2. Right medication
3. Right dose
4. Right route
5. Right time
6. Right documentation
2. Measures to prevent medication errors
Answer
- Prepare medications for one patient at a time, and one medication at a time.
- Follow the 6 rights for all medications
- Read labels at least 3 times before administration
- Review all allergies
- Do not allow interruptions
- Double check calculations and administration process
- High alert - two RN verification
- Readback
- Tallman letters
- Label - if not in original container
- Pre administration assessment
- Question too high/low doses
3. medication errors
Answer
Report all medication errors. Patient safety is top priority when an error occurs. Documentation
is required.
The nurse is responsible for preparing a written occurrence or incident report
,an accurate, factual description of what occurred and what was done.
Nurses play an essential role in medication reconciliation.
4. factors to consider when choosing routes of medication
Answer
1. Physical and chemical properties of the drug.
2. Site of desired action
3. Rate of extent of absorption of the drug from different routes.
4. Effect of digestive juices and the first-pass metabolism of drugs.
5. Condition of the patient.
5. medication routes
Answer
Enteral o Tablets/capsules
Parenteral
o IV/IM, subcutaneous, IVP, IVPB
Topical
o Sublingual, inhalers, buccal, creams, eye/ear drops
6. pain
Answer
an unpleasant sensory and emotional experience associated with actual or potential tissue
damage
7. Physician role in medication administration
Answer
order med, check current and past medical history, check allergies, choose correct dose and
route
, 8. pharmacist role in medication administration
Answer
receive order, prepare some med, verify dose and route, distribute
9. Nurse role in medication administration
Answer
assess pt, assess med, verify dose and route, assess ability to self-administer, assess access to
insurance, administer med, check for allergies, pt education, adverse effects, therapeutic effects
10. pain
Answer
whatever the experiencing person says it is, existing whenever he says it is
11. acute pain
Answer
acts as warning sign, activates the sympathetic nervous system signs
increased HR, BP, RR, dilated pupils, sweating
12. chronic pain
Answer
persists or recurs for indefinite period (more than 3 months) onset is gradual and poorly localized
(hard to pinpoint) often accompanied by depression
13. nociceptive pain
Answer
"normal" pain caused by tissue damage
14. neuropathic pain
Answer
pain from damage to neurons of either the peripheral or central nervous system
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