OSCE Pharmacology and Medication Administration Flashcards
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Read the first 7 OSCE Pharmacology and Medication Administration flashcards as text
A patient is given IV morphine and develops pinpoint pupils, respiratory rate of 6 breaths/min, and decreased consciousness. What is the immediate treatment?
Answer: Naloxone 0.4–2 mg IV/IM
Naloxone rapidly reverses opioid-induced respiratory depression and is the antidote of choice for opioid overdose.
Which medication requires administration through a filter needle when drawing from an ampule?
Answer: Glass ampule medications
Glass ampule medications should be drawn up with a filter needle (5-micron) to remove potential glass shards before switching to a regular needle for injection.
A nurse is preparing to give oral medications to a patient with dysphagia. Which action is most appropriate?
Answer: Assess swallowing ability and consult pharmacy before crushing
Not all tablets can be safely crushed (e.g., extended-release, enteric-coated); pharmacy must be consulted and swallowing assessed before crushing any oral medication.
A child weighing 20 kg is prescribed amoxicillin 40 mg/kg/day divided every 8 hours. What is the correct dose per administration?
Answer: 267 mg
40 mg/kg/day × 20 kg = 800 mg/day ÷ 3 doses = 267 mg per dose every 8 hours.
Which statement about transdermal drug patches is correct?
Answer: Old patch must be removed before applying a new one
The old transdermal patch must always be removed before applying a new one to prevent dose stacking and toxicity.
A patient is receiving vancomycin IV and develops flushing, erythema, and hypotension during the infusion. What is the most likely cause?
Answer: Red Man Syndrome from rapid infusion
Red Man Syndrome is a rate-dependent infusion reaction to vancomycin caused by histamine release, managed by slowing or stopping the infusion.
When performing medication reconciliation on hospital admission, what is the primary goal?
Answer: Compare home medication list with ordered medications to identify discrepancies
Medication reconciliation aims to create an accurate list of all medications and compare it with new orders to identify and resolve discrepancies or omissions.
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