Term
| A medication, chemical, or substance that modifies body functions |
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Definition
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Term
| What are 4 sources of drugs |
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Definition
| plants, minerals, animals, synthetically produced |
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Term
| laws established from 1906 to present to regulate production and distribution; FDA and DEA |
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Definition
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Term
| This dept of drug legislation regulates production and distribution of General Drugs |
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Definition
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Term
| This division of drug legislation regulates production and distribution of controlled substances |
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Definition
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Term
| In respect to drug names Chemical = |
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Definition
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Term
| Drug name Assigned by manufacturers developing drug |
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Definition
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Term
| This is an example of what type of drug name- 2-(4 isobutyphenyl propinoic acid) |
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Definition
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Term
| Ibuprofen is an example of what drug name |
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Definition
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Term
| Drug name Assigned by manufacturers developing drug |
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Definition
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Term
| Motrin, advil, and nurpin are examples of what drug names |
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Definition
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Term
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Definition
By body system
By symptom which is relieved by the drug
By clinical indication |
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Term
| What are factors affecting drug action |
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Definition
1. developmental level
2. weight
3. gender
4. genetic/ cultural factors
5. psychological factors
6. disease
7. environment
8. nutritional state
9. Timing of administration
10. Route of administration |
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Term
| How does gender affect drug action |
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Definition
| due to distribution of body fat, fluids and hormones |
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Term
| What are some possible nursing diagnosis for medication |
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Definition
1. Risk for poisoning
2. knowledge deficit
3. non-compliance with medication regimen |
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Term
| What are some possible nursing interventions or planning involving medications |
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Definition
1. Patient will receive medication as ordered
2. patient will understand the effects of the drugs and know the side effects to watch for
3. patient will be compliant in taking medication at home |
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Term
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Definition
| Must have a Doctors or NP order |
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Term
| What are 5 types of orders |
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Definition
1. Standing
2. PRN
3. Single
4. STAT
5. ASO |
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Term
| What are 7 parts of a medication order |
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Definition
1. pt name
2. date and time order written
3. name of drug
4. dosage
5. route
6. frequency
7. signature |
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Term
| What needs to be done after a medication order is written |
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Definition
1. order checked- question any unknowns. out of normal ranges, difficulty reading
2. Transcribed
3. Sheet sent to pharmacy |
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Term
| What are two types of medication supply |
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Definition
1. Stock
2. Individual
unit dose
30 day card supply
pyxis |
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Term
| What are 3 types of checks that need to be performed conserning medication |
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Definition
1. Check the label when reaching for the container
2. Check the label immediately before opening or pouring
3. Check label when replacing container |
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Term
1. Patient
2. Drug
3. dose
4. time
5. route
4. time |
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Definition
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Term
| When should you follow up |
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Definition
1. documentation
right chart
right date
right time
2. Education
3. Evaluation |
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Term
| What precautions need to be made concerning controlled substances |
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Definition
1. locked
2. must be counted at intervals
3. report inaccurate count immediately
4. witness for discard |
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Term
| Concerning meds how long should you stay with the patient |
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Definition
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Term
| Concerning meds how long should you stay with the patient |
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Definition
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Term
| you should only give meds that ________prepare |
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Definition
| you should only give meds you prepare |
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Term
| What does deviation from the window of administration = |
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Definition
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Term
| What does deviation from the window of administration = |
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Definition
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Term
| If there is a medication that was not given what needs to be done |
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Definition
| Circle, time and initial- describe on narrative |
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Term
| Have someone check ______and ______ |
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Definition
| Have someone check insulin and heparin |
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Term
| Dont sign until you have _________- |
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Definition
| Dont sign until you have given |
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Term
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Definition
| Sign immediately after giving |
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Term
| When should errors be reported |
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Definition
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Term
| The label of the med must be __________ |
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Definition
| The label of the med must be legible |
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Term
| You should never ___________meds |
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Definition
| You should never transfer meds from one bottle to another |
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Term
Check _____dates on meds
Dont put meds in _________
never leave meds________-
Prepare and give one _________at a time |
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Definition
Check expiration dates on meds
dont put meds in the trash can
Never leave meds unattended
Prepare and give one patient at a time |
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Term
| If a med drops on the floor what should you do |
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Definition
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Term
| If the patient vomits med |
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Definition
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Term
| Dont give meds from ________ |
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Definition
| Dont give meds from an unmarked container |
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Term
| Liquids should be poured at eye level with _____________ |
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Definition
| Liquids should be poured at eye level with label away from you |
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Term
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Definition
| To prevent disease, assist diagnosis, treat disease or condition, or maintain or restore body function |
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Term
| Monitors and regulates narcotics and other high abuse potential durgs |
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Definition
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Term
| High abuse drugs are called __________in the clinical setting |
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Definition
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Term
| A respiratory drug is an example of a drug classified by the ______ |
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Definition
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Term
| An antihypertensive drug is an example of a drug classified by ______ |
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Definition
| by the symptom which is relieved by the drug |
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Term
| An analgesic, antibiotic, or hormone is a drug classified by |
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Definition
| Clinical indication; what they do clinically |
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Term
| What is an example of how a disease can effect the way a drug works |
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Definition
| If someone has decreased metabolism it will change how the drug works |
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Term
| How can the nurtritional state affect the way a drug works |
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Definition
| Some drugs rely on having enough of another nutrient to work better. for example calcium needs vitamin c for absorption and is even better with Vitamin D |
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Term
| What is the most common route of administration and what is significant about it |
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Definition
| The most common route of administration is oral and it is usually the slowest to work |
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Term
| What is the fastest route for taking medicaton |
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Definition
| IV, followed by injection |
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Term
| How does gender and body fat contribute to the effectiveness of a drug |
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Definition
| Drugs like to hook themselves to lipids in the body so men and women have different amounts of body fat that influence where and how the body works |
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Term
| How do genetic and cultural factors contribute to the effectiveness of a drug |
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Definition
| Genetics make you respond different than the norm. Mind body interaction has an effect and culturally people have different views about drugs |
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Term
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Definition
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Term
| When patients are scheduled for surgery what happens to their drug orders |
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Definition
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Term
| What happens to medication orders when a patient enters a new facility |
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Definition
| The drug orders are cancelled. the patient can continue on the meds if the doctor writes a new order |
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Term
| How can you avoid medicaton errors |
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Definition
1. check, double check, and check again
2. Note any allergies
3. Remain at bedside while patient takes meds
4. Record immediately after giving meds
5. Know routes meds should be givn
6. Consider patient size and weight
7. If you make an error report it
8. look up ur drugs |
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Term
| What is the ratio for the number of meds given that have an error involved |
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Definition
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Term
| this type of order is medication continuous for duration of stay in clinical facility |
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Definition
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Term
| this type of order means meds are given only as the patient needs them |
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Definition
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Term
| this type of order means the meds were given 1 time |
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Definition
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Term
| this type of order means meds were given immediately |
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Definition
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Term
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Definition
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Term
| this is a type of order where the med is only good for specific amount of time |
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Definition
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Term
| This type of med is given rectally. You should wear gloves and use soluable jelly to ease insertion and then clean excess |
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Definition
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Term
| When administering ear drops what should you do |
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Definition
| pull up and back on ear, examine for drainage and then place a cotton ball |
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Term
| When administering ear drops what position should the patient be in |
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Definition
| Supine, nurse should be by infected side and rest bottle on forehead |
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Term
| when applying opthalmic ointment what needs to be done |
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Definition
| access mucosa for irritation. cleanse the eye to remove any crusting. retract (pull back) bottom of eyelid adn put in inner canthus |
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Term
| What is significant about topical application |
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Definition
| Medication will go to the stomach |
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Term
| this is an emolsion of oil and water. It lubricates and is used for treatment of subacute skin lesions and retards loss of moisture |
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Definition
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Term
| what is significant about medication placed sublingual |
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Definition
| It is under the tongue and has rapid absorption and should dissolve immediately |
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Term
| This is greasy and retards water loss and protects the skin |
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Definition
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Term
| this is a non fatty base, absorpant may need mineral or olive oil to remove. Repels external moisture |
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Definition
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Term
| Released over time-change site each time. Clean area to remove surface oils and dirt |
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Definition
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Term
| What should you check before crushing a tablet |
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Definition
| That crushing will not intefere with the medications action |
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Term
| What type of oral med should you never open |
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Definition
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Term
| What should you never crush |
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Definition
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Term
| It something has magna on it or is a gel what needs to be done before use |
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Definition
| The med needs to be shaken |
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Term
| What can an elexir be followed by |
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Definition
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Term
| If you have a medication syrup you should give it last why |
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Definition
| because you can not dilute it |
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Term
| What are some disadvantages to taking oral meds |
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Definition
1. absorption can vary
2. can cause nausea and vommiting
3. can irritate gastric mucosa
4. Can have an objective taste or odor |
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Term
| When are oral meds contraindicated |
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Definition
1. If the pt has a gagging or swallowing reflex that is absent or impaired
2. nausea or vommitting
3. If pt is unconcious or semi unconscious
4. NG tube if to suction |
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Term
| If medication is stock what does that mean |
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Definition
| that there is a whole bottle that all the patients use |
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Term
| What are the components of an individual Medication supply |
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Definition
1. unit dose
2. 30 day card supply
3. pyxis |
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Term
| What are checks that need to be done before administering medication |
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Definition
1. 3 checks of the label
- when reaching for container
- immediately before pouring or opening
-When replacing container |
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Term
| What are the rights in regards to safe administering of medication |
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Definition
1. patient
2. drug
3. dose
4. time
5. route |
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Term
| In regards to safe medication administering what needs to be followed up on |
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Definition
1. Documentation- right chart, right date, right time
2. Education
3. Evaluation |
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Term
| What are 4 things that need to be adhered to in regards to controlled substances |
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Definition
1. locked
2. must be counted at intervals
3. report inaccurate count immediately
4. witness for discard |
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Term
| When giving meds how long should you stay with the patient |
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Definition
| until all the meds are taken |
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Term
| Which meds should you give |
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Definition
| only the meds you prepare |
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Term
| What should you do when giving meds |
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Definition
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Term
| What does deviation from window of administration = |
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Definition
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Term
| If meds were not given what needs to be done |
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Definition
| Cirlce, time, and initial then describe on narrative |
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Term
| Have someone check ___ and ____ |
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Definition
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Term
| You should not sign until_____in regards to administering medication |
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Definition
| dont sign until you have given |
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Term
| When should you sign in regards to administering meds |
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Definition
| Sign immediately after giving |
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Term
| In regards to administering meds when should errors be reported |
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Definition
| Report errors as soon as known |
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Term
| the label of the med must be |
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Definition
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Term
| In regards to meds and transferring what should you never do |
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Definition
| Never transfer from one bottle to another |
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Term
| You should always check the bottle for |
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Definition
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Term
| You should never put meds in the ____ |
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Definition
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Term
| Never leave meds__________ |
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Definition
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Term
| Meds should be prepared and given__________ |
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Definition
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Term
| What should you do if the patient drops the med on the floor |
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Definition
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Term
| If a patient vomits a med what should you do |
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Definition
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Term
| Dont give meds from ______ |
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Definition
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Term
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Definition
| At eye level with label away from you |
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