 units? | Heparin 5,000 units-with comma |
| can I abbreviate the word millions or use 0's to write millions in a dosage amount? | No, write million out- example Penicillin 1.5 million units |
| What identification cue on a label helps me recognize similar, look alike names or sounds? | Tall man lettering- example- NovoLog- versus Novolin- DOPamine versus DOBUTamine |
| Boxed warnings indicate what? | advise that significant adverse reactions which can be life threatening can occur with this med |
| What are the six rights of medication administration? | right drug, dose, route, patient, time, documentation |
| List the Steps of medication process | read the order, interpret the order-validating all parts are there, apply 6 rights of med administration, prepare med, administer med, use facility scanning devices or charting rules |
| What are key labs for a nurse to keep a watch on for medications that are metabolized through the kidneys or for patients who have kidney disease? | BUN and Creatinine |
| What BUN & Cre levels would indicate that kidney damage or failure could be occurring? | BUN 20 or more Cre 1.3 or more |
| The peak level of a drug means? | When the medication is at the highest level in the blood |
| When do you draw a Trough level for those that need it drawn? | 30 minutes prior to the next dose is given |
| What are some examples of medications that need a Trough level drawn? | Vancomycin, Gentamycin |
| What is a normal Vancomycin Trough level? | between 10-20-Hold for anything higher |
| What does a medication half life mean? | The amount of time it takes for the medication level to drop by 1/2 (50%) in the body |
| What types of interactions does a nurse need to consider with medications? | Food-Drug Interactions, Drug-Drug Interactions |
| For a patient with liver or kidney disease what happens to a standard half-life of a medication? | The nurse expects the duration of the medication or half life to be increased-it takes longer to reach peak and elimination time is longer-stays in the body longer |
| What types of things affect absorption of a medication? | metabolism, age, chronic illnesses, food, alcohol, liver/kidney diseases, gastric diseases, other medications |
| Tylenol is the brand/Trade or generic name? | Trade name |
| What is the generic name for Tylenol? | Acetaminophen |
| How are Trade names indicated on a med bottle? | The trade name is bold and large and in unique packaging often has an r with a circle around it at the right corner of the name |
| How are generic names indicated on a med bottle? | the writing is usually in lower case, not bolded and plain in contrast |
| List the 5 pharmacokinetic properties we discussed in class | Absorption, Route, Distribution, Metabolism,Excretion |
| Antibiotics are used to treat? | Bacterial infections |
| What does bacteriostatic mean? | they disturb the reproduction or progression of a germ |
| What does bacteriocidal mean? | They destroy or kill the germ |
| What does narrow spectrum antibiotic mean? | They only kill a few types of bacteria |
| What does broad spectrum antibiotic mean? | They kill many types of bacteria |
| What type of antibiotic is penicillin, bacteriostatic or bacteriocidal? | Bacteriocidal |
| List at least 3 names or subgroups of Bacteriocidal antibiotics | Penicillins, Cephalosporins, Carapenems, Monobactams |
| True or False-if a patient has an allergy to penicillin they are likely allergic to cephalosporins? | True |
| Should patients take penicillins with food or on empty stomach? | with food |
| What key patient teaching should the nurse convey for childbearing females prescribed antibiotics? | You will need to make sure to use a secondary means of birth control if you are on birth control measures as antibiotics inactivate many birth control measures |
| Can you drink alcohol with Cephalosporins? | No alcohol is not encouraged with any antibiotics but especially cephalosporins and -mycin's |
| What route are Carbapenems given? | IM or IV |
| What labs need to be monitored with Carbapenems? | BUN, Cre, and liver function test |
| What is a key side effect caused by infusing Vancomycin too rapidly- not an allergic response, but soley due to rapid infusion | Red Man Syndrome |
| What types of infections is Vancomycin good for? | Many, but primarily C-Diff and MRSA-superinfections |
| What are signs of allergic reaction? | Hives, Itching, Swelling lips, face, eyes, tongue, scratchy throat, difficulty breathing |
| What is a nurses best initial responses when recognizing an allergic reaction? | Stop the med and secure the patients airway is patent (open and stable), notify provider |
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