Podcast
Questions and Answers
What type of drug order is given ONCE and usually at a specific time?
What type of drug order is given ONCE and usually at a specific time?
Which method of drug dispensing involves drugs being dispensed to all clients from the same containers?
Which method of drug dispensing involves drugs being dispensed to all clients from the same containers?
What does the abbreviation 'PO' indicate in medication administration?
What does the abbreviation 'PO' indicate in medication administration?
Which route of drug administration involves placing the dosage form under the tongue?
Which route of drug administration involves placing the dosage form under the tongue?
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Right dose verification by a nurse is based on which of the following?
Right dose verification by a nurse is based on which of the following?
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What does BID stand for in medication administration schedules?
What does BID stand for in medication administration schedules?
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What does the 'Five-plus-five rights of medication administration' refer to?
What does the 'Five-plus-five rights of medication administration' refer to?
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In medication administration, what does 'Right Route' refer to?
In medication administration, what does 'Right Route' refer to?
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What is one way to avoid drug errors during medication administration?
What is one way to avoid drug errors during medication administration?
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What should be considered when verifying the 'Right Client' during medication administration?
What should be considered when verifying the 'Right Client' during medication administration?
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What are the 7 components of a drug order according to the text?
What are the 7 components of a drug order according to the text?
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What is important to do when checking a PRN medication order during medication administration?
What is important to do when checking a PRN medication order during medication administration?
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Study Notes
Categories of Drug Orders
- There are four categories of drug orders: Standing, One-time, PRN, and STAT orders
- Standing orders may be ongoing or for a specific number of doses or days, and may have special instructions based on administration or laboratory values
- One-time orders are given once and usually at a specific time
- PRN orders are given at the client's request and the nurse's judgment, concerning need and safety
- STAT orders are high-priority orders that require immediate attention
Right Dose
- The right dose is the verification by the nurse that the dose administered is the amount ordered and safe for the patient
- The right dose is based on the patient's physical status, weight, and basic formula method
- The basic formula method involves: X = D/H x V, where X is the desired dose, D is the dose ordered, H is the dosage strength, and V is the form and amount of the drug
Methods to Dispense Drugs
- There are two methods to dispense drugs: Stock drug method and Unit dose method
- The stock drug method dispenses drugs to all clients from the same containers
- The unit dose method dispenses individually wrapped and labeled drugs for a single dose
Right Time
- The right time is the time at which the prescribed dose schedule is administered
- Examples of dosing schedules include: BID (twice a day), TID (three times a day), QID (four times a day), Q6h or q12h (every six hours)
- Military time (24-hour clock) is used to reduce administration and documentation errors
Oral Route
- The oral route has advantages such as convenience, self-administration, pain-free, easy to take, and cheap
- The oral route has disadvantages such as destruction of drugs by gastric acid and digestive juices, slow effect, and not suitable for unconscious patients
- There are two methods of oral route: topical application on the mouth and swallowing for absorption along the GI tract
Sublingual Route
- The sublingual route involves placing the dosage form under the tongue
- The sublingual route has advantages such as rapid absorption, economical, quick termination, and avoids first-pass effect
- The sublingual route has disadvantages such as unpalatable and bitter taste, irritation of oral mucosa, and large quantities not given
Five-Plus-Five Rights of Medication Administration
- The five-plus-five rights of medication administration are: Right Client, Right Drug, Right Dose, Right Route, Right Time, Right Assessment, Right Documentation, Right to Education, and Right Evaluation
- The right client involves verifying the client's identity by checking the identification bracelet
- The right drug involves verifying that the client receives the drug that was prescribed
- The seven components of a drug order are: date and time, drug name, dosage, route, frequency, duration, and any special instructions
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Description
Test your knowledge on the five-plus-five rights of medication administration, along with additional rights. Includes checking client identification, verifying the right drug, dose, route, and time, as well as assessment, documentation, education, evaluation, and the client's right to refuse.
