1. Medication orders that are
    unclear, incomplete, or ambiguous should be questioned to avoid errors.
  2. Medication or drug order is
    the written prescription for a drug.
  3. A complete drug order must include
    the full name of pt, the name of the drug, route of admin, how often to be given, date and time written, and signature of prescriber.
  4. Checking any conversions and calculations for a divided dose
    with another colleague is recommended at all times as a medication safety measure.
  5. Topical medications
    are instilled in the form of eyedrops or eardrops, or applied ointments, pastes, or lotions to the skin or mucous membrane.
  6. Stat orders indicate
    that the order has top priority and the medication must be administered without delay.
  7. All medication orders are
    automatically canceled whenever a pt undergoes surgery or general anesthesia. new orders must be written after surgery, even for routine medications.
  8. Unit dose system is
    considered safest because the dose prescribed is the dose dispensed.
  9. If three or more unit-dose packages are required to achieve the dose
    recheck the order and your calculations.
  10. Legally controlled substances
    must be under lock and key at all times.
  11. Ointments are
    medicines manufactured in an oily base, such as petrolatum or lanolin, which keeps drug in prolong contact with skin surface to obtain soothing and anti-inflammatory effect.
  12. Lotions and liniments are
    topical in liquid form such as calamine lotion which are used to cool, soothe, and reduce inflammation or itching of skin.
  13. Pastes are
    stiffer in consistency than ointments and do not melt at body temp.
  14. Suppositories are
    small cylinder shaped, semisolid substances that are inserted into body orifices such as rectum, vagina, urethra, or ostomy stoma.
  15. Spansule are
    time-released pellets put into a capsule.
  16. Any water that is used
    must be entered on the intake sheet if the patient is on intake and output recording.
  17. Sublingual meds
    are placed under the tongue.
  18. Buccal meds
    are placed in the pocket between the teeth and the cheek.
  19. Opthalmic meds
    may be in the form of drops, ointment, or an eye disk.
  20. Otic (ear) meds
    is mostly used in children to decrease the pain of the otitis media, also used to treat external otitis and to soften cerumen (earwax)
  21. Nasal meds
    used as decongestants, antihistamines, antibiotic, or steroid depending on need. one to two squirts per nostril.
  22. Metered-dose Inhaler is
    held in front of the mouth, cylinder for the inhalant is depressed, and a spray of medication is released.
  23. 5 groups of drugs dispensed in inhalers for treatment of lungs.
    • 1. Beta-agonist
    • 2. Anticholinergics
    • 3. Corticosteroids
    • 4. Leukotriene modifiers
    • 5. Antiallergics
  24. Douche
    is a vaginal irrigation.
  25. Transdermal meds
    are supplied in a sustained-release patch that is applied to clean, dry, hairless skin and left in place, or as paste that is spread on a small area of skin.
  26. Rectal meds
    are to prevent vomiting, soothe hemorrhoids, prevent bladder spasms, promote bowel evacuation, and reduce fever.
  27. Medications that should not be crushed and administered through the tube
    are sublingual or buccal, enteric-coated, or sustained-release prearations or products with a carcinogenic potential.
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