Medications - everything, Y1/S2

what does ac (ante cibum) mean?

before food

what does cc (cum cibum) mean?

with food

what does pc (post cibum) mean?

after food

What does BD (bis die) mean?

Twice daily

What does mane mean?

Morning

What does midi (medius dies) mean?

Midday

What does nocte mean?

Night

What does prn (pro re nata) mean?

When required (as needed)

What does q4h or Q4H (quaque 4 hora) mean?

Every four hours

What does q6h or Q6H (quaque 6 hora) mean?

Every six hours

What does q8h or Q8H (quaque 8 hora) mean?

Every eight hours

What does q12h or Q12H (quaque 12 hora) mean?

Every twelve hours

What does QID (quater in die) mean?

Four times a day

What does STAT (statim) mean?

Immediately

What does TDS (ter die sumendum) mean?

Three times a day

What does buc (bucca) mean?

Buccal

What does IM mean?

Intramuscular

What does inh mean?

Inhalation

What does IV mean?

Intravenous

What does neb mean?

Nebuliser

What does ng mean?

Nasogastric (through the nose into the stomach)

What does po (per os) mean?

Oral

What does pr mean?

Per rectum

What does pv mean?

Per vagina

What does nj mean?

Nasojejunal

What does subcut (sub cutem) mean?

Subcutaneous (under the skin)

What does subling (sub lingua) mean?

Sublingual (under the tongue)

What does top mean?

Topical (applied to the skin)

What does PEG mean?

Percutaneous endoscopic gastrostomy (tube into stomach through skin)

What does CP mean?

carer patient

What does U mean?

patient unavailable

What does SM mean?

self-medicating

What does R mean?

patient refused

What does D mean?

prescribers instructions

What does N mean?

not administered

therapeutic

the expected response to a medication i.e., Panadol results in pain relief

side effect

expected but not intended, less serious i.e., tramadol/morphine may cause nausea

adverse effect

unintended, undesirable, more serious i.e., metoclopramide results in dystonic reaction

toxic

may develop after prolonged intake, very serious i.e., overdose of IV local anaesthetic

allergic

unpredictable sudden response, may be mild like urticaria, rash, pruritus, rhinitis or severe anaphylaxis i.e., induction agents

oral

given via mouth and swallowed, has slower rate of action

parenteral

injection, can be subcutaneous, intramuscular, intravenous, intraosseous

sublingual

placed under the tongue

buccal

placed under top cheek between gum and cheek until dissolves

inhaled

breathed in

topical

applied to skin & mucous membranes

what is the first right of the 7 rights of medication administration?

right PATIENT:

• Two ID checks against NHI in medication chart label

• One must be NHI on patient wrist ID

• Ask patient to identify themselves and their DOB

what is the second right of the 7 rights of medication administration?

right MEDICATION for the right REASON:

• Check the medication label

• Check the prescription order and patient history

• Check the chart & ask the patient if any ALLERGIES & adverse drug reactions (ADR)

what is the third right of the 7 rights of medication administration?

right DOSE for the right REASON:

• Check the prescription order

• Confirm CORRECT dose, know expected effect & contraindications using a drug reference resources & patient history

what is the fourth right of the 7 rights of medication administration?

right TIME includes right delivery RATE:

• Look when last administered

• Give the drug at right time & over the right time

what is the fifth right of the 7 rights of medication administration?

Right ROUTE with the right FORM for administration & monitor response:

• check order & make sure it is the right drug form for the delivery route

• Communicate the reason and expected action & ask the patient to report effect

what is the sixth right of the 7 rights of medication administration?

Right documentation - WRITE it right in medication chart & write patient response in the progress notes:

• COMPLETE documentation and sign AFTER giving the medication

• Chart the actual delivery time, route & why it is withheld or refused/declined or when to restart

• Document NEW allergy or ADR

what is the seventh right of the 7 rights of medication administration?

Right REASON

• why are they receiving it — “for pain relief”