Medications flashcards
Study the cards, then practice on the patient.
Twenty flashcards on giving medications safely: routes, dose math and high-alert drugs.
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20 cards
- Five core rights of medication administration?
- Right patient, drug, dose, route and time.
- Preferred IM injection site in infants?
- Vastus lateralis (outer thigh).
- Usual IM site for adult vaccines?
- Deltoid.
- IM technique that seals irritating drugs in the muscle?
- Z-track method.
- Needle angle for a subcutaneous injection?
- 45 to 90 degrees, based on body fat.
- Mixing regular and NPH insulin: which first?
- Clear (regular) before cloudy (NPH).
- Rapid-acting insulin: when to give it?
- Within about 15 minutes of a meal.
- Sublingual nitroglycerin for chest pain: dosing?
- 0.4 mg every 5 minutes, up to 3 doses.
- After giving eye drops, how to limit systemic absorption?
- Press the inner corner of the eye for 1 to 2 minutes.
- Ear drops in an adult: how to straighten the canal?
- Pull the ear up and back.
- Drawing up from a glass ampule: special equipment?
- A filter needle.
- Basic dose formula?
- Desired dose divided by dose on hand, times the volume.
- Gravity IV drip rate formula?
- Volume in mL times drop factor, divided by time in minutes.
- Converting pounds to kilograms?
- Divide by 2.2.
- Potassium chloride: route never allowed?
- IV push. Always diluted and infused by pump.
- Safety step for insulin, heparin and other high-alert drugs?
- Independent double check by a second nurse.
- Opioids: what comes before respiratory depression?
- Increasing sedation. Monitor with a sedation scale.
- When to reassess pain after an IV PRN opioid?
- About 15 to 30 minutes later.
- Warfarin: monitoring test and reversal agent?
- INR. Vitamin K reverses it.
- Reversal agent for heparin?
- Protamine sulfate.