Medication Administration
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Last updated 2:53 AM on 2/24/23
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20 Terms
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Therapeutic Classification
Desired effect
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Pharmacologic Classification
Action on body cells and tissues
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Indication
Know WHY your patient needs it
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Mechanism of Action
Know HOW it works and the therapeutic effect
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What is important for the nurse to know about side effects of medications?
They should know the most common and the serious adverse reactions
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Medication Contradictions
When NOT to administer a medication
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Synergistic Effect
Interaction between two or more drugs that causes the total effect of the drugs to be greater than the sum of the individual effects of each drug
\-Enhances effect of one or more drugs
\-Enhances effect of one or more drugs
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Antagonistic Effect
Interaction between two or more drugs that have opposite effects on the body
\-Blocks or reduces effectiveness of one or more drugs
\-Blocks or reduces effectiveness of one or more drugs
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What should you do after holding medication based on nursing judgement?
\-Notify ordering provider
\-Document held, reason why, and provider notified
\-Document held, reason why, and provider notified
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6 Rights of Medication Administration
\-Patient
\-Med
\-Dose
\-Route
\-Time
\-Documentation
\-Med
\-Dose
\-Route
\-Time
\-Documentation
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How many identifiers should you use when administering medications?
Two separate, written identifiers
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What should you do if a patient refuses or does not tolerate route ordered?
\-Document patient status
\-Obtain new order to give the medication by a route other than originally ordered
\-Obtain new order to give the medication by a route other than originally ordered
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3 Checks of the Medication Label Against the MAR
\-As you remove med
\-Before opening/preparing medication
\-At beds before administering
\-Before opening/preparing medication
\-At beds before administering
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What meds require 2-nurse check?
\-Narrow therapeutic index
\-Side effects/interactions
\-Special monitoring
\-Insulin drips
\-PCA opioids
\-IV heparin
\-Chemotherapy
\-Side effects/interactions
\-Special monitoring
\-Insulin drips
\-PCA opioids
\-IV heparin
\-Chemotherapy
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What must every medication include?
\-Patient’s name
\-Date
\-Name of the drug
\-Dose
\-Route
\-Frequency
\-Any special instructions
\-Signature of prescriber
\-Date
\-Name of the drug
\-Dose
\-Route
\-Frequency
\-Any special instructions
\-Signature of prescriber
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STAT order
Needed immediately
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One-time order (single order_
Given once daily
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PRN order
Given as needed
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Routine orders
Given on a scheduled bases
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Standing orders
Written in advance and carried out under specific circumstance \\s