Podcast
Questions and Answers
Which of the following medications should be administered immediately?
Which of the following medications should be administered immediately?
According to the provided information, which medication is administered "as needed"?
According to the provided information, which medication is administered "as needed"?
Which of the following is NOT a documentation consideration for a medication administration record (MAR)?
Which of the following is NOT a documentation consideration for a medication administration record (MAR)?
What is the proper documentation if a patient refuses a medication?
What is the proper documentation if a patient refuses a medication?
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According to the provided information, which of the following is an example of patient education that needs to be emphasized?
According to the provided information, which of the following is an example of patient education that needs to be emphasized?
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According to the provided material, what is the primary role of the Nursing Council of Hong Kong regarding nurses and AOM practice?
According to the provided material, what is the primary role of the Nursing Council of Hong Kong regarding nurses and AOM practice?
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Which of the following best describes the 'Principles for good practice in AOM' as outlined in the provided material?
Which of the following best describes the 'Principles for good practice in AOM' as outlined in the provided material?
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Which of the following is NOT a defined nurse responsibility for good practice in AOM, according to the material?
Which of the following is NOT a defined nurse responsibility for good practice in AOM, according to the material?
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What specific measure is recommended for the proper storage of dangerous drugs in the context of AOM?
What specific measure is recommended for the proper storage of dangerous drugs in the context of AOM?
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In addition to clean procedure, what specific practice is emphasized in the material when handling medication to maintain safety?
In addition to clean procedure, what specific practice is emphasized in the material when handling medication to maintain safety?
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What is the PRIMARY focus of careful drug effect monitoring, according to the material provided concerning AOM?
What is the PRIMARY focus of careful drug effect monitoring, according to the material provided concerning AOM?
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What is considered a medication error?
What is considered a medication error?
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Which example is mentioned as a possible cause of medication error?
Which example is mentioned as a possible cause of medication error?
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Regarding the medication administration, what is the best practice in order to prevent error?
Regarding the medication administration, what is the best practice in order to prevent error?
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What is the primary purpose of a palliative drug?
What is the primary purpose of a palliative drug?
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Which of the following is NOT included in the five rights of medication administration?
Which of the following is NOT included in the five rights of medication administration?
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What type of drug effect is characterized as an unintended yet predictable outcome?
What type of drug effect is characterized as an unintended yet predictable outcome?
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What condition could lead to drug toxicity due to impaired metabolism?
What condition could lead to drug toxicity due to impaired metabolism?
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In a severe drug allergy, which of the following symptoms is most indicative of anaphylactic reaction?
In a severe drug allergy, which of the following symptoms is most indicative of anaphylactic reaction?
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Which medication classification primarily aids in restoring health to the body?
Which medication classification primarily aids in restoring health to the body?
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Which of the following actions is crucial for nurses to take before administering a medication?
Which of the following actions is crucial for nurses to take before administering a medication?
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What should be done if there is doubt about the appropriateness and safety of a drug order?
What should be done if there is doubt about the appropriateness and safety of a drug order?
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What is the primary goal of the Hospital Authority's Standard Drug Formulary?
What is the primary goal of the Hospital Authority's Standard Drug Formulary?
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Which of the following is NOT a category in the HA drug formulary?
Which of the following is NOT a category in the HA drug formulary?
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What must a licensed medical practitioner include in a medication order?
What must a licensed medical practitioner include in a medication order?
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What is emphasized regarding the administration of medication?
What is emphasized regarding the administration of medication?
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What does the acronym MAR stand for in the context of medication administration?
What does the acronym MAR stand for in the context of medication administration?
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When should a practitioner ask about a patient's allergic history?
When should a practitioner ask about a patient's allergic history?
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Which of the following is a part of the '5 Rights' of medication administration?
Which of the following is a part of the '5 Rights' of medication administration?
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Which of the following should be verified according to the guidelines for drug administration?
Which of the following should be verified according to the guidelines for drug administration?
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What action is crucial when administering medication to a patient?
What action is crucial when administering medication to a patient?
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What is a common contributing factor to medication errors, as identified in the text?
What is a common contributing factor to medication errors, as identified in the text?
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Which of the following is NOT a common type of dangerous drug (DD) mentioned in the text?
Which of the following is NOT a common type of dangerous drug (DD) mentioned in the text?
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How often should a DDA key be counted?
How often should a DDA key be counted?
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Which of the following is NOT a safety measure for dangerous drug administration outlined in the text?
Which of the following is NOT a safety measure for dangerous drug administration outlined in the text?
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What does the "Ward Stock" drug supply system entail, according to the text?
What does the "Ward Stock" drug supply system entail, according to the text?
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What does the phrase "有疑必問" (you yi bi wen) translate to, and how does it apply to drug safety?
What does the phrase "有疑必問" (you yi bi wen) translate to, and how does it apply to drug safety?
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Which of the following scenarios is a potential medication error contributing to "Look alike & sound alike" drug confusion, as mentioned in the text?
Which of the following scenarios is a potential medication error contributing to "Look alike & sound alike" drug confusion, as mentioned in the text?
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What is the main purpose of the Dangerous Drugs Ordinance (DDO) 134, according to the text?
What is the main purpose of the Dangerous Drugs Ordinance (DDO) 134, according to the text?
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Which of the following is NOT a direct consequence of medication errors, based on the text?
Which of the following is NOT a direct consequence of medication errors, based on the text?
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Why is it crucial to report any missing dangerous drugs, as mentioned in the text?
Why is it crucial to report any missing dangerous drugs, as mentioned in the text?
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Flashcards
Therapeutic Effect
Therapeutic Effect
A drug effect that is the intended and desired response to a medication. Example: Using ibuprofen to reduce pain.
Side Effect
Side Effect
A drug effect that is unintended and not the intended response to a medication. Example: Feeling nauseous after taking antibiotics.
Drug Toxicity
Drug Toxicity
Harmful effects of a medication due to overdose or buildup in the body. Example: Liver damage from excessive acetaminophen use.
Palliative Drug
Palliative Drug
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Curative Drug
Curative Drug
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Chemotherapeutic Drug
Chemotherapeutic Drug
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Anaphylactic Reaction
Anaphylactic Reaction
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Dangerous Drugs (DD)
Dangerous Drugs (DD)
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Drug Supply System
Drug Supply System
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DDA (Dangerous Drugs Administration) Guideline
DDA (Dangerous Drugs Administration) Guideline
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Who supervises nurses in Hong Kong?
Who supervises nurses in Hong Kong?
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What document guides ethical practice for nurses in Hong Kong?
What document guides ethical practice for nurses in Hong Kong?
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What principles guide safe AOM practice?
What principles guide safe AOM practice?
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What are nurses' responsibilities in AOM?
What are nurses' responsibilities in AOM?
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How should medications be stored safely?
How should medications be stored safely?
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What practices ensure safe medication handling?
What practices ensure safe medication handling?
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Why is drug effect monitoring important?
Why is drug effect monitoring important?
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What are the consequences of medication errors?
What are the consequences of medication errors?
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What are some common causes of medication errors?
What are some common causes of medication errors?
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Right Drug
Right Drug
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Right Time
Right Time
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Right Route
Right Route
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Right Dosage
Right Dosage
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Right Documentation
Right Documentation
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Confirming Medication Orders
Confirming Medication Orders
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Hospital Drug Formulary
Hospital Drug Formulary
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General Drug
General Drug
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Special Drug
Special Drug
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Self-Financed Item (SFI) with Safety Net
Self-Financed Item (SFI) with Safety Net
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Self-Financed Item (SFI) without Safety Net
Self-Financed Item (SFI) without Safety Net
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Medication Order
Medication Order
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5 Rights of Medication Administration
5 Rights of Medication Administration
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Patient Allergy History
Patient Allergy History
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Risk Alert
Risk Alert
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Study Notes
Principle of Administration of Medications (AOM)
- AOM is the administration of medications.
- Learning objectives include defining common terms in AOM, understanding basic principles (3 checks and 5 rights), describing various routes, calculating dosages, understanding roles of nurses, and discussing lab results related to AOM.
- Different types of drugs have different purposes:
- Palliative: Relieves symptoms but doesn't cure the disease.
- Curative: Cures a disease or condition.
- Supportive: Supports body function until other treatments work.
- Substitutive: Replaces body fluids or substances.
- Chemotherapeutic: Destroys malignant cells.
- Restorative: Returns the body to health.
- Drug effects include:
- Therapeutic effect: Desired effect.
- Side effect: Unintended, usually predictable.
- Adverse effects/reactions: Harmful effects from drug toxicity, overdosage.
- Drug accumulation in blood from the impaired metabolism or excretion.
- Drug allergies can cause mild or severe reactions like skin rashes, itching, angioedema, diarrhea.
- Severe reactions are life-threatening, such as wheezing, dyspnea, SOB, acute hypotension, and tachycardia.
- Nurses in AOM are supervised by healthcare professionals.
- Legal documents such as the Code of Conduct and Practice from the Nursing Council of Hong Kong guide AOM practice.
- Policies for AOM (NCHK, 2017) include: understanding policies, assessment before administering, administering correctly, ensuring proper device use and disposal, evaluating progress, educating clients, reporting incidents, and maintaining medication knowledge.
- Safe administration includes proper storage (drug trolley with locked key), safe handling (3 check 5 rights, and non-touch technique), and careful monitoring of drug effects.
Medication Errors
- Inappropriate medication use results in patient harm.
- Causes include poor professional practice, faulty health care products/procedures, communication issues, and inadequate training.
- Examples include non-compliance with 3 check 5 rights, miscommunication, wrong labelling and packaging, and inappropriate training.
- Medication errors can be prevented.
- Common types of error in medication are non-verification of allergic history, non-compliance with checks, look-alike/sound-alike problems, incorrect dosage, administration route, missing doses, improper timing.
Medication Storage and Handling
- Proper storage of medications is critical (e.g., drug trolley with locked key, dangerous drugs storage).
- Safe handling practices include adhering to the 3 checks and 5 rights. Practices should be consistent and follow hospital policies.
- Leftover drugs should not be reused.
- Patient understanding & compliance are important aspects for monitoring.
Supervision & Legal Issues
- Nurses are supervised by healthcare professionals in AOM.
- Legal documents like the Code of Conduct and Practice set the standards for nursing practice in Hong Kong.
Inpatient Medication Entry (IPMOE)
- IPMOE is a system for managing inpatient medication administration.
- Benefits include reduced medication errors, improved efficiency, streamlined workflow, improved communication among caregivers, and better medication documentation.
- A workflow diagram shows how IPMOE streamlines the drug supplying and admin process.
- The workflow system ensures patient safety by checking patient identity.
Over-the-Counter (OTC) Medications
- OTC medications are not controlled drugs and can be sold in retail shops.
- Pharmaceutical products without poision are OTC medicines whereas poisons are regulated by part 2 regulation.
- Specific regulations for OTC medication exist.
Topical Skin Medications
- Topical skin medications are applied directly to skin/mucous membranes.
- Preparations include powders, suspensions, creams, ointments, pastes, lotions, sprays, and patches.
- Procedure for use includes 3 checks, infection control, proper discarding of old patches, selection of an appropriate area for the new patch, writing the date and time.
Ophthalmic Medications (Eye Medication)
- Used for eyes
- Ophthalmic medications follow procedures, including infection control with gloves, patient positioning, and avoiding squeezing the eye.
- Liquid/ointment medications applied (careful procedures)
- Sterile preparation and technique are critical.
Otic Medications (Ear Medication)
- Used for ears.
- Procedure includes warming drugs, applying procedures to prevent vertigo or nausea, accurate application, and position holding.
Nasal Medications
- Nasal medications involve self-administration.
- Following correct procedures, such as positioning, shaking, and proper insertion technique, ensures efficient and effective drug delivery.
Inhaled Medications (Metered-Dose Inhalers, Dry-Powder Inhalers, Nebulizer)
- Metered-dose inhalers (MDIs), Dry-powder inhalers (DPIs) & Nebulizers are methods of administering inhaled medication.
- Procedure includes proper techniques to ensure correct application in order to guarantee proper delivery of medication.
- Using a spacer can enhance proper inhaler use, especially for children, older adults, weaker patients.
- Nebulizers are high potential cross-infection procedures that are used for acute exacerbation of asthma or chronic obstructive pulmonary disease (COPD), etc
- Safe use practices for all inhalers should be followed to ensure patient safety.
Therapeutic Drug Monitoring
- Purposes of therapeutic drug monitoring are to optimize patient clinical outcome and minimize drug-induced toxicity.
- Laboratory tests show results with a specific range for each drug.
- High levels of vancomycin can cause ototoxicity and nephrotoxicity..
- Recommended target levels are specific to each drug for intermittent or continuous infusion.
Parenteral Medication Administration
- Parenteral routes bypass enteral (GI) routes of administration.
- Methods include: Intradermal (ID), Subcutaneous (SC), Intramuscular (IM), and Intravenous (IV).
- Specific procedures are used for each method.
Other Information
- Time scheduling for drug administration is in policy compliance and should be specific. Use of abbreviations for drug administration times are important.
- Important concept of confirming, before dispensing and giving medication using the correct procedure.
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Description
This quiz assesses your knowledge on medication administration, nursing responsibilities, and patient education practices. It covers essential documentation considerations and the guidelines set by the Nursing Council of Hong Kong for good practice in AOM. Test your understanding of critical nursing concepts and ensure safe medication practices.