Quote from Tempest52488
Okay so I have been offered a LPN job but I have to pass a medication test first and some of it isn't explained thoroughly so I need some help please!
General safe medication practice: Management of pain?
Medication and patient safety: Synthroid appropriate administration time (same time each day?)? and bronchodilaters: close oberservation and documentation of patient symptoms after dosing?
Thank you so much for the help!
Hey Tempest, good luck on your test - I know you'll pass, they can seem intimidating
but remember you've done this all before in school.
First, ''General safe medication practice: management of pain?''
When giving a pain medication, you are going to want to assess the patient
using an appropriate pain scale. Some facilities have flowsheets (computerized or
paper) to document the pain level, med given, and effect of the med.
Make sure you follow the 7 rights of med administration, (patient, med, dose, time,
route, reason, documentation) - also make sure you find out when the last time they
had the med and if you can give them the dose they are asking for if it's a PRN.
Make sure if the medication has Tylenol in the formula that they have not reached the
MDD or are taking another med with Tylenol in it.
Follow up with the patient after giving the med to make sure it was effective
and document if they are experiencing further pain or if they are not. Monitor for
any adverse effects and document as necessary.
Synthroid appropriate administration time is usually 6AM, delivered on 11-7 shift
as indicated by a previous poster. This is because the body naturally excretes
thyroid hormone at that time and for a patient who's thyroid is dis-functioning
the med will be most absorbed at that time.
For bronchodilators; You would want to document the response to the drug, and
any sign of tachycardia or any other adverse reaction to the med. Document any respiratory symptoms and details about them (lung sounds, productive cough, non productive cough, wheezing).