NURS-UL 3365 Chapter Notes - Chapter 5: Neuromuscular-Blocking Drug, Chemotherapy, Magnesium Sulfate

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Adverse drug event: undesired occurrence related to administration or lack of administration of drug. Adverse drug reactions: unexpected responses related to therapeutic doses given. Medical error: any errors that cause/have the potential of causing harm. Medication errors: preventable drug event involving inappropriate medication use by provider/professional; may not be intended to cause harm. Qsen: how to prevent medication errors: implement multiple systems of checks and balances, prescribers should write legibly, consult authoritative resources, check order 3 times before administering, consistently use 9 rights . Common: dosing errors in patients: <2 year old, patient"s in icu, er patients between 4-8 am who are seriously ill, iv/chemo patients, patients with unrecorded weight. Problems with determining dosages: inability to perform correct calculation, infrequent use of calculations, decimal point misplacement results in overdose. Medication reconciliation: done at each stage of care: verifications: collecting all medication information, clarification: professional review of dosages, reconciliation: further investigation in discrepancies and changes.

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