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Safety in Medication Administration

front 1

Tall man lettering includes?

back 1

use of lowercase and uppercase letters, so that a section of the drug name is highlighted.

front 2

A drug name is written with tall man lettering. Which statement best supports the use of tall man lettering on a drug label?

back 2

Tall man lettering consists of lowercase and uppercase letters that emphasize a section of the drug name to minimize confusion between drug names that look alike and sound alike.

front 3

The Institute of Medicine (IOM) identified abbreviations and symbols that should not be used in writing and transcribing medication orders due to the high risk for error. Which of the following, if written in a medication order, should be questioned? Select all that apply.

units

µ

IM

mL

cc

back 3

µ

cc

front 4

Patient information includes?

back 4

Patient information includes name, age, gender, date of birth, medical record number, allergies, and room number, if applicable.

front 5

Drug name includes?

back 5

The generic (chemical or pharmacological name) or brand name (trade or proprietary name) given to the drug by the manufacturer.

front 6

Ordered dose is?

back 6

The amount of the drug the provider has ordered.

front 7

Route is the?

back 7

The method (oral, IM, IV, ID, SUBQ, etc.) for delivering the drug to the patient.

front 8

Frequency of administration?

back 8

How often the drug is given to the patient.

For example: Every AM

front 9

Six Rights of Medication Administration are?

back 9

1.The right drug

2.The right dose

3.The right route

4.The right time

5.The right patient

6.The right documentation -

front 10

Enteral/gastrointestinal drugs will pass through the digestive process of the gastrointestinal tract?

back 10

  • Oral (PO) drugs are given by mouth/orally. This may include drugs in liquid or solid form.
  • Buccal (buc) drugs are given between the gums and inner lining of the cheeks.
  • Sublingual (SL) drugs are given under the tongue.
  • Rectal (PR) drugs are given into the rectum.

front 11

Parenteral drugs are absorbed outside the gastrointestinal tract are?

back 11

  • Intradermal (ID) injections are given into the top layer of the skin.
  • Subcutaneous (SUBQ) injections are given into the subcutaneous tissue.
  • Intramuscular (IM) injections are given directly into muscle.
  • Intravenous (IV) medications are given directly into the vein.

front 12

Topical drugs are applied to the surfaces of the body or mucous membranes. They commonly work at the site of administration.

back 12

  • Intranasal drugs are given through the nasal mucosa.
  • Transdermal patches are applied to the skin.
  • Ophthalmic medications are applied to the lower lid of the eye.
  • Intra-auricular (otic) medications are given into the ear.
  • Intravaginal medications are inserted into the vagina.
  • Inhaled medications are inhaled into the nose or mouth into the respiratory tract.

front 13

When applying the Six Rights of Medication Administration, the nurse correctly documents the administration of the medication?

back 13

immediately after administering the drug to the patient.

front 14

When administering medications, what are the most appropriate methods for verifying the right drug?

back 14

1.Check the drug label against the patient’s MAR after selecting it from the patient’s medication drawer.

2.Check the drug label against the MAR before putting the medication in the dispensing container.

3.Check the drug label against the MAR prior to administering the drug to the patient.

front 15

Brand Name ?

back 15

This the name given by the manufacturer. Every manufacturer that makes the same drug assigns a brand name to the drug. A ® on the right-hand corner of the drug indicates the drug name is registered and trademark protected.

front 16

Generic Name?

back 16

The universal name for the drug. It helps identify drugs by chemical groups or pharmaceutical properties. There is only one generic name for a drug.

front 17

USP?

back 17

The United States Pharmacopeia (USP) sets pharmaceutical standards primarily aimed at protecting public health. The “USP” after a drug name indicates that it adheres to USP standards.

front 18

Dosage forms?

back 18

may be solid, such as tablets or capsules, or liquid, such as solutions, syrups, and suspensions. The label for Flagyl indicates the form is a tablet.

front 19

dosage strength are?

back 19

Dosage strength may be expressed in various forms on the label. Some examples include:

  • “Each tablet contains 25 mg”
  • “15 mg/mL”
  • “250 mg per 5 mL”

front 20

The route of administration

back 20

provides a method of delivery for the drug. The delivery method(s) or routes of administration are commonly written on drug labels.

front 21

Controlled substances -

back 21

Drugs or therapeutic agents that have potential for abuse or addiction and may cause physical or mental harm.

front 22

Single-dose containers are?

back 22

intended for single use only and should be discarded after the ordered dose is withdrawn. Single-dose vials are typically preservative free, meaning that they do not contain antimicrobial preservatives. Single-dose containers also include the prefilled syringe and the ampule.

front 23

Multi-dose containers -

back 23

have a preservative and may be used to administer several doses of the drug.

front 24

Dosage and administration-

back 24

The dosage and administration information on the drug label provides additional information, such as administration guidelines and indications for use. This section may be identified with the wording: “usual dosage”, “dosage and use”, “indication and use”, or “dosage and administration.”

front 25

Storage information-

back 25

All drug labels have storage directions. To maintain drug potency, drugs should be stored according to the manufacturer’s guidelines.

front 26

Lot number-

back 26

The lot number is found on the drug label in various places. Lot numbers contain a unique combination of letters, numbers or symbols assigned by the manufacturer to each group or batch of drug produced.

front 27

Total amount in the package-

back 27

The total amount identified on the drug label indicates the total number or quantity contained in a bottle or package. It is not to be confused with strength.

front 28

Manufacturer’s name

back 28

The manufacturer’s name will always appear on the drug label. It is important not to confuse the manufacturer’s name with the name of the drug.

front 29

Drug names may be written with tall man lettering. Tall man lettering is used primarily to?

back 29

distinguish drugs with similar names.

front 30

The patient is taking a medication that has a boxed warning. The nurse understands that a boxed warning on a drug label indicates the drug:

back 30

may cause a serious adverse reaction leading to death or injury.