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NR I224 IExam I3 IStudy IGuide.
NR
I Administration
NRI224224
I Exam I 3 I Study I Guide IM edication
Exam 3 Study Guide
Medication Administration
6 rights of medication administration
6 rights of medication administration
I I I I
Right Medication
Right Medication
I
Right Dose I
Right Dose
Right Patient I
Right
Right Route
Patient I
Right
Right Time Route I
Right Time
Right Document I
Patient Right
rights and
I Document
right to refuse I I I I
Patient Theyrights
can refuse,and right
but you
I to refuse
can explain why they should take it.
I I I I I I I I I I
Che mical They can refuse,
vs. generic
I vs. trade but you can explain why they should take it.
I I I
Chemical Che mical: vs.provides
generic trade of medication’scomposition
vs.description
the exact I I I I I I I
Generic:
Chemical: provides the exact description of medication’s
the manufacturer who first develops the drug assigns
I I I I I I I I
the name, and it is then listed in the U.S. Pharmacopeia(Generic: Acedimedifin)
I I I I I I I I I I I I
composition
Trade: also known as brand or proprietary name. This is the
I I I I I I I I I I
Generic:
name under whichthe amanufacturer
manufacturer markets
I
who first develops
the medication.
I
the drug assigns
(Trade: Tylenol) I I I I I I I
Patient use theof name,
I herbal supand
I it is then listed in the U.S. Pharmacopeia
ple ments I I I
They
(Generic: Acedimedifin)
need to tell us what they are taking because it could interact with the meds.
I I I I I I I I I I I I I I I
TypesofTrade:
I orders
I also known as brand or proprietary name. This is the
Standing
name vsunder PRN vs which
one-time vsa STAT
manufacturer
I vs Now I markets the medication. I I I I I I
▪ Standing:
(Trade: Tylenol)
Waiting if you need it later or not. I I I I I I I I
Patient ▪use PRN: ofAsherbal
needed. supplements I I
They ▪ One-time:
need toOnetell timeus what they are taking because it could
only. I I I
▪ STAT:with
interact ASAP.
the meds. I
▪ Now: Within an hour or as soon as you can.
Types of orders
I I I I I I I I I
What do if too soon to give PRN pain meds
Standing vs PRN vs one-time vs STAT vs Now
I I I I I I I I I
▪ Standing: Waiting if you need it later or not.
▪ PRN: As needed.
▪ One-time: One time only.
▪ STAT: ASAP.
▪ Now: Within an hour or as soon as you can.
What do if too soon to give PRN pain meds
, ▪ You non pharm pain meds as necessary
I I I I I I
What do if standing order has expired
I I I I I I
▪ Call Dr. for a new order. I I I I I
Instilling ear drops for adult and child
I I I I I I
Proper technique: Use sterile solution, can put cotton ball in earb ut don’t push it in. Drops need
I I I I I I I I I I I I I I I I I
to Ibe Iroom I temp. I Do I not I forceIt he I medication I in I the Iear.
I
▪ Adult: up and back- Ages 3 and up I I I I I I I
▪ Child: down and back I I I
Ear irrigation: I
Eye drops
I
Proper technique – In the white part of the eye only. Don’t touch the tip of the dropper to
I I I I I I I I I I I I I I I I I I
the Ipts Ieye. INever Iuse IanotherIp ts Ito Ianother Ipatient. IDrops Iat Iroom Itemp Ior Ispecific Itemp.
I
Care of the artificial eyeI I I I
Physician orders I
What do you do if written incorrectly or can’t read the order ora piece is missing?
I I I I I I I I I I I I I I I I
▪ Call the physician to verify order. I I I I I
Change of times for medications? Can I or can’t I?
I I I I I I I I I
▪ If it is a PRN or once daily you can. I I I I I I I I I
Roles
Prescriber: Dr., NP, or PA. Orders can be written (hand or electronic), verbal, or given by
I I I I I I I I I I I I I I I
telephone. I Each I medicationIo rder Ineeds Ito I include Ithe Ipt’s I name, Iorder Idate, I med
I
name,Idosage, Iroute, Itime Iof Iadministration, Idrug I indication, Iand Iprescriber’s Isignature.
I
▪ Verbal: are illegal unless it is an emergency situation.
I I I I I I I I
RN: You give the meds.I I I I
Pharmacist: they fill the meds. I I I I
Be able to do med calculations.
I I I I I
Know math conversions I I
Know types of math problems from CAS review
I I I I I I I
Why do patient refuse medications?
I I I I
What can be done to assist patient in changes their minds to
I I I I I I I I I I I
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