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Medication Administration

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
What does the FDA regulate or monitor?   show
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Review steps for administering meds. (end of chp 36).   show
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What are some common causes of med errors?   show
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show * Clients full name * Date and time order was written * Name of medication * Dosage size, frequency, number of doses * Route of administration * Indication (mostly PRNs) * Signature of prescriber  
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What is the Nurse Practice Acts include?   show
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show * Do not add meds directly to feeding * Each med separately * Dilute solid or liquid medications as appropriate * Avoid mixing medications being administered through an ET Tube. * Stop feeding-Flush w/15mL before and after each med. * Flush again. C  
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show * Restart enteral feedings when appropriate. * Collaborate with your pharmacist.  
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What are some important points to remember about ET Tubes?   show
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show * some meds such as Dilantin are a problem due to slow absorption.  
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What are some of the Parenteral medications?   show
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show * Deltoid IM (.5 to 1mL of fluid) 3 finger widths below process. * Ventrogluteal IM *Vastus Lateralis IM (mid thigh, lateral from midline)  
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Define a medication error   show
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What is the estimation of people harmed every year?   show
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What are the Three Checks used to assure safety when giving meds?   show
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show * Drug * Client * Dose * Time * Route * Documentation  
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What are some other Rights?   show
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show * Heparin * Insulin * Lidocaine * Magnesium Sulfate * Potassium Chloride and Potassium Phosphates * Sodium Chloride * Warfarin  
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show * Double Locked * Narcotic Counts * Wasting Narcotics  
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What are some patient teaching points?   show
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show * Side effects * Adverse Reactions (harmful to body) * Toxic reactions * Allergic reactions * Idiosyncratic reactions * Cumulative effect (increases w/added doses)  
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show * Antagonistic * Synergistic * Incompatibilites  
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What do you do when you commit a med error?   show
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show * Check Physicians order against MAR * Follow 6 rights * Check for compatibility * Check for bioavailability * Verify any allergies * Explain rationale to Pt. * Perform assessments needed prior (VS) * Document medication administration immediately  
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