Flashcards
Safe Drug Admin and IV
Cards in this deck (11)
- 1Compliance-Primary determinant of the drug working
-Patient follows all aspects of care plan
-Administering drug using 6 rights
-Poor compliance to drug therapy can result in a non cooperative patient - 2Causes-Polypharmacy; confusion over complicated drug regimens
-Taste, pain on admin
-ADR (real or perceived)
-Poor communication
-Lack of support
-Cost or difficulty obtaining meds - 3Non Cooperative Patient-Verbal, Physical or Emotional non cooperation
-Caused by illness (Psychotic/Manic)
-Hospital environment (lack of stimulation) - 4Risk Factors-progression or worsening of disease (think they aren't getting adequate treatment)
-newly diagosed disease
-Infection
-ADR
-Allergy
-Anxiety/recognition of own mortality - 5What to do?-Do nothing
-Be calm and soothing
-Separation and Privacy
-Explanation
-Positive re-interpretation
- Direction instruction - 6Restraint-Last resort
-physical or chemical (pharmacological)
-benzos, antipsychotics - 7IV delivery types-Continuous IV drip
-Bolus
-IV push
-Titration (can adjust drug concentration/dosage) - 8Peripheral cannula-most common
-veins at the back of hand, arm, forearm, feet or distal legs - 9PICC-peripherally inserted central catheter
-prolonged admin needed (chemo)
inserted through peripheral vein, through larger veins, tip rests distal to the superior vena cava - 10CVCCentral Venous Catheter
-inserted internal, external jugular or subclavian vein
-similar uses as PICC
-for invasive cardiac monitoring of central venous pressure - 11Femoral Access-Similar to CVC line but placed in femoral vein
-Patient cannot mobilise
-High rate of infection
-Potential for peripheral circulation problems
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- Pharmacology Flashcards on Safe Drug Admin and IV, created by Bethan Kelly on 10/11/2016.
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- Bethan Kelly
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