Chapter 3: Making drug dosing safer/ pharm
Best method of error detection for meds are
manual redundancy system (5 rights + 3 checks)
Can the nurse administer medication for a package without wearing gloves
no, the nurse should always wear gloves
After reconstitution of any multidose vial the following information must be added to the label:
Amount of diluent added Dose of drug in mL (500 mg/mL, 10 mg/2 mL, etc.) Date of reconstitution Expiration date (the date after which any unused solution is discarded)
Trade name =
brand name
Parenteral Some parenteral drugs are available as a crystal or a powder. Because these drugs have a short life in liquid form,
they are available in ampules or vials in dry form for longer storage and then made into a solution (reconstituted) shortly before they are removed and administered.
If the nurse has 2 ml remaining in an ampule . It should be
thrown in the sharps container
three specific items are needed to administer a drug:
the name, form, and dosage/ strength
Which of the following is the best method of error detection?
Manual redundancy system
What should be present of the drug labels
-drug -form -dosage strength
what are the systems of measurement
-metric system -apothecary system -household measurements
Factors in the work environment that contribute to errors being made are
-poor lighting -noise -interruptions -taxing workload
Household Measurements
3 teaspoons 1 tablespoon 2 tablespoons 1 ounce 2 pints 1 quart 4 quarts 1 gallon
what percentage of potential drug errors is found when nursed check medication calculations for accuracy
95%
Patients may refuse a medication if they do not recognize which of the following?
Generic name
Which of the following are included on most drug labels?
Generic name Brand name Drug form Drug strength
Which of the following represents a unit of weight?
Gram
Which of the following patient characteristics are used to measure body surface area?
Height and Weight
Which of the following measurement systems is most appropriate for drug dosing?
Metric system
Arrange the following measurements from smallest to largest
Milliter Liter Deciliter
Which of the following are the steps associated with using dimensional analysis to calculate dosage problems?
Write dosage strength with the numerator always expressed in the same unit that was identified before
Which of the following is characteristic of a generic name of the drug as mentioned on the label?
Written in smaller print
The ISMP discourages use of which measurement system
apothecary
When should you use a zero in drug dosages before or after the decimal
before
Knowing both trade and generic drug names is important because
clients may think he drug is incorrect
Manual redundancy activities help the nurse provide
control over dangerous drugs
Vials should be _____ when opened
dated
Generic name =
drug name
Always check the _____________ date of the drug
expiration