Understanding Pharmacology: Essential for Medication Safety: Chapter 2: Safely Preparing and Giving Drugs

Terms in this set (229)

1.) Keep drugs in their original containers and never in dishes, cups, bottles or other household containers
2.) When dosage calculations are needed, have another nurse, prescriber, or pharmacist also perform the calculation to ensure accuracy
3.) Check with a drug guide for information on dosage by milligrams per kilogram and ensure that the calculated dosage is within the guidelines
4.) Question any order in which the prescribed dosage doesn't match the recommended dosage for body weight or size
5.) Use appropriate measuring devices to ensure accurate doses of liquid drugs
6.) Work with the pharmacist to ensure that a liquid oral drug or a crushed oral tablet is mixed with a small amount of pleasant, delicious-tasting liquid
7.) Keep all drugs out of reach of children
8.) Before crushing a tablet, check with the pharmacist or drug resource book to determine whether it should be crushed
9.) Apply transdermal patch drugs to a child's back between the shoulder blades
10.) Use two identifiers, including the child's name band, to identify him or her before administering any drug (this can include asking a parent the child's full name and date of birth)
11.) Position children in a sitting or semi-sitting position when administering an oral drug (to avoid aspiration or choking)
12.) Help a child rinse his or her mouth after taking an oral liquid drug
13.) Watch an infant or child closely (at least every 15 minutes) for the first 2 hours after giving the first dose of a newly prescribed drug for expected and unexpected or unusual responses to the drug
14.) Offer creative choices for the child who is old enough to understand such as:
a.) Which drug to take first if more than one drug will be administered at the same time
b.) Which type of drink the child would like as a follow-up after a drug is administered at the same time
c.) Which leg or arm (when appropriate) the child would prefer be used for an injectino
d.) Which toy to hold during an injection
15.) When an infant or child is prescribed to take a drug at home, demonstrate to the parents exactly how to measure and give the drug. Have the parents demonstrate these acts
16.) Obtain the assistance of another adult when administering a parenteral drug, drops or ointment of the eye, or drops to the ear of an infant or child
17.) Select the smallest gauge and shortest needle that wills agely deliver and injection
18.) If possible, change needles after injecting the drug into the syringe (prevents any irritating drug residue from contacting the child's tissues)
19.) Follow agency policy for site selection of injectable drugs for a child
20.) Use diversion during an injection
21.) Try to avoid having the child see the needle or the actual injection