Pharmacology 3 Past Paper PDF - North West College

Pharmacology 3 Practical Nursing – North West College Ashley Martin, RN, BScN September 2024 Pharmacology 3 Overview Midterm 1 – Med Math – MUST Sept 9th 0900 (allowed up to 2 rewrites if needed) 25% PASS IV Med Testing – MUST PASS Sept 26th All day (allowe...

Pharmacology 3 Practical Nursing – North West College Ashley Martin, RN, BScN September 2024 Pharmacology 3 Overview Midterm 1 – Med Math – MUST Sept 9th 0900 (allowed up to 2 rewrites if needed) 25% PASS IV Med Testing – MUST PASS Sept 26th All day (allowed up to 2 re-tests if needed) 10% Discussions LO5 & LO6 LO5 due Oct 20th at midnight; LO6 due Oct 27th at midnight 20% Lab Prep Activities LO1 & LO2 LO1 due Sept 4th 0900; LO2 due Sept 12th 0900 5% Final Exam (Comprehensive) Dec 17th 0900 40% LO1: Reconstitution of Powdered Meds 01 02 Med Math Reconsitution Review Med Dosage Single Strength Meds Calculations 03 Reconstitutio 04 Demonstrate n Reconstitutio Multiple Strength Meds n Let’s Review….  REVIEW When performing medication Always double-check your calculations, you must have medication dosage the desired dose and the Always check your answer calculations with your available dose in the same “intuitively.” Does it make instructor, RN, RPN, or LPN. unit of measurement. sense? Is it reasonable? (This may vary so know your For example, if the desired dose is in mg, and the available dose is in agency’s policy as to who g, you will need to convert the must double check). available dose into mg. Always perform a medication Always give the patient the calculation using either the formula or ratio and Break scored tablets only. least number of pills to proportion method. swallow. 01 Med Math Dosage Calculations - Conversions 1 g = 1 000 mg 1 kg = 1 000 g 1 mg = 1 000 mcg 1 mg = 1 000 μg 1 kg = 2.2 lbs 1 L = 1 000 mL 1 oz = 30 mL 1 teaspoon = 5 mL 1 tablespoon = 15 mL Dosage Calculations: General Rules For the purpose of your med math exam: 1. Round adult weight in kg to the nearest tenth immediately in the question. E.g., 5.2 kg not 5.23 kg 2. Round pediatric weights to the nearest hundredth immediately in the question. E.g., 5.23 kg not 5.2 kg 3. Round all adult answers off to the nearest tenth. 2.1 mL not 2.06 mL 4. Round all pediatric answers to the nearest hundredth. 2.06 mL not 2.1 mL 5. Round all answers less than 1 mL off to the nearest hundredth. 0.93 mL not 0.9 mL Dosage Calculations: General Rules 6. Never round within a formula, only round at the end of it (the final answer). 7. Always place a zero in front of a decimal when writing dosages. E.g., 0.32 mL not.32 mL 8. Do not write unnecessary zeros after a decimal. E.g., 4.6 mL not 4.60 mL 9. Do not put a period after a symbol e.g., mL not mL. 10. Use decimals; not fractions e.g., 0.5 mL not ½ mL Dosage Calculations: General Rules 11. When writing numbers with more than 4 digits, leave a space. Do not use a comma. E.g., 16 000 not 16,000 12. Tablets should be recorded in one of two ways a) Whole number. Example: 2 tablets b) Decimal only when stated they are scored. Example 0.5 tablet instead of ½ a tablet or half tablet. 13. Use a space between the number and the symbol E.g., 50 g not 50g 14. Use mL not cc 15. Circle your final answer! Dosage Calculations: General Rules Review Lab Prep Activity for Med Calculations Key Rights for Drug Administration (Lilley’s Pharmacology) 1) Right ____________ 2) Right ____________ 3) Right ____________ 4) Right ____________ 5) Right ____________ 6) Right ____________ 7) Right ____________ 8) Right ____________ 9) Right ____________ 10) Right ____________  02 Reconstitution Single Strength Meds Single versus Multi-Strength Vials: What’s the difference? Safety and Process  HOW TO RECONSTITUTE A POWDER Perform 2 label checks using the MAR Gather equipment: diluent, medication, syringe, blunt needle, alcohol swabs, and medication label. Prepare to reconstitute the medication following the directions on the label: type and amount of diluent, expiry date of diluent and powder, expiry date of reconstituted medication, and the concentration of the medication once reconstituted. Wash your hands. Remove the protective cap off the medication vial. Cleanse the top of the vial with an alcohol swab. Discard the alcohol swab and let the alcohol dry. Remove the protective cap off the diluent vial and cleanse with a second alcohol swab. Discard the alcohol swab and let dry. Apply the blunt needle to the syringe. Inject air into the diluent equal to the amount of diluent you will be withdrawing. Remove the required amount of diluent from the vial. Inject the diluent into the vial with the powdered medication. Remove the syringe from the vial and recap. Rotate the vial between your hands until the drug is dissolved.  You are asked to give vancomycin 750 mg IV. On hand: 1 g vial Instructions for reconstitution: Add 20 mL sterile water for injection. Reconstituted solution will contain approximately 50 mg Vancomycin solution per mL. (total of 20.6 mL) How many mL will you give? What is required on a physician’s order? a)The patient’s full name. b) The date the order was written (if applicable, the date it expires). c) The drug name. d) The dose e) The route of administration f) The frequency of administration (time) g) The reason (not always written but should be in progress notes or nurses notes) h) Prescriber’s name Why do we reconstitute anyway?  03 Reconstitution Multiple Strength Meds Your physician’s order reads: Penicillin G sodium 400,000 units IV. 1) How much diluent will you add and why? 2) What type of diluent will you add? 3) Do you need to discard vial after withdrawing your dose? 4) How many mL will you draw up and add to a mini bag? Let’s do some hands on practice! Do we need to document in our Nurses’ notes how we reconstituted a medication and with what diluent? What DO we need to document? Med Math exam #1: Sept 9th at 0900 Need minimum 80% to pass. May re-write up to two times if required.