pharma chapter 3

8/19/2019 PHARMA Chapter 3

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CHAPTER 3CHAPTER 3

INTERPRETING DRUGINTERPRETING DRUGORDERSORDERSKEVERNE JHAY COLASKEVERNE JHAY COLAS


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INTERPRETING DRUGINTERPRETING DRUGORDERSORDERS

THE PRESCRIPTION OR MEDICATION THE PRESCRIPTION OR MEDICATION

ORDER SUGGESTS THE THERAPEUTICORDER SUGGESTS THE THERAPEUTIC

DRUG PLAN FOR THE PATIENT.DRUG PLAN FOR THE PATIENT.

Usually physiia!s "# $%!&is&s'#i&% a (%$ia&i"! "#$%#.

Lis& &h% $#u) !a(% a!$$i#%&i"!s *"# i&s a$(i!isa&i"!.


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INTERPRETING DRUG ORDERSINTERPRETING DRUG ORDERS

IT IS THE RESPONSI+ILITY OF THE NURSE TO,IT IS THE RESPONSI+ILITY OF THE NURSE TO,

-.-.INTERPRET THE ORDERINTERPRET THE ORDER

..PREPARE THE CORRECT DOSAGE OF THE DRUGPREPARE THE CORRECT DOSAGE OF THE DRUG

/./.IDENTIFY THE PATIENTIDENTIFY THE PATIENT

0.0.ADMINISTER THE CORRECT DOSAGE AT THEADMINISTER THE CORRECT DOSAGE AT THE

PRESCRI+ED TIMEPRESCRI+ED TIME

1.1. RECORD THE ADMINISTRATIONRECORD THE ADMINISTRATION

2.2.MONITOR THE PATIENT3S RESPONSE ANDMONITOR THE PATIENT3S RESPONSE AND

ADVERSE EFFECTSADVERSE EFFECTS


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COMPONENTS OF A MEDICATIONCOMPONENTS OF A MEDICATION

ORDERORDER

THE DRUG ORDER CONSISTS OF SEVEN THE DRUG ORDER CONSISTS OF SEVEN

PARTS4PARTS4-. NAME OF THE-. NAME OF THE PATIENT PATIENT

. NAME OF THE. NAME OF THE DRUGDRUG TO +E ADMINISTERED TO +E ADMINISTERED

/./. DOSAGEDOSAGE STRENGTH AND FORM OF THESTRENGTH AND FORM OF THEDRUGDRUG

0.0. ROUTEROUTE +Y 5HICH THE DRUG IS TO +E+Y 5HICH THE DRUG IS TO +E

ADMINISTEREDADMINISTERED


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THE DRUG ORDER CONSISTS OF SEVEN PARTS4 THE DRUG ORDER CONSISTS OF SEVEN PARTS4

1.1. FREQUENCY FREQUENCY 6 TIME6 AND SPECIAL6 TIME6 AND SPECIALINSTRUCTIONS RELATED TO ADMINISTRATIONINSTRUCTIONS RELATED TO ADMINISTRATION

2.2. DATE AND TIMEDATE AND TIME THE ORDER 5AS 5RITTEN THE ORDER 5AS 5RITTEN

7.7. SIGNATURESIGNATURE OF THE PERSON 5RITING THEOF THE PERSON 5RITING THEORDER.ORDER.


ORDERORDER


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CHUCK BARTOWSKICHUCK BARTOWSKI

AMOXICILLIN 500 MG P.O. T.I.D.AMOXICILLIN 500 MG P.O. T.I.D.ARCOXIA 250 MG P.O. P.C.ARCOXIA 250 MG P.O. P.C.

PARACETAMOL 300 MG IV PRNPARACETAMOL 300 MG IV PRN

FOR FEVERFOR FEVER >> 37. C37. C

DR. DEVON AWESOMEDR. DEVON AWESOME

-8289--:9;99-8289--:9;99


ORDERORDER


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WORDS IN MEDICATIONWORDS IN MEDICATIONORDERSORDERS

A!!"#$

%&'(&)*

+#'*&*, A!!"#$

%&'(&)*

+#'*&*,

!" !i)h& SR sus&ai!%$ #%l%as%

GT8GTT )as"s&"(y&uOD %?%#y "&h%# $ay

EC %!&%#i "a&%$ CR "!"ll%$ #%l%as%


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T-PES OF MEDICATIONT-PES OF MEDICATIONORDERSORDERS

-. STANDING ORDER-. STANDING ORDERIS CARRIED OUT UNTIL AN ORDERIS CARRIED OUT UNTIL AN ORDER

IS 5RITTEN TO CANCEL IT.IS 5RITTEN TO CANCEL IT.

IS CARRIED OUT FOR A SPECIFIEDIS CARRIED OUT FOR A SPECIFIEDNUM+ER OF DAYS.NUM+ER OF DAYS.

. S&a& O#$%# M%$ia&i"! is &"


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/. SINGLE ORDER OR ONE:TIME/. SINGLE ORDER OR ONE:TIME

ORDERORDER

MEDICATION IS TO +E GIVENMEDICATION IS TO +E GIVENONCE AT A SPECIFIED TIME.ONCE AT A SPECIFIED TIME.

0. PRN "#$%# "# as !%%$%$

"#$%#P%#(i&s &h% !u#s% &" )i?% a

(%$ia&i"!6 'h%! i! &h%

!u#s%3s =u$)(%!&6 &h% li%!&



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INSERT IVF OF D1LRS -L -INSERT IVF OF D1LRS -L - B.B.

TYLENOL (ACETAMINOPHEN)TYLENOL (ACETAMINOPHEN)

650 MG PO Q4H FOR TEMPERATURE OF 101 °F OR650 MG PO Q4H FOR TEMPERATURE OF 101 °F OR

HIGHER.HIGHER.

. ADMINISTER PLASIL METOCLOPRAMIDE - AMP IV NO5.. ADMINISTER PLASIL METOCLOPRAMIDE - AMP IV NO5.

/. GIVE CLINDAMYCIN -99MG IV STAT./. GIVE CLINDAMYCIN -99MG IV STAT.

0.0. GIVEGIVE CODEINE 30 MG PO Q4H PRN FOR MILD–MODERATECODEINE 30 MG PO Q4H PRN FOR MILD–MODERATE

PAIN.PAIN. !R"THRU!R"THRU

5. #ECONAL 100 MG PO H# !EFORE #URGERY.5. #ECONAL 100 MG PO H# !EFORE #URGERY.

6.6. GIVE MORPHINE 10 MG IM X 1 AT 0800GIVE MORPHINE 10 MG IM X 1 AT 0800



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MEDICATION ADMINISTRATIONMEDICATION ADMINISTRATIONRECORDRECORD

MAR IS THE FORM THAT THEMAR IS THE FORM THAT THENURSE USES TO DOCUMENTNURSE USES TO DOCUMENT

ADMINISTRATION OF DRUGS.ADMINISTRATION OF DRUGS.

PERMANENT PART OF THEPERMANENT PART OF THEPATIENT3S MEDICAL RECORD.PATIENT3S MEDICAL RECORD.

Ei&h%#


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MEDICATION ADMINISTRATIONMEDICATION ADMINISTRATIONRECORDRECORD

COMPONENTS OF THE MARCOMPONENTS OF THE MAR

Patient informationD'(#

M#&/'(&)* &*)"+'(&)*

T&+# ) '+&*&1("'(&)*I!i&ials

Special instructions


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MEDICATIONMEDICATIONLA+ELS ANDLA+ELS AND

PACKAGINGPACKAGING

SYSTEMSSYSTEMS


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READING DRUG LABELSREADING DRUG LABELS


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-. GENERIC NAME4 APPEARS-. GENERIC NAME4 APPEARSDIRECTLY A+OVE OR UNDER THEDIRECTLY A+OVE OR UNDER THE

+RAND NAME, PLACED INSIDE A+RAND NAME, PLACED INSIDE A

+O OR TRANSPARENCIES+O OR TRANSPARENCIES


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. +#a!$ Na(%4 p#"p#i%&y !a(%6(a!u*a&u#%#3s !a(% "* a $#u)

M"s& p#"(i!%!& '"#$La#)% &yp% a!$


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/. DOSAGE STRENGTH8DOSAGE4 DOSAGE/. DOSAGE STRENGTH8DOSAGE4 DOSAGE5EIGHT OR THE AMOUNT OF DRUG PROVIDED5EIGHT OR THE AMOUNT OF DRUG PROVIDED

IN A SPECIFIC UNIT OF MEASUREMENTIN A SPECIFIC UNIT OF MEASUREMENT



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SUPPLY DOSAGE4 -12.1 MG81 MLSUPPLY DOSAGE4 -12.1 MG81 MLDOSAGE STRENGTH PLUS FORMDOSAGE STRENGTH PLUS FORM



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0. M%$ia&i"! F"#(4 su&u#%a!$ "(p"si&i"! "* $#u)



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1.M%$ia&i"! >ua!&i&y8 T"&al V"lu(%4*ull @ua!&i&y "!&ai!%$ i! a paa)%6


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2. A$(i!isa&i"! R"u&%4 Si&%*"#


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7. Epi#a&i"! Da&%


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. LOT CONTROL. LOT CONTROL

NUM+ERNUM+ER

;. Na&i"!al

D#u) C"$%NDC

Nu(


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PHARMACEUTICAL INDUSTRIESPHARMACEUTICAL INDUSTRIES


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-. DIRECTIONS-. DIRECTIONSFOR MIINGFOR MIING

::ADD 0 ML OFADD 0 ML OF

DISTILLEDDISTILLED5ATER TO MAKE5ATER TO MAKE

19 ML OF19 ML OF

SOLUTIONSOLUTION-0. INSTRUCTIONS-0. INSTRUCTIONS

FOR STORAGEFOR STORAGE

-/. La


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MEDICATION PACKAGINGMEDICATION PACKAGING

• UNIT$DOSE PACKAGINGUNIT$DOSE PACKAGING LABELING AND PACKAGINGLABELING AND PACKAGING

OF INDIVIDUAL DOSAGE OFOF INDIVIDUAL DOSAGE OF

MEDICATIONMEDICATION

• MULTI:DOSE PACKAGING

paa)i!) i! "!&ai!%#s &ha&"!&ai! ("#% &ha! "!%$"sa)% "* &h% (%$ia&i"!


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PREPARINGPREPARING

E>UIPMENT ANDE>UIPMENT ANDDRUGS FORDRUGS FORADMINISTRATIONADMINISTRATION


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EUIPMENT FOR LIUID ORALEUIPMENT FOR LIUID ORALMEDICATIONMEDICATION

MEDICATION CUPMEDICATION CUP

CALI+RATED SYRINGESCALI+RATED SYRINGES

CALI+RATED DROPPERSCALI+RATED DROPPERSOTHER SPECIAL DEVICESOTHER SPECIAL DEVICES

Ma% su#% &ha& &h% (%!isus is a&l%?%l 'i&h &h% li!% "! &h% $%?i%.

R%a$ a& %y% l%?%l.

EUIPMENT FOR LIUIDEUIPMENT FOR LIUID


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EUIPMENT FOR LIUIDEUIPMENT FOR LIUIDORAL MEDICATIONORAL MEDICATION

MEDICINE CUPMEDICINE CUP

USED TO MEASURE MOST ORALUSED TO MEASURE MOST ORAL

MEDICATIONMEDICATION

DISPOSABLE PLASTIC CUPDISPOSABLE PLASTIC CUP

30 ML (ONE OUNCE)30 ML (ONE OUNCE) METRIC, APOTHECARY, ANDMETRIC, APOTHECARY, AND

HOUSEHOLD MEASUREMENT SYSTEM.HOUSEHOLD MEASUREMENT SYSTEM.

NOTE: ALWAYS USE PEDIATRIC MEASURINGNOTE: ALWAYS USE PEDIATRIC MEASURINGDEVICE WHEN MEASURING SMALLDEVICE WHEN MEASURING SMALL

AMOUNTS OF MEDICATION FORAMOUNTS OF MEDICATION FOR

INFANTS AND CHILDREN.INFANTS AND CHILDREN.



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SPOONSPOON ALWAYS USE PEDIATRIC ALWAYS USE PEDIATRIC

MEASURING DEVICE WHENMEASURING DEVICE WHEN

MEASURING SMALL AMOUNTSMEASURING SMALL AMOUNTS

OF MEDICATION FOR INFANTSOF MEDICATION FOR INFANTS

AND CHILDREN. AND CHILDREN.

TEASPOON AND TABLESPOONTEASPOON AND TABLESPOON

VARY IN SIZE. EX.VARY IN SIZE. EX.

1 TSP=5 ML AND 1 TBSP= 151 TSP=5 ML AND 1 TBSP= 15

MLML

EUIPMENT FOR LIUID ORALEUIPMENT FOR LIUID ORAL


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EUIPMENT FOR LIUID ORALEUIPMENT FOR LIUID ORALMEDICATIONMEDICATION

CALI+RATED MEDICALCALI+RATED MEDICALSPOONSPOON


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CALIBRATED MEDICATIONCALIBRATED MEDICATIONDROPPERDROPPER

MEASURE AND ADMINISTERMEASURE AND ADMINISTER

SMALL DOSAGES ACCURATELY.SMALL DOSAGES ACCURATELY.

DO NOT INTERCHANGEDO NOT INTERCHANGE

DROPPERS BETWEENDROPPERS BETWEEN

DIFFERENT TYPES OFDIFFERENT TYPES OF

MEDICATIONS; CAN LEAD TOMEDICATIONS; CAN LEAD TOSERIOUS MEDICATION ERROR.SERIOUS MEDICATION ERROR.


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CALIBRATED MEDICATIONCALIBRATED MEDICATION

SYRINGESYRINGE


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EUIPMENT FOR LIUIDEUIPMENT FOR LIUIDPARENTERAL MEDICATIONPARENTERAL MEDICATION

S-RINGESS-RINGESUSE TO ACCURATEL-USE TO ACCURATEL-

MEASURE AND ADMINISTERMEASURE AND ADMINISTER

PRESCRIBED AMOUNTS OFPRESCRIBED AMOUNTS OF

PARENTERAL MEDICATIONS.PARENTERAL MEDICATIONS. ML42 ML4 3 ML4 5 ML4 0 ML42 ML4 3 ML4 5 ML4 0

ML4 20 ML4 50 ML AND 0ML4 20 ML4 50 ML AND 0

ML.ML.TUBERCULIN S-RINGE ANDTUBERCULIN S-RINGE AND

INSULIN S-RINGESINSULIN S-RINGES

00 UNITS6 ML AND 5000 UNITS6 ML AND 50

UNITS6 0.5 MLUNITS6 0.5 ML


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PARENTERAL MEDICATIONPARENTERAL MEDICATION


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INSULIN SYRINGEINSULIN SYRINGE

SYRINGE THAT IS CALI+RATED TOSYRINGE THAT IS CALI+RATED TO

CORRESPOND 5ITH THE -99: UNITCORRESPOND 5ITH THE -99: UNIT

INSULIN.INSULIN.

AVAILA+LE IN 09: UNITS6 -99: UNITS.AVAILA+LE IN 09: UNITS6 -99: UNITS.

-99: UNIT +OTTLE AND -99: UNIT-99: UNIT +OTTLE AND -99: UNIT

SYRINGE COLORSYRINGE COLOR CODED ORANGE,CODED ORANGE,

09: UNITS +OTTLE AND 09 UNITS09: UNITS +OTTLE AND 09 UNITS

SYRINGESYRINGE

COLOR CODED RED. COLOR CODED RED.


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INSULIN IS ADMINISTERED SU+CUTANEOUSLYINSULIN IS ADMINISTERED SU+CUTANEOUSLY

AT A 016 29THIN6 ;9O+ESE DEGREESAT A 016 29THIN6 ;9O+ESE DEGREES

ANGLE.ANGLE.

• SU+CUTANEOUS A+SORPTION RATE ISSU+CUTANEOUS A+SORPTION RATE ISSLO5ER +ECAUSE THERE ARE FE5ER +LOODSLO5ER +ECAUSE THERE ARE FE5ER +LOOD

VESSELS IN THE FATTY TISSUE THAN IN THEVESSELS IN THE FATTY TISSUE THAN IN THE

MUSCULAR TISSUE.MUSCULAR TISSUE.

5ARNING45ARNING4 AVOID USING TU+ERCULINAVOID USING TU+ERCULIN

SYRINGE IN ADMINISTERINGSYRINGE IN ADMINISTERING

INSULIN.INSULIN.


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PARENTERAL MEDICATIONPARENTERAL MEDICATION


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PARENTERAL MEDICATIONPARENTERAL MEDICATION1 ML TUBERCULIN SYRINGE1 ML TUBERCULIN SYRINGE USED FORUSED FORMEDICATIONS LESSER THAN - ML OR - ML.MEDICATIONS LESSER THAN - ML OR - ML.

THIS IS ALSO USED FOR INTRADERMAL THIS IS ALSO USED FOR INTRADERMAL

INJECTIONS.INJECTIONS.

MARKINGS ON THE SYRINGE ARE IN HUNDREDTHSMARKINGS ON THE SYRINGE ARE IN HUNDREDTHS

OF MILLILITER9.-OF MILLILITER9.-


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THE APOTHECARY MARKINGS OF MINIMS ON THE THE APOTHECARY MARKINGS OF MINIMS ON THE

OTHER SIDE 5HICH IS 9.9- ML ALLO5 VERYOTHER SIDE 5HICH IS 9.9- ML ALLO5 VERY

PRECISE MEASUREMENT OFPRECISE MEASUREMENT OF MEDICATIONS.MEDICATIONS.

CALCULATED OF 9.07 OF DRUG SHOULD +ECALCULATED OF 9.07 OF DRUG SHOULD +E

ROUNDED TO THE HUNDREDTHS NOT TO THEROUNDED TO THE HUNDREDTHS NOT TO THE

NEAREST TENTHS SUCH AS 9.0/ ML.NEAREST TENTHS SUCH AS 9.0/ ML.

•READINGREADING


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•READINGREADING

CALI+RATEDCALI+RATED

SYRINGESSYRINGES

• TU+ERCULLI TU+ERCULLI

NN

SYRINGESYRINGE


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•READINGREADING

CALI+RATEDCALI+RATEDSYRINGESSYRINGES

•

// MLMLSYRINGESYRINGE

READINGREADING


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•READINGREADING

CALI+RATEDCALI+RATED

SYRINGESSYRINGES

•

1626-96-1626-96-

MLML

SYRINGESSYRINGES


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•READINGREADING

CALI+RATEDCALI+RATEDSYRINGESSYRINGES

• 99 MLMLSYRINGESYRINGE


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•READINGREADING

CALI+RATECALI+RATE

D SYRINGESD SYRINGES

• PRE:PRE:

FILLEDFILLED

SYRINGESSYRINGES

• MEASURING DOSAGESMEASURING DOSAGES


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•

MEASURING DOSAGESMEASURING DOSAGES

IN A S-RINGEIN A S-RINGE

TO MEASURE A DOSAGE TO MEASURE A DOSAGE

IN A SYRINGE6 5E MUSTIN A SYRINGE6 5E MUST

LINE UP THELINE UP THE TOPTOP OFOF THE +LACK RU++ER THE +LACK RU++ER

PLUNGER EACTLY 5ITHPLUNGER EACTLY 5ITH

THE LINE THAT MARKS THE LINE THAT MARKS THE DOSAGE 5E 5ANT THE DOSAGE 5E 5ANT

TO ADMINISTER. TO ADMINISTER.


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ENDEND

pharma chapter 3

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