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The SEVEN Rights of Medication Administration

• The right client

• The right time

• The right medication

• The right dose

• The right route

• Documentation

• Right to refuse

The Six Components of a Physician Order

• The client’s full name

• The date of the order

• Name of the medication

• Dosage and administrationinformation

• Route of administration

• Physician’s signature

EQUIVALENTS:

METRIC - decimal system of weights and measures using the gram, meter and liter. LIQUID: cubic centimeter (cc) = milliliter (ml)

SOLID: 1 gram(gm) = 1000 milligrams (mg)

HOUSEHOLD - system based on common, though not standard, measuring devices.

tsp. = teaspoon Tbsp. = tablespoon oz. = ounce

1 tsp. = 5 cc = 5 ml 3 tsp. = 1 Tbsp =15 cc =15ml =1/2 oz

2 Tbsp = 30 cc =30 ml = 1oz

Common Abbreviations

ac pc bid tid qid HS po q qd qh q6h qod DC mg cc ml Gm, G kg tsp Tbsp oz mEq ophth otic OU OS OD prn tab cap SL Buccal:

EC oint or ung supp sol c s x gtts

before meals after meals twice a day three times a day four times a day hour of sleep=bedtime by mouth every every day every hour every 6 hours every other day discontinue milligram cubic centimeter milliliter gram kilogram teaspoon tablespoon ounce milliequivalent ophthalmic ear both eyes left eye right eye as needed tablet capsule sublingual between cheek &gumenteric coated ointment suppository solution with without times drops

(R) right(L) leftXL/XR extended release

Medication Administration Advance Study Sheet

Important facts you must have memorized by the end of the course

THIS IS THE ANSWER KEY ONLY FOR PAGE 19 IN THE SYLLABUS.USE THIS SHEET TO COMPARE TO YOUR ANSWERS ON PAGE 19 OF THE SYLLABUS.NOTICE THAT EVERY THING IS UNABREVIATED. THE ONLY NUMBERS THAT STAY NUMBERS ARE THE NUMBERS FOR THE STRENGTH OF THE MEDICINE.

Bed Time

Bed Time

XXXXXXXXX

XXXXXXXXX

QMAP TRAINING DOSAGE PRATICE SHEET 2

1. Vou are to give Ampicillin 250 mg po. You have medication 125ms/Sml. How many ml will you give ..:......=.

2. The Dr. has ordered KCL 20 meq po QAM. You have medication 10 meq/10 ml. How many ml will you give

3. You have an order for 1000 mg. of medication. You have medication 500 mg/10 ml. How many ml will yougive ____

4. Your order reads 325 mg. of Tylenol. You have medication 325 mg/Sml. How many ml. will you give ___

S. You have an order to give 325 mg. of Acetaminophen. You have medication 650 mg./20 mf. How many ml will yougive ___

6. Order reads 500 mg. You have medication 250mg/2 tabs. How many tabs will you give.__ __

7. Order reads give O.S Gms. You have medication 500 mg/10 ml. How many ml will you give ___

8. Order reads 1 Gm. You have medication 250 mg tabs. How many will you give ____

9. Order reads 250 mg. You have 1 Gm scored tablets.. How many will you give ____

10. Order reads .250 mg. You have .125 mg scored tablets. How many will you give ____

11. Order reads 30 meq. You have 10 meq tablets. How many will you give ____

12. Order reads 40 meq. You have 20 meq/10 ml. How much will you give _____

13. Order reads 750 mg. You have 250 mg scored tablets. How much will you give ____

14. Order reads 750 mg. You have 500 mg scored tablets. How many will you give _____

15. Order reads 500 mg. You have 250 mg scored tablets. How many will you give ____

16. Order reads 250 mg. You have 500 mg scored tablets. How many will you give __

17. Order reads 375 mg. You have 250 mg in 10 ml. How much will you give _____

18. Order reads 10 mg. You have 5 mg/ml. How much will you give _____

19. Order reads 10 mg. You have 20 mg/10 ml. How much will you give ____

20. Order reads 3 tsp. How many ml will you give ____

21. Order reads Give Zestoretic 100/50. You have Zestoretic 50/25. How many wiU you give? _____

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Goodpills Pharmacy RX: Hazel Greene

Furosemide 20 mg Give 2 tablets (40 mg) daily in the am.

MD: Midland 10/18/17 exp: 10/18 #:30

Worksheet

Physician order: Pharmacy label:

Medication Reminder System label:

Hazel Greene A.M. Noon P.M HS

Lasix 40 mg, 2 tabs PO QD in a.m. X

Tobramycin 250 mg PO every 6 hours X X X X X X Coumadin 0.1 mg PO odd days Coumadin 0.2 mg PO even days Tagamet 300 mg PO BID X X Tylenol 325 mg, 2 tabs every 4 hrs as needed for headache X

Please answer the following: 1. Do the Physician Order, Pharmacy label, and MRB label correctly match for themedication, Lasix? Yes or No:

2. Referring to the Physician Order:a. What is missing from the physician order?b. What information on the order makes up the “dose” of the medication, Lasix?

1 , 2 , 3c. According to the physician order, is the medication, Lasix, correctly listed on the

MRB label? Yes or No:

3. Referring to the Pharmacy label:a. Is Furosemide the same as Lasix? Yes or No:b. What action/s would you take to check this information before giving the

medication?

c. What is the expiration date of the medication, Lasix?d. May you administer the medication, Furosemide, from the bottle supplied by the

pharmacy? Yes or No: Please explain:

4. Referring to the MRB label:a. There are four errors on the MRB label. List two of the medications involved:

i , iib. What action would you take based on the incorrect MRB label and administering

medications from the MRB?

Midland Family Practice

RX: Hazel Greene

Lasix 40 mg PO

QD in am.

J.R. Midland, MD Date:

PRACTICE TRANSLATING DOCTORS ORDERS INTO EVERY DAY TERMS

QMAP TRAINING, LLC WWW.QMAPCLASS.COM [Type here]

Write out each physician order completely, including all abbreviations:

1. Digoxin 0.125 mg., I TAB po qd

2. Coumadin 2.5 mg po qd hs on M, T, TH, F

3. Coumadin 3. mg po qd hs on W, S, Su

4. Tylenol 325 mg., 2 tabs po q4-6h prn for pain

5. Timoptic 0.5% ophth sol, 1 gtt OD and 1 gtt OS tid x7d

6. Tobramycin 250 mg., 1 tab po q6h

7. Nitroglycerin 0.3 mg. SL. prn chest pain; 1 q5 min x3. If no relief in 3 doses over 15

minutes, seek immediate medical attention.

8. Debrox otic gtts, 2 to each ear qd x3d

PRACTICE TRANSLATING DOCTORS ORDERS INTO EVERY DAY TERMS

QMAP TRAINING, LLC WWW.QMAPCLASS.COM [Type here]

9. Ativan 0.5 mg give 1 tab po q6h prn for mild anxiety demonstrated by whining, crying or

consumer request up to 4 doses in 24 hours. Need not notify me of each prn dose.

10. Xanax 1.0 mg 3 tab. TID po for anxiety disorder

11. Prozac 30 mg 1 tab po qam for depression

12. Multivitamins 1 tab. po qam for general health

13. Fosamax 1 tab po q7 days for osteoporosis

14. Phenobarbital 5 mg per ml 10 ml BID for seizures po

15. Milk of Magnesia 30 cc po every third day without BM prn for constipation

16. Estrace 2.5 mg patch On for 12 hours per day for hormonal replacement. Rotate site.

17. Prednisone 40mg 1tab po BID x5 days then 1 tab po QD x5 days then d/c

PRACTICE DOSAGE CALCULATION

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Dosage Calculations:

1. The order reads Lasix 10 mg. You have Lasix 20 mg scored tab. How many tab(s) will you give?

2. You need to give KCl 20 mEq. You have KCl 10 mEq scored tab. How many tab(s) will you give?

3. Give 50 mg of a liquid medication. The bottle reads 10 mg/cc. How many cc will you give?

4. You need to give 1 ounce of Milk of Magnesia. How many cc will you pour into the med cup?

5. Guiatuss AC Syrup 50 mg ordered. The med comes 25 mg/5mL. How many mL will you give?

6. You need 1000 mg of an antibiotic. You have 500 mg scored tablets. How many will you give?

7. Loratab 30 mg. is ordered. The scored tablets read 10 mg. How many tab(s) will you give?

8. Coumadin 5 mg is ordered. The scored tablets are 2.5 mg. How many tab(s) will you give?

9. You are to give 1 Tbsp of a medication. How many tsp will you give?

10. The scored tablets are labeled 250 mg. You need to give 0.5 Gm. How many tab(s) will you give?

11. You need to give 1 tsp of a medication. How many cc will you need to pour?

12. You need to give 1 Tbsp of Pepto bismuth. How many mL will you pour into the medicine cup?

13. The order reads Paxil 20 mg. You have Paxil 40 mg scored tab. How many tab(s) will you give?

14. You need to give 1500 mg of Salicylate. You have caps of 500 mg. How many cap(s) will yougive?

15. Amoxicillin 375 mg ordered. The bottle reads 250/5cc. How many cc will you give?

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PRACTICE DOSAGE CALCULATION

COLORADO QMAP TRAINING WWW.QMAPCLASS.COM 303-883-0304

Answers Dosage Calculations:

1) ½2) 23) 54) 305) 106) 27) 38) 29) 310) 211) 512) 1513) ½14) 315) 7.5

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Match the route of medication with its definitionOral A. In the Vagina

Rectal B. In the nose

Ophthalmic C. In the ears

Nasal D. In the rectum

Otic E. Under the tongue

Sublingual F. Patch n the skin

Inhaled G. In the eyes

Topical H. On the surface of the skin

Vaginal I. In the mouth and swallowed

Transdermal J. In the lungs

Vomiting

Labe l the f

ollowing medication eff

ec

ts as A=Adver

se Effect or S= Side Effect

Dr y mouth

Constipation Respiratory Failure Rash

Cardiac Arrest Diarrhea Death

PRN

BID

QD

EC

Match the a bbreviation s with the correct definition

oz

SL

A. Times

B. By mouth

C. Enteric coated

H. As needed

I. Left eye

J. Four times daily

HS OS D. Every day K. Ounce

PO gtts E. Discontinue L. Drops

QID DC F. Two times daily M. Sublingual

TBSP x G. Tablespoon N. At bed time

QMAP Homework

Nausea

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To ensure you are administering the right medication you must: A. Compare the Physicians written order to the ClientB. Compare the Medication record to the ClientC. Compare the Pharmacy label to the ClientD. All of the above

Match the situation with the appropriate category.

Glenn told Bill his name was Rich. Bill gave Glenn Rich’s 5 pm medications

Ben put his nose drops in his eyes

Sue gave 3 TBSP Maylanta to Bob. The order reads give 30cc/mg

Jill gave Thorazine to Sam. The order was to give Thioridazine.

Kyle gave Bill his 5pm meds at 7pm when he ate dinner because the label said to give with food.

A. Wrong medication

B. Wrong dosage

C. Wrong route

D. Wrong person

E. Wrong time

If the medication cannot be given or a person refuses the medication then the QMAP should?

A. Initial the appropriate boxB. Circle the initialsC. Provide an explanation on the back of the MARD. All of the above

Using the pharmacy label below answer the following questions ABC Pharmacy April Jones, MD 1234 Main Street Anytown, CO 12345 Kay Evans Date filled: 2/1/09 303-555-5555 Take 10mg po tid Expiration date: 2/1/10

BuSpar 5 mg RX# 25834 Refills: 2 Qty: 90

What is the dose of the medication?

What is the name of the medication?

What is the strength of the medication?

How often do you give this medication?