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1. knowledge of pharmacology of drugs
2. question an incorrect or incomplete order
3. use math skill accurately
4. assess the clients history (allergy)
5. document the the administration of the drug
6. ass the client's response to the drug
7. use continuing education to learn new drugs |
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| Parts of a medication order (7) |
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1. patients full name
2. name of prescriber with credentials
3. date and time written
4. name of medication
5. dosage
6. route
7. signature of prescriber |
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| types of medication orders |
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- standard/written
- automatic stop date
- STAT
- single
- standing orders
- PRN as necessary |
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| gives a specific stop date |
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| automatic stop date order |
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| most often used for narcotics per hospital protocols |
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| a single dose that given immediately and only once |
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a one time medication
ex: preoperative |
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- established sets of prescriptions to be given to patients for a particular disease or surgery
- protocols specific to facilities or situations |
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- the medication is given whenever the patient requires it
- specific to the condition and minimal interval |
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1. oral
2. enteral
3. sublingual
4. buccal/transmucosal
5. topical
6. topical instillations
7. inhalation
8. parenteral |
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| capsule, tablet, time released capsule, liquid, syrup |
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| directly into the stomach or intestine |
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| buccal/ transmucosal route |
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| absorbed through the skin |
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| topical instillations route |
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| breathed into the respiratory passages |
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| IV, intramuscular, SC, intradermal, epidural |
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1. check all info on medication administration record (MAR) before you prepare the medication
- right med cart/ drawer
- right name
- right room number
- expiration date
- signature
2. check MAR again
3. check all info again at the bedside before giving to patient |
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1. armband- first and last name, ID number, and ask name
2. allergies- ask patient, check MAR
3. assessments- before and after meds given |
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1. right medication
2. right dose
3. right patient
4. right route
5. right time
6. right reason
7. right documentation
8. right evaluation |
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