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Chap - 7
PharmacologyHSC1149
| Question | Answer |
|---|---|
| includes purpose, potential side effects, cautions, & contraindications, & possible interactions | up-to-date information about medications |
| wisdom/judgment to accurately assess patient's needs for meds, evaluate patient response to meds, & plan appropriate interventions, as needed, are part of the responsibilities for | safe & accurate medication administration |
| part of the responsibilities for safe & accurate medication administration includes __ __ __ of medication accurately, in best interests of patient, & with accurate documentation | skill of delivery |
| providing necessary info to patient/family about why, how, & when meds are administered & potential side effects/precautions w/administration by the lay person, is part of | patient education |
| knowledge of __ used drugs of the systems is imperative | typical |
| involves taking a complete history, including all medical conditions, allergies, & all other meds in use (OTC, vitamins, etc.) | assessment |
| when assessing medication administration careful observation of the patient's vital signs, posture skin temp./color & facial expressions should be done | before & after administration |
| requires judgment in timing, discontinuation of meds if required, & taking steps to counteract adverse reactions, as well as knowing what/when to report to physician | appropriate interventions |
| plays vital role for all health care providers in planning effective drug therapy | evaluation & documentation of results |
| the goal of delivery of medication is to maximize effectiveness of the drug w/ least ___ to the patient | discomfort |
| __ to the unique needs of each patient is encouraged | sensitivity |
| always required for all meds given, as well as for patient education provided | documentation on the patient's record |
| controlled substances given MUST be recorded in a | narcotics record |
| more medication errors are reported, and the risk is greater, in the | acute care setting |
| patients in acute care care setting are often | older adults |
| older adults are more likely have chronic medical conditions requiring | multiple medications |
| meticulous care in the preparation & administration of meds reduces the | chance of errors |
| if a mistake is made it is not only required, but also CRITICAL, to __ __ immediately to person in charge | report it |
| when reporting medication errors reporting it allows for the person in charge to | take corrective action |
| should reflect the corrective action taken for justification should there be any case of legal proceedings | patient's record |
| legal requirement which must be completed, in addition to documenting patient's record | incident report |
| risk of: increased possibility civil suits against provider, &/or loss of professional license/certificate, as well as jeopardizing patient's welfare | failure to report errors |
| honesty is not only the best policy, it is the __ __ for moral, ethical, & legal reasons | only policy |
| it is practitioner's responsibility to provide for patient's safety & quality care | at all times |
| US Pharmacopoeia (USP) has established this as part of the goal, to provide for patient's safety & quality care & reporting of medication errors | Medication Errors Reporting (MER) Program |
| accounts for approximately 1/4 of all reports to MER | similarity of drug names (written or spoken) |
| USP Quality Review Report, published by MER, listing many similar drug names that have led to medication errors | Use Caution--Avoid Confusion |
| essential to safe administration of medicines | cleanliness |
| necessary for safe administration of medications | organization |
| should be well lighted & away from distracting influences | preparation areas |
| medication, amount, time, route, patient, & documentation | Rights of Medication Administration |
| carefully compare name of drug prescribed w/label on package | Right medication |
| it is essential to __ every letter in the drug name when comparing medication ordered with medication on hand | scrutinize |
| when comparing drug ordered to drug on hand accuracy can be facilitated by placing them | next to each other |
| NEVER give medications that | someone else has prepared |
| NEVER leave medication __ unless specifically ordered by the doctor | bedside |
| never ___ a unit dose packet until the patient is prepared to take the dose | open |
| an unusual dose should alert you to | an error |
| is an important part of the drug dosage, which includes amount, frequency, & # of dose to be administered | time for administration |
| drugs must be given on a prescribed schedule in order to | maximize effectiveness |
| is important because of its effect on degree of absorption, speed of drug action, & side effects | route of administration |
| if no route of administration is specified, on physician's order, the __ route is used, unless conditions warrant otherwise | oral |
| route of administration may not be changed without | physician's order |
| determines patient to receive medication be identified by use of certain techniques to reduce chance of error | Right patient |
| when determining Right patient this should be checked first and before medication administration | patient's wrist ID band |
| when determining Right patient in an ambulatory setting a health care worker would check the chart against the patient providing their | name and date of birth |
| in addition to documenting the patient's record, the person administering medication must __ or __ after administration | sign or initial |
| if narcotics are destroyed because of partial dose, cancellation, or error 2 health care workers must sign as witnesses of | disposal of drug |
| form issues by FDA in 1993 to assist health care professionals in reporting serious, adverse events or product quality problems associated w/meds, medical devices, or nutritional products regulated by FDA | MED WATCH |
| clinical trial, which precede FDA approval cannot uncover every problem that can surface once | product is widely used |
| MED WATCH encourages health care workers to regard __ __ part of the professional responsibility | voluntary reporting |
| increasing the # of meds patient receives increases risk of interactions, side effects, & __ __ __ in medication administration | risk of error |
| when preparing to administer medications, the __ __ to keep in mind are cleanliness, organization, & preparation area | basic principles |
| primary responsibility of health care worker in providing safe & accurate administration of medications | adequate & up-to-date info about all medications to be administered |
| factors the health care worker should consider when deciding upon time to give a medication, if order does not indicate a specific time for medication administration | purpose, action, & side effects of medication |
| the action that the health care worker should take next, once a medication is administered | evaluate effectiveness of medication |
| the best way for a health care worker to ensure that the correct amount of a medication is administered | compare prescribed dosage with dose on medication container label |
| safe administration of medications requires training to develop skills in __ of medications | delivery |
| if when a health care worker is preparing a liquid medication for administration, they find that the label is no longer legible they should | obtain a new medication bottle with legible label |
| a patient has been prescribed an oral medication, but develops severe nausea and vomiting. Med is available in parenteral form, so the worker should | ask physician to change prescribed route for administration |
| if a colleague who has prepared a medication for administration, is called to answer phone call and asks you to deliver medication, you should | not administer the medication |
| administration of medications by the health worker carries __, __, & __ responsibilities | moral, ethical, & legal |
Created by:
lfrancois
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