Summary NR224 / NR 224 Exam 3 Study Guide (Latest 2022 / 2023) Fundamentals - Chamberlain College

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
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 Right Medication
 Right Medication
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 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.
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 Che mical They can refuse,
vs. generic
I vs. trade but you can explain why they should take it.
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 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
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the name, and it is then listed in the U.S. Pharmacopeia(Generic: Acedimedifin)
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composition
 Trade: also known as brand or proprietary name. This is the
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 Generic:
name under whichthe amanufacturer
manufacturer markets
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who first develops
the medication.
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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.
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 TypesofTrade:
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
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 What do if too soon to give PRN pain meds
 Standing vs PRN vs one-time vs STAT vs Now
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▪ 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
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 What do if standing order has expired
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▪ Call Dr. for a new order. I I I I I



 Instilling ear drops for adult and child
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 Proper technique: Use sterile solution, can put cotton ball in earb ut don’t push it in. Drops need
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to Ibe Iroom I temp. I Do I not I forceIt he I medication I in I the Iear.
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▪ 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
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 Proper technique – In the white part of the eye only. Don’t touch the tip of the dropper to
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the Ipts Ieye. INever Iuse IanotherIp ts Ito Ianother Ipatient. IDrops Iat Iroom Itemp Ior Ispecific Itemp.
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 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?
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▪ Call the physician to verify order. I I I I I


 Change of times for medications? Can I or can’t I?
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▪ 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
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telephone. I Each I medicationIo rder Ineeds Ito I include Ithe Ipt’s I name, Iorder Idate, I med
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name,Idosage, Iroute, Itime Iof Iadministration, Idrug I indication, Iand Iprescriber’s Isignature.
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▪ Verbal: are illegal unless it is an emergency situation.
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 RN: You give the meds.I I I I



 Pharmacist: they fill the meds. I I I I



 Be able to do med calculations.
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 Know math conversions I I



 Know types of math problems from CAS review
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 Why do patient refuse medications?
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 What can be done to assist patient in changes their minds to
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