Chapter 3: Making drug dosing safer/ pharm

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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


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