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what must a medication order contain?
- *Name
- *Med. Rec. #
- *Hospital #
- *DOB
- *Sex
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How must time be written on MAR?
in military time
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Who can transcribe med. order?
- *Pharmacist
- *RN
- *Physician
- *LPN
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How do you document medication refusal?
- 1. Circle time of refusal
- 2. Write an 'R' under the time and circle it
- 3. Put your initial
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Reasons for documentation
- *Verification
- *Legal Purposes
- *Prevent med. errors of overdosing
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What do you document in MAR
- *Medication given
- *Pt reaction
- *Date and Time of Adm.
- *Route given
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When is an antibiotic usually DC?
After 5-7 days
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When is an anticoagulant usually DC?
3 to 5 days
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When is a CNS usually DC?
3 days
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When MUST a doctor write new order?
After surgery
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6 Right for Med. Adm.
- - Right patient
- - Right time
- - Right medication
- - Right dosage
- - Right route
- - Right documentation
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What is your grace period before and after a med. is suppose to be adm. without being early or late?
30 mins.
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Factors influencing the route
- - properties of drug
- - site of desired effect
- - rapidity of response
- - condition of pt
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Tablet
Dissolves in stomach
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Enteric- coated
- - protect the intestinal stomach
- - dissolves inside small intestines instead of stomach
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Scored
indented to allow tablet to be broken in half
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Capsule
Power or pellets enclosed in a gelatin-like covering
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Suppositories
Drugs mixed with lubricated substance molded to insert inside body cavities
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Lozenge or troche
sweet mucilage type of tablet that dissolve in mouth to release medication
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Instillation
Applied to the mucous membrane of eye, ear, nose, and vagina or mouth
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Inhalation
Aerosolized liquids, gases
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How are percutaneous medications absorbed
mucous membrane or skin
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Ointments
oil-based semisolid medicaion
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Creams
semisolid, nongreasy emulsions
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Saluables
mix well with water
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Syrup
usually very thick and sweet
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Elixir
thin, sweet and contain a little alcohol
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Suspension
powdered drug combined with water
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Emulsion
powdered drugs combined with oil
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