Medication Administration

  1. What does the abbreviation AC mean?
    Before meals
  2. What is the official name of a drug?
    Name listed in official publication PDR
  3. Which two drug names are used interchangeably?
    • Generic/Official
    • Brand/Trade
  4. How medication errors can a hospitalized patient expect?
    One per day
  5. How many medication errors are preventable?
    53% - 58%
  6. How many mediation errors do nurses catch at the bedside?
  7. Number one reason nurses miss/make medication errors?
    Distraction while administering meds
  8. Number one med that is mistaken?
  9. What is a sentinel event?
    An event that occurred that resulted in death, paralysis or coma
  10. Three things you have to tell the patient when administering meds?
    • Tell patient what you are giving them
    • Why you are giving it to them
    • And side effects
  11. Who can prescribe medication?
    • Physicians
    • Dentists ??
    • Nurse practitioners
  12. What drugs have potential for abuse or addiction?
    Controlled substances
  13. What are often the automatic stop orders for controlled substances?
    72 or 96 hours (within 4 days)
  14. What percentage of nurses use controlled substances?
    Over 8%
  15. How many RN’s must witness waste of controlled substances?
  16. Five ethical principles used as guides to make decisions?
    • Autonomy
    • Truthfulness
    • Beneficence
    • Nonmaleficence
    • Confidentiality
  17. What is the difference between adverse effect and toxicity?
    Toxicity is a result of excessive levels
  18. What eight factors determine the action of medication?
    • Age
    • Gender
    • Genetics
    • Diet
    • Environment
    • Physiological effects
    • Disease
    • Time
  19. What is intracardiac administration?
  20. What is intrathecal/intraspinal administration?
  21. What is intra-arterial administration?
  22. What is intraosseous administration?
  23. What is epidural administration?
  24. What are the 7 components to an order?
    • Ful name of patient
    • Date/time order was written
    • Name of drug to be administered
    • Dose of drug
    • Frequency of administration
    • Route of administration
    • Full signature and credentials of person writing order
  25. What is medication reconciliation?
    The process of creating the most accurate list possible of all medications a person is taking
  26. At what point does a patient need to have a medication record when hospitalized?
    Within the first 6 hours
  27. Where are medication cabinets found?
    • In patients room
    • In medication room
  28. What are the seven types of orders?
    • Written/preprinted
    • Verbal (dangerous)
    • Telephone (taboo)
    • Routine/Standing
    • Single dose
    • PRN
    • STAT
  29. In what situations can verbal orders be given?
    • Urgent
    • Emergent
  30. What are the 10 rights of medication administration?
    • 1.Right patient (allergy & ID band)
    • 2.Right drug
    • 3.Right dose
    • 4.Right route
    • 5.Right time
    • 6.Right to Refuse
    • 7.Right Assessment
    • 8.Right Education
    • 9.Right Evaluation
    • 10.Right Documentation
  31. What are the three checks?
    • Check in med room
    • Check MAR
    • Check at bedside
  32. What position should a patient be in to receive oral meds?
    High fowlers
  33. Can two routes of administration be included in one order?
    No. It must be written in two orders
  34. What size needle is usually used in deltoid?
    23 gage 1 inch
  35. What size needle is usually used in leg?
    21 gage, 1.5 inch
  36. Mnemonic to remember needle gage
    • Blue 22
    • Green 18
    • Pink is 20 (in the middle and it doesn’t rhyme)
  37. Standard Administration for Heparin
    • 3 ml syringe
    • 25 5/8inc needle
Card Set
Medication Administration
Fundamentals lecture on medication administration