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Pharm Ch. 10
| Question | Answer |
|---|---|
| Keeps in minds your 6 rights? | right drug, right time, right pt, right route, right documentation, and right dose |
| Always do what when giving meds? | wash hands |
| When calculating meds you should? | double check |
| Obtain drugs how? | 1 pt at a time |
| Check the drug how many times before giving it? | 3x |
| Check what on all meds? | expiration date |
| Meds used after expiration date can cause? | less potent or harmful |
| Make sure drugs given together are? | compatable |
| before giving meds check what on the pt? | braclet |
| open the drug when? | in front of the pt |
| Stay with the pt while? | they take the meds |
| Chart the medication on what? | medication record |
| Response time will vary with? | route |
| If the pt can't swallow well some meds can be? | crushed |
| Crush? | one pill at a time |
| Offer the pt how much to drink? | a whole glass |
| T or F: you can place meds on pt's tongue? | T |
| Sublingual and buccal routes are for? | rapid absorption |
| Sublingual? buccal? | Under tongue, Between cheeck and molar |
| Allow the drug to completely dissolve before? | swallowing |
| Fluids should not be taken with ? | buccal or sublingual |
| Orally disintegrating meds do what in the mouth? | dissolve without water in 60 seconds, placed on the tongue |
| In orally disintegrating meds you have to make sure? | the pt has not eaten or drank in the last 5 min |
| orally disintegrating meds cannot be? | split, broken, or torn |
| If you overfill a liquid med you get rid of there excess where? | sink |
| You can mix baby liquid meds? | with sweet tasting foods |
| Do not mix meds with what? | honey it can cause botulism |
| Before giving meds through a tube you should? | put pt in semi fowler position |
| Tube, you should assess? | whether fluid restriction or fluid overload is a concern |
| Tube, if a tablet must be given? | crush it if you can |
| Tube, you should dilute what with 15-30 ml of warm water? | the tablet |
| Tube, you should allow liquid to move? | by gravity |
| Tube, do not try to? | force the medication |
| After giving meds through a tube you should always? | flush it with 15-30 ml warm water |
| Rectal, assess for what? | rectal bleeding or diarrhea |
| Suppositories should not be? | divided |
| The suppositorie should not be? | inserted into stool |
| You should always do what with a suppositorie? | lubricate it |
| While putting in the suppositorie you should tell the pt to? | take a deep breath, and exhale through mouth |
| Never recap? | a used needle |
| How do you recap a needle with meds in it? | scoop method |
| What needles should be used when withdrawing meds from an ampule? | filter needles |
| T or F: never use a filter needle for injection into a pt | T |
| When removing meds from an ampule what needle should you use? | sterile filter needle |
| Medications in a ampule rest where? | the top |
| Multidose vials should have what on them? | date and time and discard date |
| When getting meds from a vial you must? | inject air first |
| The amount of air injected into a vial should be what? | the same amount taken |
| How do you get meds from two vials? | inject air into first vial, then inject into the second, get does from second vile, and then get dose from first |
| What is the air lock technique? | After getting the meds you need, add .2 ml of air |
| When getting two insulin meds you should draw up which first? | clear then cloudy |
| Why is the z track method used? | to prevent irritating substances from getting in other parts |
| What method of injection is considered the safest? | ventrogluteal |
| What is the ventrogluteal site? | pt is placed on their side, injection on side |
| What should you do when giving a ventrogluteal site injection? | make a triangle and the site is the center |
| What is the preferred vastus lateralis site for? | infants |
| Iv's are more what than others? | dangerous |
| Before giving IV's assess the pt for? | drug allergies, for phlebitis and inflammation |
| Check what on IV bags? | expiration date |
| Most iv's have what to add to them? | mixtures, add under hood |
| Some IVPB have to be wat to be activated? | snap line |
| When hanging IV bags do not? | squeeze the bag |
| Always label IV bag with what? | pt name and room number, name of meds,dose, date and time mixed, your initils and date and time meds were given |
| Label IV bag when? | meds are added |
| How do you flush an IVPB? | usuing backpriming method (fluid is drained through the tubing into the old intravenous piggyback bag |
| RN and only RN can give? | intravenous push meds |
| What does bolus mean? | a dose given all at once |
| When putting in eye drops make sure the pt is not? | wearing contacts |
| wipe eye from? | inner to outer canthus |
| Never apply drops to the? | cornea |
| You apply pressure to the pt's nasolacrimal duct for? | 30-60 seconds, to reduce systemic absorption |
| Wait several min before? | administering the 2nd eyedrops |
| For ear drops in adults you should? | pull ear up and back |
| For ear drops in children you should? | pull ear down and back |
| How are nose meds given? | spray, drop, and dose metered sprays |
| What is a flowmeter used for? | for pts to monitor the peak expiratory flow rates |
| After pushing the inhailer how long do you inhale? | deep for 5 seconds, and have them hold breath for 10 seconds |
| How long should you wait between puffs? | 1-2 min |
| How long do you wait between meds? | 2-5 min |
| pts should be taught? | to count puffs per day (needed), and divide by actual puffs taken |
| Do not cut? | transdermal patches |
| measure what topical med? | nitroglycerin ointment |