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Pharmacology
Chapter 5 & 7
| Question | Answer |
|---|---|
| A medication error is a preventable event that may cause inappropriate | medication use or patient harm |
| Examples of medication errors are wrong ... | drug, dose, patient, route, time |
| Prescribers make the most medication errors | True |
| Most medication errors occur during | prescribing and administration |
| High alert medications have a high risk for patient harm | True |
| High alert medications are | anticoagulants (bleeding) insulin (hypoglycemia) chemotherapy (severe toxicity) CNS (respiratory depression) |
| Alcohol is a CNS depressant | True |
| Anticoagulant, insulin, chemotherapy have to have a second | nurse verification |
| Hypoglycemia is deadlier than hyperglycemia | True |
| Chemotherapy is given by | RN |
| Examples of Sound A-Like Look A-Like drugs (SALAD) are | Buspirone (generic) vs Bupropion (trade)= psychic drugs Prednisone(generic) vs Prednisolone (trade)= steroid drugs |
| Nursing prevention with SALAD drugs is to | read the labels carefully use generic names clarify unclear orders |
| Rights of medication administration are right | patient, route, drug, dose, time, documentation |
| MAOI stands for | monoamine oxidase inhibitors |
| MAOI are antidepressants that block the breakdown of neurotransmitters in the brain (used for anxiety, sadness, or worry) | True |
| Additional modern rights are assessment, education, evaluation, refuse | True |
| Do not use trailing zero (ex. 1.0) = NEVER do | can be misread as 10 |
| Use leading zero (ex. 0.25) = Always do | may be misread as 25 |
| To prevent errors always use two patient identifiers, check allergies, clarify unclear orders, never assume missing information, and minimize interruptions | True |
| A near miss is an event that could have caused harm but | did not |
| Near misses should still be reported | True |
| After a medication error has occurred with a patient involved the first priority a nurse should do is | protect the patient |
| Nursing actions after a medication error is | assess patient notify instructor /provider monitor patient follow orders document facts only complete incident report |
| Student nurse administering a medication error should first notify | clinical instructor |
| What are the documentation rules when a medication error occurs? | document the medication given actual dose prescribed patient response after administration notifications made provider orders |
| Medication reconciliation is comparing home medications with current medications | orders |
| Medication reconciliations are done at admission, transfer, and | discharge |
| Medication reconciliation purpose is to prevent omissions, duplicates, and interactions | True |
| OTC medications are used for short-term treatment of minor illness | True |
| Examples of OTC medications are | Ibuprofen Acetaminophen Omeprazole Loratadine |
| Potential hazards of OTC medications are delay treatment, toxicity, drug interaction, and abuse | True |
| Hepatotoxicity is liver damage | True |
| Gingko and anticoagulants (such as warfarin, heparin, or aspirin) together can cause bleeding | True |
| St John's wort and SSRIs can cause serotonin syndrome | True |
| Tylenol can be toxic to the liver (hepatotxicity) | True |
| Garlic, Gingko, Ginseng, St John's Wort, Echinacea are herbal healing products people like to use | True |
| People use herbal plant healing to boost immunity, treat depression, and general health | True |
| Herbal healing products can interact with medications, are not strictly regulated, and may cause toxicity | True |
| Excessive use of herbal healing products and medications can cause toxicity | True |
| Ginko is for memory | True |
| Garlic is for cholesterol | True |
| Valerian is for sleep | True |
| Kava is for anxiety | True |
| Ginseng is for energy | True |
| True |