6 rights of medication administration correct answers RIGHT MEDICATION
RIGHT DOSE
RIGHT PATIENT
RIGHT ROUTE
RIGHT TIME
RIGHT DOCUMENTATION
Antacids correct answers Tums
Amphojel, Rolaids
Milk of Magnesia, Alternagel
Maalox, Mylanta, Gelusil, Riopan
Mylicon
Antacids Action correct answers Neutralizes stomach acid. decreases the rate of gastric
emptying, treats hyperacidity
Antacids Use correct answers Peptic ulcer, used to treat heartburn; reflux esophagitis, gastritis,
hiatal hernia.
Antacids Nursing Considerations correct answers antacids may interfere with medication
absorption thus should not be given with other meds- wait 1-2 hours.
antacid effect is prolonged when medication is taken with food.
chart amount and consistency of stools.
Anti- Ulcer correct answers Pepcid
Axid
Zantac
Tagamet
Cytotec
Protonix
Other meds given before meals:
Prilosec
Carafate
Prevacid
Nexium
Anti-Ulcer Action correct answers prevents the release of gastric acid to treat or prevent stomach
and duodenal ulcers.
Anti-Ulcer side effects correct answers Side effects are minor.
High doses can cause confusion
,Anti-Ulcer Nursing Considerations correct answers Dissolve Carafate tablet in water.
Encourage resident not to smoke, which increases gastric secretion.
encourage resident to avoid: spicy food, caffeine, nicotine, alcohol, and carbonated beverages.
Antiemetics correct answers dimenhydrinate (Dramamine)
trimethobenzamide (Tigan)
meclizine (Antivert)
prochlorperazine (Compazine)
promethazine hydrochloride (Phenergan)
Antiemetics Action correct answers supress N/V by acting on the brain control center
Antiemetics Use correct answers to treat nausea and prevent vomiting
Antiemetics Side effects correct answers drowsiness
Antiemetics Nursing Considerations correct answers monitor B/P for hypotension
Emetics correct answers Syrup of Ipecac
Emetics Action correct answers induce vomiting
Emetics Use correct answers used when poison has been ingested
Emetics Side effects correct answers do not use when corrosive product ingested; such as, acids
or alkalies, or if resident is drowsy or unconscious. The licensed nurse should contact the
physician and/or poison control center before administering.
Emetics Nursing considerations correct answers usually induces vomiting 20-30 minutes after
adminstered.
Antidiarrheals (absorbents) correct answers kaolin
bismuth (Pepto-Bismol)
pectin(from apples)
Kaopectate
Absorbents Action correct answers adsorb(soak up) excess fluids and bacteria
Absorbents Use correct answers to treat diarrhea
Absorbents Side Effects correct answers minimal constipation
nausea
dry mouth
abdominal pain
Absorbents N.C. correct answers monitor patient for constipation
,Antidiarrheals (OPIATES- meds that slow down intestinal motility) correct answers opiates
(Paregoric)
Opiates Action correct answers reduces peristalsis by action on CNS and diminishes secretions
Opiates Use correct answers to treat diarrhea
Opiates Side effects correct answers drowsiness
may be ADDICTING
Gastrointestinal meds that alter motility correct answers Decrease motility:
atropine sulfate
diphenoxylate/atropine (Lomotil)
Atropine
scopolamine
phenobarbital (Donnatal)
kaolin
pectin
loperamide (Imodium)
dicyclomine (Bentyl)
Enhance motility:
metoclopramide (Reglan)=(give before meals rather than with food)
Gastrointestinal meds that alter motility Action correct answers acts on autonomic nervous
system to alter peristalsis
Gastrointestinal meds that alter motility Use correct answers spastic colon: diarrhea: GERD
Gastrointestinal meds that alter motility Side effects correct answers blurred vision
dry mouth
heart palpitations
urine retention
constipation
Gastrointestinal meds that alter motility N.C. correct answers monitor V/S and Urinary output
Cathartics (laxatives) correct answers castor oil
senna (Senekot)
bisacodyl (Dulcolax)
phenolphthalein (Ex-Lax, Doxidan)
Cathartics (laxtives) Action correct answers stimulate intestinal peristalsis; usually acts in 6-8
hours when given in oral form. Suppositories act faster.
, Cathartics (laxatives) Side Effects correct answers abdominal cramping
nausea
diarrhea
Cathartics (laxatives) N.C. correct answers monitor for diarrhea
Saline laxatives correct answers Milk of Magnesia
Saline laxatives Action correct answers acts within 8 hours
Saline laxatives Side effects correct answers diarrhea
cramping
Saline laxatives N.C. correct answers shake suspension well
monitor for good fluid intake following administration of the laxative
Lubricant Laxatives correct answers Mineral Oil- works within 2-6 hours. admin on an empty
stomach. can give with fruit juice to disguise taste.
Haley's MO
Glycerin suppository- should be retained for atleast 15 minutes for best results.
Lubricant Laxatives Action correct answers increases water retention in stool thereby stimulating
evacuation
Lubricant Laxatives Side Effects correct answers inteferes with absorbing nutrients.
should not be taken at mealtime or long term
resident may experience abdominal cramping
Lubricant Laxatives N.C. correct answers may interfere with absorption of vitamins
Laxatives that moisten fecal matter correct answers docusate calcium (Surfak)
docusate sodium (Colace)
calcium polycarbophil (Fiber Con)
Laxatives that moisten fecal matter Action correct answers Stool softener; used to promote
regular bowel evacuation
Laxatives that moisten fecal matter Side Effects correct answers mild abdominal cramping can
cause diarrhea
Laxatives that moisten fecal matter N.C. correct answers Instruct resident that it may take 1-3
days to soften stool.
If resident has a routine order and is experiencing diarrhea ask nurse if medication should be
given.
Laxatives which increase bulk correct answers psyllium (Metamucil)