Term
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Definition
| A fictitious nurse that always does things the right way over the easy way. All RNs are compared to this nurse when on trial. |
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Term
| The last line of defense for safe medication practices |
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Definition
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Term
| Chemical vs. Generic vs. Trade Names for Drugs |
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Definition
Chemical: molecular composition of drug, rarely used in practice
Generic: name given to the drug itself regardless of manufacturer or distributer
Trade: brand name selected by pharm company, and subject to trademark
Generic and Trade are both used copiously in practice |
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Term
| Pharmacokinetics vs. Pharmacodynamics |
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Definition
Pharm(aco)- drug; Kin(e)- movement; dyna - activity
pharmacokinetics: how the body moves the drug (what the body does to it)
pharmacodynamics: what the drug does in the body (its activity) |
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Term
Effect of Liver and Kidneys on Drugs
I |
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Definition
Liver: filters out excess (toxic levels)
Kidneys: excretion |
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Term
4 Considerations for Drug Safety
I |
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Definition
| Allergies (penicillin), Adverse (Side) Effects (teratogens = harmful to fetus), Interactions (antibiotics & birth control), and Toxic Effects (Tylenol--> liver failure) |
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Term
| The 5 + 3 Rights of Med Admin |
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Definition
5: Pt, Drug [reconcile MAR(pharmacy) with order (MD)], Dose, Route, Time
3: Documentation, Rationale, and Right to Know/Refuse |
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Term
| medication reconciliation |
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Definition
| the practice of synergizing at home medications with hospital medications and vice versa, double-checking their necessity on both ends |
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Term
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Definition
| Range of blood concentration of drug between ineffectively low and toxically high, exclusive. Lowest point in range: trough, highest point: peak |
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Term
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Definition
| time it takes for half dose to be cleared from the blood stream |
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Term
Instead of [the following] use ___.
1. U
2. IU
3. QD
4. QOD
5. 45.0 mg
6. .45 g
7. MS
8. MSO4
9. MgSO4 |
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Definition
1. units
2. international units
3. every day
4. every other day
5. 45 mg
6. 0.45 g
7&8. morphine sulfate
9. magnesium sulfate |
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Term
| Home medications, upon admission to the hospital, should be... |
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Definition
| ...sent home with the family, or placed in safe keeping (to avoid medicating outside of the hospital's knowledge/care plan) |
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Term
3 checks of medication
III |
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Definition
1. When withdrawing from PIXUS/shelf
2. When comparing against MAR & order
3. Before administering in room |
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Term
3 tips for med admin (pt safety/assurance)
III |
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Definition
NEVER leave meds unattended
NEVER give meds prepared by someone else
NEVER leave meds w/ pt |
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Term
| Having used only 1/2 of a container of a narcotic, the nurse... |
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Definition
| ...MUST dispose of the other half with a documented witness |
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Term
| Evaluation of Drug Administration |
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Definition
| was the desired outcome of giving this med met? (requires knowledge of pharmacodynamics of drug, and duration) |
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Term
| meds that must not be crushed |
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Definition
enteric coated capsules
extended release meds
WHY? defeats the purpose |
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Term
| Considerations on giving meds to pt w/ NG tube |
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Definition
| one must first CHECK NG PLACEMENT, then shut off suction (if applicable), and keep suction off for ~30 min post admin |
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Term
| If you don't understand the rationale for giving a drug... |
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Definition
| ...look up the uses in a drug book; if it still doesn't make sense for that pt, call the pharmacy |
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Term
If the drug is delivered to the wrong pt/the order has the wrong name...
IV |
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Definition
| ...double check the MAR, and pt's ID; then call the pharamacy |
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Term
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Definition
| outside the intestines/alimentary canal |
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Term
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Definition
| Heparin and Insulin: BE VERY CAREFUL |
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Term
Pt requires powder antibacterial injection, the RN...
V |
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Definition
| ...RECONSTITUTES the powder in a saline IV bag, injects the IV catheter, starts the drip, then DISPOSES OF NEEDLE IN SHARPS |
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Term
consideration for ampules
VI |
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Definition
withdraw with filtered needle
inject with non-filtered needle |
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Term
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Definition
| blood clot med, comes in pre-filled syringe, only exception to the "eject air" rule (there is no air) |
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Term
You know two meds are non-compatible when...
VI |
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Definition
| ...they form a precipitate when mixed (i.e. lantus and levemir) |
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Term
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Definition
| INSULIN SYRINGE ONLY; wipe tops with alcohol; air cloudy-air clear-draw clear-draw cloudy |
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Term
| type of syringe needed for intradermal injection |
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Definition
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Term
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Definition
| pinch an inch of fatty area (bingo wings, back fat, muffin top, or thunder thighs); inject 45-90 deg depending on how much there is; do not aspirate or massage |
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Term
| Most dangerous injection route |
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Definition
| IV: drug is administered directly into blood stream |
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Term
| The piggyback IV set is hung... |
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Definition
| ...higher than the primary IV set |
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Term
| 3 considerations for topical med application |
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Definition
powders: prevent inhalation
patches: don't cut, remove old before adding new |
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Term
| Positioning for Rectal depository |
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Definition
| Sims before administration, and held for at least 5 min afterward |
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Term
| Medication administration must be recorded ___ the medication is given, if the med isn't given for some reason the nurse must ___; if that reason is that the pt refused meds, the nurse must ___ |
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Definition
a) asap after
b) document that reason
c) document it, then notify the provider |
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Term
| You've just realized you have a pt the wrong med, go |
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Definition
assess the pt for adverse effects, take any necessary action
complete an incident report (not to be included in chart) |
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Term
| Having taken Verbal/Telephone order, you... |
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Definition
| ...read it back, verify it, notify the pharmacy, and get the MAR |
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Term
| It is better to ask a dumb question and not make a mistake than to... |
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Definition
| ...assume and make a mistake |
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