NUR 100 Pharmacology Study Guide- Fortis College

ethany Gerena Pharmacology study guide Chapter 1 The Nursing Process and Drug Therapy 14.Identify the “nine rights” of drug administration and specify ways to ensure that each of these rights is addressed. Right drug: Compare drug orders and medication labels. Consider whether the drug is appropriate for that patient. Obtain information about the patient’s medical history and a thorough, updated medication history, including over-the-counter medications taken. Right dose: Check the order and the label on the medication and check the “rights” at least three times before administering the medication. Recheck the math calculations for dosages, and contact the physician when clarification is needed. Check the dose and confirm that it is appropriate for the patient’s age and size and check the prescribed dose against the available drug stocks and against the normal dosage range. Right time: Assess for a conflict between the pharmacokinetic and pharmacodynamic properties of the drugs prescribed and the patient’s lifestyle and likelihood of compliance. Right route and form: Never assume the route of administration or change it; always check with the physician or prescriber. Additionally, it is critical to patient safety to be aware of the right form of medication. For example, there are various dosage forms of acetaminophen, a commonly used medication. It is available in oral suspension, tablet, capsule, gel cap, pediatric drops, and rectal suppository dosage forms. Nurses need to give the right drug via the right route with use of the correct dosage form. Right patient: Check the patient’s identity before administering a medication. Ask for the patient’s name and check the identification band or bracelet to confirm the patient’s name, identification number, and allergies. The Joint Commission requires the use of two patient identifiers, such as name and birthday, Social Security number, or medical record number. Right documentation: Record the date and time of medication administration, name of medication, dose, route, and site of administration. Do not forget to document the patient’s response to the medication. Right reason and response: Right reason refers to the appropriateness of the use of the medication for the patient. Confirm the rationale for use through researching the patient’s history while also asking the patient the reason he or she is taking the drug. Always revisit the rationale for long-term medication use. Right response: refers to the drug and its desired response. Continually assess and evaluate the achievement of the desired response and any undesired response. 16. During a busy night shift, the nurse notices a medication order that reads: “give amoxicillin, 500 mg PO three times a day.” What is the most important thing the nurse must check before giving this medication to the patient