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Medication Administration

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Question
Answer
What is a meds chemical name?   medication is named by its chemical composition  
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What is a meds generic name?   official or non proprietary name that is given by the US  
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What is a meds trade name?   brands or proprietary name that is given by the company that manufacturers the med, multiple trade names  
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Uncontrolled substances require monitoring by?   a provider  
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Uncontrolled substances do not pose a risk for?   addiction  
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controlled substances have a potential for?   abuse  
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Catagory A for meds during preg are?   safe  
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Catogory X for meds during preg are?   dangerous  
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Meds are organized according to?   pharmacologic action, therapeutic use, body system, chemical makeup, and safe use during preg.  
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What is mechanism of action?   how the med produces the desired therapeutic effect  
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What is therapeutic effect?   preferred and expected effect for which the med is administered  
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What does a routine prescription identify?   meds that are given on a regular schedule  
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What is a single one time prescription?   once at a specific time or as soon as possible  
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What is a stat prescription?   only given once, and given now  
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What is a standing prescription?   written for specific circumstances or for specific units  
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A prescription includes?   Clients name, date and time, name of med, dose of med, route of med, time and freq. to take, and sig. by provider  
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When taking a telephone prescription try to have?   a second nurse listen on an extension  
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With multiple tablets or vials you should?   question it  
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Only give medications that are?   personally prepared  
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1 mg =   1,000 mcg  
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1 g =   1,000 mg  
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1 kg =   1,000 g  
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1 0z =   30 ml  
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1 L =   1,000 ml  
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1 tsp =   5 ml  
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1 tbsp =   15 ml  
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1 tbsp =   3 tsp  
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1 kg =   2.2 lbs  
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1 gr =   60 mg  
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IV flow rates must be calculated for?   electronic IV pumps or manual infusions  
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IV pumps are set in whole?   ml/hr  
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Manual IV is based on?   ggt/min  
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Dimensional analysis is a method of calculation in which?   a series of ratios or factors, organized in the form of fractions are multiplied  
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IV therapy involves?   administering fluids via an IV catheter  
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Advantages of IV therapy are?   fast absorption, less discomfort, constant therapeutic blood levels, less irritation  
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What are the disadvantages of IV therapy?   fluid overload is possible, immediate absorption leaves no time to correct errors, irritation, infection  
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IV access can be via a?   peripheral or central vein  
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Do not write on IV bags with?   pens or markers  
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Fluids should not hang more than?   24 hrs  
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16 gauge for truama clients for?   rapid fluid volume  
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18 gauge for surgical clients for?   reapid blood administration  
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22-24 gauge for ?   all other clients  
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What are signs of infiltration?   pallor, local swelling, low skin temp around the site, damp dressing, slowed infusion  
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What are signs of phlebitis?   edema, throbbing, burning, pain, red line up the arm, slowed infusion  
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What are signs of hematoma?   ecchymosis at site  
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What do you do for phlebitis?   stop, elevate, warm compress, restart dif. spot  
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What do you do for hematoma?   do not appy alcohol, pressure, warm compress  
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What are signs of cellulitis?   pain, warm, edema, induration, red streaking, fever, chills, and malaise  
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What do you do for cellulitis?   stop, elevate, warm compress, specimen for culture, administer antibiotics, analgesics, and antipyrectics  
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What are sings of fluid overload?   distended neck veins, increase blood pressure, tachycardia, short breath, crackels in lungs, edema  
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What do you do for fluid overload?   stop, raise HOB, VS, Adjust rate, administer diuretics  
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What are signs of catheter embolus?   missing catheter tip, severe pain  
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What do you do for catheter embolus?   place the tourniquet high on the extremity, prepare for removal under x ray  
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CNS stimulation causes a risk for?   seizures  
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NSAIDS cause?   GI upset  
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MAOI=   No TYRAMINE  
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Category A:   no risk to fetus  
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Category B:   no evidence in animal fetus  
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Category C:   AE in animals  
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Category D:   AE in human  
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Category X:   AE in animal and human  
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Read Again?   But know most!  
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