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Pharmacology

Chapter 5 & 7

QuestionAnswer
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
Created by: Daarina Jones
 

 



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