Medication Administration Guidelines

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What are the 6 Rights of drug administration?

Drug, Time, Person, Dose, Route, Documentation (correct)

Prescription, Hour, Individual, Dosage, Technique, Filing

Medication, Day, Patient, Dosage, Method, Record-keeping

Medication, Time, Individual, Amount, Method, Verification

What symptoms may a true allergy to a medication cause?

Blurred vision, Coughing, Fatigue

Rash, Shortness of Breath, Swelling of tongue/face/throat (correct)

Stomach ache, Back pain, Dizziness

Headache, Fever, Runny nose

Why should IVs be avoided below the level of the pelvis?

Faster medication absorption and decreased risk of complications

Better for extravasation management and less painful for the patient

Higher infection rate and potential for DVT dislodgement (correct)

Lower infection risk and increased lower extremity circulation

Why is closed-loop communication important prior to drug administration?

To ensure proper drug, dose, and any contraindications Signup and view all the answers

When should an IV be placed for a patient?

During an emergency medical condition requiring vascular access Signup and view all the answers

Why should personnel not use implanted central venous access ports?

Safety concerns and guidelines Signup and view all the answers

What is the maximum single dose of push-dose pressor epinephrine (1:100,000)?

300mcg Signup and view all the answers

What is the recommended rate of administration for push-dose pressor epinephrine (1:100,000) intravenously or intraosseously?

1mL/minute Signup and view all the answers

What should be monitored throughout the administration of push-dose pressor epinephrine (1:100,000)?

Heart rate and blood pressure Signup and view all the answers

When administering push-dose pressor epinephrine (1:100,000), what is a contraindication to consider?

Hypotension secondary to blood loss Signup and view all the answers

What is the maximum total dose of push-dose pressor epinephrine (1:100,000) that can be administered?

300mcg (30mL) Signup and view all the answers

What is a precaution to take during the administration of push-dose pressor epinephrine (1:100,000)?

Monitor heart rate and blood pressure Signup and view all the answers

What is the maximum total dose of epinephrine (1:100,000) that can be administered for pediatric age-appropriate hypotension with pulmonary edema?

300 mcg Signup and view all the answers

What is a contraindication for using push-dose pressor epinephrine (1:100,000) in pediatric patients with hypotension secondary to blood loss?

Low blood pressure Signup and view all the answers

Why should push-dose pressor epinephrine (1:100,000) be administered slowly at a rate of 1mL/minute?

To reduce the risk of side effects Signup and view all the answers

What is the main precaution to be taken when administering normal saline in the presence of patients with CHF and renal failure?

Monitor lung sounds frequently Signup and view all the answers

In the presence of significant coronary heart disease, CHF, and renal failure patients, what is the warning regarding the administration of nitroglycerin once SBP is 100 mmHg or greater?

Do not administer nitroglycerin Signup and view all the answers

What action is recommended in adult patients experiencing chest pain to assume cardiac origin?

Leave cables connected after obtaining 15 lead and 12 lead ECGs Signup and view all the answers