Black Belt Recall
Memory cards for this lesson
Say each one out loud, then check yourself.
Check before you give
Pulse, Pressure, Breath, Sugar, Clot
- PulseApical pulse before digoxin: hold under 60
- PressureBP and HR before beta-blockers; BP before ACE inhibitors
- BreathRR before opioids: hold under 12
- SugarGlucose before insulin: hold under 70
- ClotINR before warfarin, aPTT before heparin
Pearl: Hold, notify, document.
When you need it: Which assessment comes before giving metoprolol?
The rights you check every time
Rights of Med Admin
- ClientRight client: two identifiers
- DrugRight drug
- DoseRight dose
- RouteRight route
- TimeRight time
- ChartRight documentation
- ReasonRight reason and right assessment
- RefuseRight to refuse
Pearl: Never crush SR, ER, XL, XR, or enteric-coated pills.
When you need it: What do you confirm before every medication?
Ear drops
Up for Adults, Down for Babies
- AdultPull the pinna up and back
- Under 3Pull the pinna down and back
When you need it: You are giving ear drops to a 2-year-old.