Yes. Any reaction that is negative is the responsibility of the nurse.
No. Nurses are only responsible for published interactions.
No. Nurses are not responsible for reaction. The Dr. and Pharmacists are the final say on interactions.
No. The nurse has a responsibility to question orders that present with a potential interaction that will will adversely affect the patient.
No. Dr. Gangley is big on passing the buck.
Yes. Dr. Gangley should have known the possible interactions along with the Pharmacist. It is ultimately their responsibility.
Yes. The nurse could not have known with certainty that the medications would have interacted in such a bad way.
It is not wise to question the doctors orders.
Patients using their own meds save the hospital money and resources.
Controlled substances, although not preferable, can be discarded as long as she notes the chart.
Patients must always be reassessed for effectiveness, side effects, adverse reactions to medications and indications of drug interactions.
Accurate accounting of all drugs.
A counter signature to administer.
Records to be kept.
No documentation for wasting but requires documentation for discarding.
Right drug, Right dose, Right route, Right Time, Right Documentation, Right Reaction
Right drug, Right dose, Right patient, Right Time, Right Documentation, Right Reaction
Right drug, Right dose, Right Patient, Right Route, Right Time, Right Documentation
Right drug, Right Patient, Right Route, Right Time, Right Documentation, Right Reaction
Ask the CNA to give the patient in 102 his med. It's only a lasix and not a controlled substance.
Nick shouldn't go anywhere until the GI bleed lab comes back.
Ask the CNA to give the patient in RM 103 a bed bath, give 102 their med, and then check back in on the lab work.
Give the med in RM 102 and then wait on the GI bleed lab. Patient in RM 103 will have to wait.
The six rights of the patient are our most important guideline.
Signing out and counting narcotics must be done in every case.
We do the last safety check based on our education, judgment, and resources.
Nurses are held accountable for all interactions.
EC medications are designed to have better first pass than non EC medications.
Topicals are absorbed into the blood stream and have a minimal first pass affect.
IV drugs and Oral drugs are not given in the same strength.
First Pass affect only applies to medications that are a Class IV medication.
Topical drugs give a consistent, time released stream of medication.
Topical drugs have an unpredictable rate of absorption and bypass first pass affect.
Patch medication can be cut for lower doses.
Topicals are never applied to compromised skin.
IM and SQ meds are inconsistent, water soluble, and can also be given IV.
IM and SQ meds do not cause tissue damage.
IM and SQ meds, when used properly, are less likely to cause reaction.
IM and SQ meds are inconsistent rate of absorption, can be water soluble, and cannot be given IV.
Oral meds are inexpensive, have an constant absorption rate, always has a first pass affect.
Oral meds are reversible only if caught within 5 minutes or administering.
Oral meds have a negative affect on the stomach and causes GERD.
Oral meds are inexpensive, have an inconsistent absorption rate, may have a first pass affect, and are potentially reversible.
IV meds have the most rapid rate of absorption, reversible, are more expensive, and may cause IV site complications.
IV meds are absorbed in the system quickly and can be circulated within one minute.
IV meds have the most rapid rate of absorption, not reversible, are more expensive, first pass affected, and can cause IV site complications.
IV meds are pushed at a high rate to ensure therapeutic levels reach their potential as fast as possible.
Inhalation drugs deliver narcotics most quickly through the alveoli when pain needs immediate suppression.
Inhalation drugs are most used for anesthetics.
COPD must use oral or IV meds as the COPD has little success due to alveoli damage.
Inhalation drugs are not dangerous when used properly.
Absorption, Excretion, Metabolism, Chemical reaction.
Metabolism, Protein Binding, Excretion
Absorption, Metabolism, Distribution, Excretion
Absorption, Metabolism, Physical Reaction, Excretion
Receptor binding, Physical Reaction, Chemical Reaction, Excretion
Receptor binding, Physical Reaction, Chemical Reaction
Receptor binding, Physical Reaction, Metabolism, Excretion
Receptor binding, Chemical Reaction, Absorption, Distribution
The rate the drug takes to leave the site of administration and reach the blood.
The rate the drug takes to leave the site of administration and be taken in by cells.
The rate the drug takes to leave the site of administration and be taken in by fat cells.
The rate the drug takes to bind to protein.
The transportation of the drug by the protein to the site of action.
The transportation of the drug by the blood to the site of action.
The transportation of the drug through the GI to be metabolized.
The transportation of the drug to the first pass affect.
The chemical interaction in the first pass that sheds unwanted drug.
The rate at which the drug in the gut.
The biologic transformation of the drug.
The rate the body prepares the excretion.
The loss of drugs through the kidneys, skin pores, mucus membranes.
The loss of drugs through the lungs.
The loss of drugs through exertion.
The loss of drugs through the kidneys.
Route of administration, presence of food but not fluids, GI function, and dosage form.
Route of administration, presence of fluids but not food, GI function and dosage form.
Route of administration, presence of fluids and food, GI function, and dosage form.
Route of administration, Physical reaction, GI function, and dosage form.
Circulation, Chemical Reaction, Blood Brain Barrier
Circulation, Physical Reaction, Blood Brain Barrier
Circulation, Protein Binding, Blood Brain Barrier
Circulation, Hydrostatic Pressure, Blood Brain Barrier
Disease, medications, first pass affect
Disease, medication, blood brain barrier
Disease, medication, protein binding
Disease, medication, circulation