1. Listthe six (6) rights of medication administration. Iden

1. Listthe six (6) rights of medication administration. Identify… 1. List the six (6) rights of medication administration. Identify the right patientBefore a staff giving medication, make sure the person checks your child’s ID band, verifying his full name and medical record number. Verify the right medicationAsk s if the medication looks different than usual.Verify the indication for useWhen a staff giving medication, don’t be afraid to ask what it is and why your child is receiving it.Calculate the right doseLearn about what medications will be taking during treatment, including what they do, what dose is needed, and any possible side effects.Make sure it’s the right timeAsk s if the medication is being given at a different time than usual.Check the right routeLearn about what medications will be taking during treatment, including when and how to take them. 2. What assessments should be made prior to administration of the following medications: Metoclopramide, Atenolol, Cefazolin, and Meperidine? Metoclopramide : Assess for extrapyramidal symptoms and tardive dyskinesia (more likely in older patients).Assess for gastrointestinal complaints, such as nausea, vomiting and constipation.In oral administration, for better absorption allow 30 minutes to one hour before eating.Atenolol:Assess the patient’s apical pulse and blood pressure to confirm they are within normal range. Atenolol causes a negative inotropic effect by weakening the contraction of the heart and thus, decreases the patient’s blood pressure.Cefazolin:Careful inquiry should be made to determine whether the patient has had previous immediate hypersensitivity reactions to cefazolin, cephalosporins, penicillins, or carbapenems.Exercise caution if this product is to be given to penicillin-sensitive patients because cross-hypersensitivity among beta-lactam antibacterial drugs has been clearly documented and may occur in up to 10% of patients with a history of penicillin allergy. If an allergic reaction to cefazolin for injection occurs, discontinue the drug.Meperidine:Before taking meperidine tell your doctor and pharmacist if you are allergic to meperidine, any other medications, or any of the ingredients in meperidine tablets or syrup. Ask your doctor or pharmacist for a list of the ingredients.tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take.tell your doctor if you have or have ever had any of the conditions mentioned in the IMPORTANT WARNING section or paralytic ileus (condition in which digested food does not move through the intestines). Your doctor may tell you not to take meperidine.tell your doctor if you have or have ever had pheochromocytoma (a type of tumor); difficulty urinating; irregular heartbeat; seizures; stomach problems; or thyroid, pancreas, gallbladder, liver, kidney, or lung disease.tell your doctor if you are breastfeeding.you should know that this medication may decrease fertility in men and women. Talk to your doctor about the risks of taking meperidine.talk to your doctor about the risks and benefits of taking meperidine if you are 65 years of age or older. Older adults should not usually take meperidine because it is not as safe or as effective as other medications that can be used to treat the same condition.if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking meperidine.you should know that meperidine may make you drowsy. Do not drive a car or operate machinery until you know how this medication affects you.you should know that meperidine may cause dizziness, lightheadedness, and fainting when you get up too quickly from a lying position. This is more common when you first start taking meperidine. To avoid this problem, get out of bed slowly, resting your feet on the floor for a few minutes before standing up. 3. What is the action of each of the medications prescribed?DrugActionMetoclopramide Works by blocking a natural substance (dopamine). It speeds up stomach emptying and movement of the upper intestines. This drug is not recommended for use in children due to an increased risk of serious side effects (such as muscle spasms/uncontrolled muscle movements).AtenololIt works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart.CefazolinAn antibiotic used to treat a wide variety of bacterial infections. It may also be used before and during certain surgeries to help prevent infection. This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria.MeperidineRelieve moderate to severe pain. Meperidine is in a class of medications opiate (narcotic) analgesics. It works by changing the way the brain and nervous system respond to pain. 4. What are adverse effects of these medications that the nurse should monitor?DrugAdverse effectsMetoclopramide feeling restlessfeeling drowsy or tiredlack of energynausea, vomitingheadache, confusionsleep problems (insomnia)AtenololBlurred visioncold hands or feetdifficult or labored breathingdizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenlyshortness of breathtightness in chestwheezingCefazolingenital itchingwhite patches in mouthloss of appetiteheartburngasnauseavomitingdiarrheaMeperidinelightheadednessdizzinessweaknessheadacheextreme calmmood changesnauseavomiting 5. The HCP has ordered Cefazolin 500 mg IVPB every 6 hours. The pharmacy sends Cefazolin 500 mg in 50 mL of D5/W and it is to run over 1 hour via an infusion pump. The drop factor of the IVPB set is 60 gtt per mL. What is the hourly rate? 50 mL/hr What would the hourly rate be if the HCP ordered  the Cefazolin to run over 30 minutes? 100 ml/hr Formula: total volume in ml. / total time in hours= mL per hour Health Science Science Nursing NPN 130

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