What is the Unit Dose Method? - ANSWER - drug is packaged in single doses by the
WGU D441 PHARMACOLOGY MED pharmacy for 24 hr dosing.
DOSAGE TEST || QUESTIONS & What are some advantages of Unit Dose method? - ANSWER - saves the nurse time
instead of prepping dose.
ANSWERS (GRADED A+)
calculation isn't needed.
Mixovial - ANSWER - powder on bottom, diluent on top. Push to mix.
few drug errors.
Prefilled Syringes - ANSWER - Meant for one use
Computerized Prescriber Order System (CPOS) - ANSWER - Provider selects the meds
Come with out a needle or a plunger
from a scrolling list.
Single Use Syringes - ANSWER - Most hosp only allow this type. Prevent infection
What is BSA? - ANSWER - Stands for Body Surface Area.
What are the parts of a needle? - ANSWER - Hub= attaches to the syringe
this calculation is used for chemo patients and pedi.
Shaft= Length of the needle
Bevel=Sharp, enters the patient
Reduces Errors when done in sq root.
What is another name for the size of the needle? - ANSWER - Gauge
What is formula 1 for BSA? - ANSWER - square root of wt and height in kg and cm.
over 3600
What are the four routes that Parental Meds are given? - ANSWER - Subcutaneous
Intradermal
What is formula 2 for BSA? - ANSWER - square root of wt and height in lbs and inces.
Intramuscular
over 3131
Intravenous
Inches and Lbs uses what number in the sq root? - ANSWER - 3131
Standing Orders - ANSWER - routine orders by the provider.
Kg and CM uses what number in the sq root? - ANSWER - 3600
used in specific circumstances
What is the unit for BSA? - ANSWER - m squared
One time order - ANSWER - Given once and usually at a specific time.
Frieds Rule and Youngs Rule - ANSWER - Used in the past to calculate Child Dose.
PRN orders. - ANSWER - given to the patient when the patient requests.
They are now phased out since they arent accurate based on childs age.
at nurse's discretion.
What are the three types of syringes? - ANSWER - Hypodermic
Tuberculin
STAT order - ANSWER - one time order for meds to be given immediately.
Insulin
Stock Drug Method - ANSWER - Stored in large container amounts on unit.
What are the parts of a syringe? - ANSWER - Tip-holds the needle
Barrel=measurement of dosages
Drug error can happen since drug is poured by many people and exp date may be
Plunger=Pushes or pulls meds
missed.
Luer Lok Tip - ANSWER - needle designed to twist and lock to syringe
What are some advantages of Stock Drug Method - ANSWER - Always available-don't
have to wait on pharmacy
Plain Tip - ANSWER - needle that is pushed on
cost efficient
, Catheter Tip - ANSWER - Larger Syringe used for Irrigation Principles of Drug Reconstitution - ANSWER - -process of adding a liquid dilute
(SOLVENT) to a powdered med (SOLUTE) to make a solution (w med now in liquid
What two forms do parental meds come in? - ANSWER - Liquid and Powder form)
-necessary bc certain meds doesn't stay stable long enough to be distributed in a
What is an ampule? - ANSWER - Holds liquid meds solution type of form so its sent in as a powder to be reconstituted with a liquid before
1 time use drug administration
will break at the neck -read directions on insert / label: will tell you the type and ain't of solvent to add (ex.
liquid removed with syringe and needle Water, sterile water, saline)
-use syringe and needle to draw solvent-> powdered med
What is a vial? - ANSWER - round cylinder -roll vial between hands to mix (making sure the med dissolves completely in the
hold liquid solution)
some are single or multi use
air injected to equal amount of solution withdrawn -single dose (discard after admin) multi dose (stored and used later, document)
Bar Code Medication Administration System (BCMA) - ANSWER - use of barcode to Pediatric Dosing - ANSWER - - more sensitive than adults and may need to calculate
match the patient to correct meds. the barcode will be scanned and the system will (wt, ht, physical condition, immature systems, and metabolism)
verify the med is meant for that patient. -make sure abiding by the 6 rights of drug admin
-pediatric doses are often less than 1 mL and require a tuberculin syringe for accurate
Automated dispensing cabinets (ADCs) - ANSWER - computer controlled dispensing dosing
system. -pediatric meds are calculated using infant or child's Kg weight
prefilled by the pharmacy.
nurse will need a password to get in. CONVERTING LBS-> KG - ANSWER - 2.2 lb = 1 kg
X Kg= 1 kg/2.2 lb x 24 lb/ 1
What is a MAR? - ANSWER - Medication Administration Record. Usually computer
automated. Converting grams to kilograms - ANSWER - 1000 g = 1 KG
X kg = 1 kg/1000g x 2300 g / 1
Types of MARs? - ANSWER - -eMAR-electronic
Calculating safe dose range pediatric with given wt - ANSWER - Example (DA version)
What are the seven rights in Med Administration? - ANSWER - Right Dose 1. Convert wt in lb->kg
Right Time 2. Note the recommended dose range
Right patient 3. Calculate the minimum dose first:
Right Drug Xmg/dose=10mg/kg/dose X 1 kg/2.2lb x 22lb/1
Right Route 4. Calculate maximum dose:
Right Documentation X mg/dose= 15mg/kg/dose X 1kg/2.2lb x 22lb/1
Right to refuse meds 5. Child may receive #-# mg of med as a single dose
When should meds be documented as given? - ANSWER - After the patient has Obstetric Nursing - ANSWER - came from the word "obstetric" means "midwife".
actually received the medication -commonly used IV meds to prevent seizures in pregnant woman (Mg Sulfatem CNS
depressant)
What is the Basic Formula? - ANSWER - D/H*V=Q
CNS Depressants
What are the units for body weight? - ANSWER - Mg/kg Function - ANSWER - -promote relaxation
-relieve anxiety
Medication Administration - ANSWER - -help or induce sleep
-moderate sedation (before and during invasive procedures like colonoscopies
WGU D441 PHARMACOLOGY MED pharmacy for 24 hr dosing.
DOSAGE TEST || QUESTIONS & What are some advantages of Unit Dose method? - ANSWER - saves the nurse time
instead of prepping dose.
ANSWERS (GRADED A+)
calculation isn't needed.
Mixovial - ANSWER - powder on bottom, diluent on top. Push to mix.
few drug errors.
Prefilled Syringes - ANSWER - Meant for one use
Computerized Prescriber Order System (CPOS) - ANSWER - Provider selects the meds
Come with out a needle or a plunger
from a scrolling list.
Single Use Syringes - ANSWER - Most hosp only allow this type. Prevent infection
What is BSA? - ANSWER - Stands for Body Surface Area.
What are the parts of a needle? - ANSWER - Hub= attaches to the syringe
this calculation is used for chemo patients and pedi.
Shaft= Length of the needle
Bevel=Sharp, enters the patient
Reduces Errors when done in sq root.
What is another name for the size of the needle? - ANSWER - Gauge
What is formula 1 for BSA? - ANSWER - square root of wt and height in kg and cm.
over 3600
What are the four routes that Parental Meds are given? - ANSWER - Subcutaneous
Intradermal
What is formula 2 for BSA? - ANSWER - square root of wt and height in lbs and inces.
Intramuscular
over 3131
Intravenous
Inches and Lbs uses what number in the sq root? - ANSWER - 3131
Standing Orders - ANSWER - routine orders by the provider.
Kg and CM uses what number in the sq root? - ANSWER - 3600
used in specific circumstances
What is the unit for BSA? - ANSWER - m squared
One time order - ANSWER - Given once and usually at a specific time.
Frieds Rule and Youngs Rule - ANSWER - Used in the past to calculate Child Dose.
PRN orders. - ANSWER - given to the patient when the patient requests.
They are now phased out since they arent accurate based on childs age.
at nurse's discretion.
What are the three types of syringes? - ANSWER - Hypodermic
Tuberculin
STAT order - ANSWER - one time order for meds to be given immediately.
Insulin
Stock Drug Method - ANSWER - Stored in large container amounts on unit.
What are the parts of a syringe? - ANSWER - Tip-holds the needle
Barrel=measurement of dosages
Drug error can happen since drug is poured by many people and exp date may be
Plunger=Pushes or pulls meds
missed.
Luer Lok Tip - ANSWER - needle designed to twist and lock to syringe
What are some advantages of Stock Drug Method - ANSWER - Always available-don't
have to wait on pharmacy
Plain Tip - ANSWER - needle that is pushed on
cost efficient
, Catheter Tip - ANSWER - Larger Syringe used for Irrigation Principles of Drug Reconstitution - ANSWER - -process of adding a liquid dilute
(SOLVENT) to a powdered med (SOLUTE) to make a solution (w med now in liquid
What two forms do parental meds come in? - ANSWER - Liquid and Powder form)
-necessary bc certain meds doesn't stay stable long enough to be distributed in a
What is an ampule? - ANSWER - Holds liquid meds solution type of form so its sent in as a powder to be reconstituted with a liquid before
1 time use drug administration
will break at the neck -read directions on insert / label: will tell you the type and ain't of solvent to add (ex.
liquid removed with syringe and needle Water, sterile water, saline)
-use syringe and needle to draw solvent-> powdered med
What is a vial? - ANSWER - round cylinder -roll vial between hands to mix (making sure the med dissolves completely in the
hold liquid solution)
some are single or multi use
air injected to equal amount of solution withdrawn -single dose (discard after admin) multi dose (stored and used later, document)
Bar Code Medication Administration System (BCMA) - ANSWER - use of barcode to Pediatric Dosing - ANSWER - - more sensitive than adults and may need to calculate
match the patient to correct meds. the barcode will be scanned and the system will (wt, ht, physical condition, immature systems, and metabolism)
verify the med is meant for that patient. -make sure abiding by the 6 rights of drug admin
-pediatric doses are often less than 1 mL and require a tuberculin syringe for accurate
Automated dispensing cabinets (ADCs) - ANSWER - computer controlled dispensing dosing
system. -pediatric meds are calculated using infant or child's Kg weight
prefilled by the pharmacy.
nurse will need a password to get in. CONVERTING LBS-> KG - ANSWER - 2.2 lb = 1 kg
X Kg= 1 kg/2.2 lb x 24 lb/ 1
What is a MAR? - ANSWER - Medication Administration Record. Usually computer
automated. Converting grams to kilograms - ANSWER - 1000 g = 1 KG
X kg = 1 kg/1000g x 2300 g / 1
Types of MARs? - ANSWER - -eMAR-electronic
Calculating safe dose range pediatric with given wt - ANSWER - Example (DA version)
What are the seven rights in Med Administration? - ANSWER - Right Dose 1. Convert wt in lb->kg
Right Time 2. Note the recommended dose range
Right patient 3. Calculate the minimum dose first:
Right Drug Xmg/dose=10mg/kg/dose X 1 kg/2.2lb x 22lb/1
Right Route 4. Calculate maximum dose:
Right Documentation X mg/dose= 15mg/kg/dose X 1kg/2.2lb x 22lb/1
Right to refuse meds 5. Child may receive #-# mg of med as a single dose
When should meds be documented as given? - ANSWER - After the patient has Obstetric Nursing - ANSWER - came from the word "obstetric" means "midwife".
actually received the medication -commonly used IV meds to prevent seizures in pregnant woman (Mg Sulfatem CNS
depressant)
What is the Basic Formula? - ANSWER - D/H*V=Q
CNS Depressants
What are the units for body weight? - ANSWER - Mg/kg Function - ANSWER - -promote relaxation
-relieve anxiety
Medication Administration - ANSWER - -help or induce sleep
-moderate sedation (before and during invasive procedures like colonoscopies