lOMoARcPSD|44532475
Nu 136 Exam Review
Ch. 33
1. Order not clear:
Verify with the doctor.
2. Controlled Drugs
Locked up twice.
Count done by 2 nurses (incoming and outgoing nurse) before and
after shift.
If any discrepancy, report to supervisor and it needs to be investigated.
Narcotics are to be renewed by doctor every 48 hr.
3. Key factors of Drug Therapy
Distribution: how it reaches to where it needs to be
Metabolism: how the body transforms the chemical (older adults retain
to medication longer, have them drink a lot of water)
Excretion: how do you get it out of the body monitor output on older
adults, need to have a smaller dose because of decreased kidney
function
4. Difference in Absorption
Slow: SubQ, transdermal, oral
Quick: mucus (vaginal, rectal, sublingual, buccal), respiratory
Rapid: IV,
IM varied depending on the medication.
5. High Alert Medication
Medication that needs to be double checked: different nurse needs to
double check the amount given (Insulin)
6. Medication Error
Report immediately, Incident report (done by who ever finds the
error)
7. 6 rights / 3 checks
Right Patient, Right Drug, Right Dose, Right Route, Right Time, Right
Documentation (6 Rights)
Order, MedCart, Bedside (3 Checks)
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, lOMoARcPSD|44532475
-7. 6 rights / 3
checks
- Right Patient,
Right Drug, Right
Dose, Right Route,
Right Time, Right
-Documentation (6
Rights)
- Order, MedCart,
Bedside (3 Checks
-7. 6 rights / 3
checks
Downloaded by madiba South Africa stuvia ()
, lOMoARcPSD|44532475
- Right Patient,
Right Drug, Right
Dose, Right Route,
Right Time, Right
-Documentation (6
Rights)
- Order, MedCart,
Bedside (3 Checks
-7. 6 rights / 3
checks
- Right Patient,
Right Drug, Right
Downloaded by madiba South Africa stuvia ()
Nu 136 Exam Review
Ch. 33
1. Order not clear:
Verify with the doctor.
2. Controlled Drugs
Locked up twice.
Count done by 2 nurses (incoming and outgoing nurse) before and
after shift.
If any discrepancy, report to supervisor and it needs to be investigated.
Narcotics are to be renewed by doctor every 48 hr.
3. Key factors of Drug Therapy
Distribution: how it reaches to where it needs to be
Metabolism: how the body transforms the chemical (older adults retain
to medication longer, have them drink a lot of water)
Excretion: how do you get it out of the body monitor output on older
adults, need to have a smaller dose because of decreased kidney
function
4. Difference in Absorption
Slow: SubQ, transdermal, oral
Quick: mucus (vaginal, rectal, sublingual, buccal), respiratory
Rapid: IV,
IM varied depending on the medication.
5. High Alert Medication
Medication that needs to be double checked: different nurse needs to
double check the amount given (Insulin)
6. Medication Error
Report immediately, Incident report (done by who ever finds the
error)
7. 6 rights / 3 checks
Right Patient, Right Drug, Right Dose, Right Route, Right Time, Right
Documentation (6 Rights)
Order, MedCart, Bedside (3 Checks)
Downloaded by madiba South Africa stuvia ()
, lOMoARcPSD|44532475
-7. 6 rights / 3
checks
- Right Patient,
Right Drug, Right
Dose, Right Route,
Right Time, Right
-Documentation (6
Rights)
- Order, MedCart,
Bedside (3 Checks
-7. 6 rights / 3
checks
Downloaded by madiba South Africa stuvia ()
, lOMoARcPSD|44532475
- Right Patient,
Right Drug, Right
Dose, Right Route,
Right Time, Right
-Documentation (6
Rights)
- Order, MedCart,
Bedside (3 Checks
-7. 6 rights / 3
checks
- Right Patient,
Right Drug, Right
Downloaded by madiba South Africa stuvia ()
