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Oral Medications
notecards for chapter 32
24
Nursing
Not Applicable
10/22/2010

Additional Nursing Flashcards

 


 

Cards

Term
Medication orders
Definition
lists the drug name and directions for its administration
Term
Components of a Medication Order
Definition

1. Clients name

2. date and time the order is written

3.drug name

4. dose  

5. route 

6. frequency

7. signature of the person ordering the drug

Term
trade name
Definition
name that the pharmaceutical company who made the drug uses."brand name", usually capitalized and followed by an R with a circle around it. 
Term
generic name
Definition
chemical name not protected by a company's trademark
Term
dose
Definition
the amount of drug to administer and is prescribed using the metric system or the apothecary system
Term
route of administration
Definition
means how the drug is given, which may be oral, topical, inhalant, or parenteral route
Term
scored tablet
Definition
solid drug manufactured with a groove in the center, convenient when only half the tablet is needed,
Term
enteric-coated tablet
Definition
solid drug covered with a substance that dissolves beyond the stomach, used for drugs that are irritating to the stomach, *should never be cut, crushed or chewed*
Term
sustained release 
Definition
drug that dissolves  at timed intervals, *never opened or crushed* doing so affects absorption rate. 
Term
q.h.
Definition
administer meds hourly
Term
q4h
Definition
give meds every four hours
Term
steps in taking a telephone order
Definition

-have a second nurse listen in

-record directly on the patients medical record

-repeat written information back to prescriber

-include all essential components

-clarify and drug names that sound familiar

-spell or repeat numbers that sound the same

-use abrreviation T.O at the end of order 

-write prescribers name and cosign with your name and title 

Term
medication administration record
Definition
agency form used to document drug administration, ensures timely and safe medication admin., provide place for when drug is given and signature titles, initials, kept separate, but becomes a part of permanent record
Term
individual supply
Definition
is a container with enough of the prescribed drug for several days or weeks, common in a long term faciclity
Term
unit dose supply
Definition
a self contained packet that holds one tablet or capsule, common is acute care setting
Term
stock supply
Definition
stored drugs remains in nursing unit for use in a emergency, give drug without delay
Term
accounting for using narcotics
Definition
always are in a double locked box, drawer, room. keep a record of drugs used, nurses count narcotics at the end of each change of shift.
Term
the five rights
Definition

right drug

right dose

right route

right time 

right client

 

* 6th right, right to refuse

Term
drug calculations formula
Definition
what you have divided by what you need. multiplied by the quantity.
Term
over the counter medications
Definition
non prescription drugs
Term
preparing medications safely
Definition

-prepare in a well-lighted room

-work alone without interruptions and distractions

-check the label of drug container 3 times, 1 when you reach for it 2 just before putting it into a cup 3 when returning to patients drawer

-avoid meds with missing labels

-return meds with obscured labels to pharmacy

-never tranfer drugs from one container to another

-check expirations

-reject any decomposing meds

Term
administering oral meds by enteral tube
Definition

the nurse clamps the tubing for 30 minutes to prevent removing the drug.

-do not add the meds to the formula feeding, 1 some drugs may physically interact with the components in the formula causing it to change consistency

2. a slow infusion would alter the drugs dose and rate of absorption

Term
polypharmacy 
Definition
administration of multiple medications to the same person
Term
gerontologic considerations
Definition

-diminished kidney and liver function increase concentration of drugs

-meds are the most common physiologic cause of a mental change

-strokes or CVA patients have trouble swallowing

-older people should carry a list of current meds with them

-they often need pill organizers or ways to identify different meds

 

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