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1. Safe Medication Administration and - Wrong medication or IV fluid
Error Reduction: Identify a Situation - Incorrect dose or IV rate
Requiring an Incident Report (Active - Wrong client, route, or time
Learning Template - Basic Concept, - Administration of an allergy‐inducing medication
RM Pharm RN 7.0 Chp 2) - Omission of a dose or administration of extra
doses
- Incorrect discontinuation of a medication or IV
fluid
- Inaccurate prescribing
- Inadvertently giving a medication that has a sim-
ilar name
2. Treatment of Malignant Hyperther- - Stop succinylcholine and other anesthetics.
mia-Ch.15 -Administer oxygen at 100%.
-Initiate cooling measures including administration
of iced 0.9% sodium chloride, applying a cooling
blanket, and placing ice bags in groin and other
areas.
-Administer dantrolene to decrease metabolic ac-
tivity of skeletal muscle.
3. Substance Use Disorders: Treatment Benzodiazephone (lorazepam, diazepam, chlor-
for Cocaine Toxicity diazepoxide, oxazepam)
naloxone
watch glucose
(Active Learning Template - System
Disorder, RM Pharm RN 7.0 Chp 12)
4. Adverse Effects, Interactions, and for anaphylactic shock
Contraindications: Using an Epineph-
rine Auto-Injector tachycardia
arrythmias (v. fib)
, ATI pharm proctored exam
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can inject through clothes if necessary
(RN QSEN - Patient-centered Care, Ac-
tive Learning Template - Medication,
RM Pharm RN 7.0 Chp 5)
5. Antibiotics Affecting Protein Synthe- "Mycin"
sis: Aminoglycosides and Adverse Ef- ototoxicity - hearing/balance loss
fects nephrotoxicity - look @ bun, creatinine, i/o
neuromuscular blockade- weakness, resp. depres-
sion
hypersensitivity
(RN QSEN - Teamwork and Collabora-
tion, Active Learning Template - Med-
streptomycin = neurological disorder - optic nerve,
ication, RM Pharm RN 7.0 Chp 45)
tingling/numb, peripherial neuritis
6. Airflow Disorders: Teaching About Xanthines
Theophylline bronchodilator
avoid caffeine
missed dose doesnt mean doubling
swallow whole
(RN QSEN - Patient-centered Care, Ac-
will need levels monitores
tive Learning Template - Medication,
prriodic glucose monitoeing
RM Pharm RN 7.0 Chp 17)
report toxicity - nausea, diarrhea, restlessness
7. Individual Considerations of Medica- erythomycin shouldnt mix with
tion Administration: Client Medication -antihistamines
Interactions -warfarin
-digoxin
-thophylline
-HIV protease inhibitors
(RN QSEN - Safety , Active Learning
-verapamil
Template - Medication, RM Pharm RN
-diltiazem
7.0 Chp 45
, ATI pharm proctored exam
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(bc toxicity)
penicillin and aminoglycosides cant mix inIV
aminoglycosides and loop diuretics increase hear-
ing/balance issues
8. Antibiotics Affecting Protein Synthe- used if pt. has penicillin allergy
sis: Planning Care for a Client Pre- IV if severe
scribed Erythromycin Lactobionate watch liver function if longterm
administer with meals
watch for hearing/balance issues
(RN QSEN - Safety , Active Learning
Template - Medication, RM Pharm RN
7.0 Chp 45
9. Medications Affecting Coagulation: aspirin, acetaminophen, glucocorticoids
Over-The-Counter Products That In- - increase effects of warfarin
teract With Warfarin - increases bleeding
(RN QSEN - Safety , Active Learning
Template - Medication, RM Pharm RN
7.0 Chp 25)
10. Medications Affecting Labor and De- (stimulates uterine contractions, softens cervix)
livery: Priority Findings for a Client watch for uterine tachysystole
Who Received Dinoprostone -excessive contraction
dont give with cesarean birth, fetal disress, vaginal
(RN QSEN - Safety , Active Learning bleeding
Template - Medication, RM Pharm RN
7.0 Chp 32)
11.