Dosage calc OB questions and answers

High-alert medications Anticoagulants Chemotherapeutic agents Opioids Hypoglycemic Right medication Compare 3 times with MAR: Before you take from the dispenser, once when you remove it from the container, once at the bedside *Check experiation date and make sure it makes sense to give to the patient Right route Enteral: Only via orally or enteral tubes Parenteral: Only via injections or infusion *Compare the route with the perscription and label on medication container Routine prescriptions In effect until cancellation, some have a specific end date, there are time frames for renewal Routine prescription example Levothyroxine (synthroid) 100 mcg PO daily Single (one-time) Prescription example Fentanyl (Sublimaze) 50 mcg IV bolus On call to surgery Stat One time immediately usually for emergency situations Stat example Furosemide (lasix) 40 mcg IV bolus stat PRN specific circumstances, nursing judgement, client needs Standing prescriptions Protocol-based Now prescription administer within 90 mins; not as urgentas stat, given only once Now prescription example Ampicillian (Principen) 1g intermitten IV bolus NOW ER, XL, SR delayed reaction usually until medication passes the stomach Do no crush Delayed-released Long-acting Enteric-coated Endotracheal Administration L=Lidocaine E=Epinephrine A=Atropine N=Naloxone (Narcan) 1 oz= __mL 30 mL 1 mL= __g 1g 1 mg= __mcg 1,000mcg Apothecary system historical measurement system 1 tsp= __mL 5mL 1 tbs= __mL 15 mL 1 cup (8 oz)= __mL 240 1 kg=__lb 2.2lb AC Before meals PC After meals stat give immediately p after c with s without Information provided on a unit dose medication Generic name Storage instructions Expiration date