Term
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Definition
| the amount of time it takes for half the drug to be excreted |
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Term
| How many half lives does it take for a drug to leave the body? |
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Definition
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Term
| What food can have catastrophic effects on drug function? |
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Definition
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Term
| Describe intrinsic vs extrinsic drugs |
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Definition
| intrinsic are chemicals that the body makes; extrinsic is made outside of the body |
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Term
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Definition
| the reason a drug is prescribed |
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Term
| Drugs are intended to cause what kind of response? |
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Definition
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Term
| What are the 3 types of drug names? |
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Definition
| chemical name, generic name, brand name |
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Term
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Definition
| United States Pharmacopeia; develops manufacturing standards of drugs |
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Term
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Definition
| enforces standards set by USP |
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Term
| Changes in drug standards must be approved by who? |
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Definition
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Term
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Definition
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Term
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Definition
| notice that a drug may have serious or life threatening side effects |
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Term
| Describe idiosycratic response |
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Definition
| unexpected adverse reactions based on patient's genetics; unique |
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Term
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Definition
| how body uses and changes drugs |
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Term
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Definition
| minimum effective concentration |
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Term
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Definition
| amount of drug in the body high enough to produce intended action continuously; drug elimination=drug entry |
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Term
| Define duration of action |
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Definition
| how long drug remains in the blood at MEC |
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Term
|
Definition
| amount of drug that reaches the blood |
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Term
|
Definition
| double dose given to get drug in the therapeutic index |
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Term
| Describe the detrimental effects of tetracycline |
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Definition
| damage bone growth and permanently darken teeth |
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Term
| What are the "six" rights of safe drug administration? |
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Definition
| Right patient, drug, dose, route, time, documentation, right to refuse |
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Term
| How many times should you check a drug order before giving it to the patient? |
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Definition
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Term
| How many pt identifiers do you check before administering a drug? |
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Definition
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Term
| What is an off label use for estrogen? |
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Definition
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Term
| What is the maximum number of pills that should be given at once? |
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Definition
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Term
| Describe the first pass effect |
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Definition
| when a drug has to be processed by the liver before entering the blood (PO drugs) |
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Term
| What type of pill CANNOT be crushed? |
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Definition
|
|
Term
| How many CCs are in 1 tsp? |
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Definition
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Term
|
Definition
| oral; ordered as PO; onset is slow; can also be given NG or PEG (percutaneous endoscopic gastrotomy) |
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Term
| In what position should rectal enteral drugs be given? |
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Definition
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Term
| Describe parenteral drugs and give the 4 categories |
|
Definition
| injected through skin; intradermal, subcutaneous, intramuscular, intravenous |
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Term
| What is the most common site for intradermal drug administration? |
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Definition
|
|
Term
| What is the preferred site for subcutaneous drug administration? |
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Definition
|
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Term
|
Definition
| used for drugs that irritate subcutaneous tissue; pull skin, insert needle for injection, remove needle, let go of skin |
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Term
| Describe aspiration. When should it be done? |
|
Definition
| pulling back on the plunger to see if there is blood; intramuscular |
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Term
| What are 3 things you must know before administering an IV drug? |
|
Definition
| push time, dilution requirements, compatibility with other IV meds. |
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Term
|
Definition
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Term
| Define infiltration regarding IV drug administration |
|
Definition
| when IV tubing moves from vein to interstitial tissue |
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Term
|
Definition
|
|
Term
| How do you open the ear canal in children and adults? |
|
Definition
| pull ear down, pull ear up |
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|
Term
| What is the formula for converting from F to C? |
|
Definition
|
|
Term
| What is the formula for converting C to F? |
|
Definition
|
|
Term
| What is the normal body temp range in C? |
|
Definition
|
|
Term
| 1 liquid oz is how many CC? |
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Definition
|
|
Term
|
Definition
|
|
Term
| How many pounds are in a kg? |
|
Definition
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|
Term
| If a pt is given > ___ mEq K they should be on telemetry |
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Definition
|
|
Term
T/f:
K pills can be crushed |
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Definition
| False; gives too high K concentration at once |
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Term
| What are the PINCH drugs that require double checking of another nurse? |
|
Definition
| Potassium Insulin Narcotics Chemotherapy Cardiac drugs Heparin or other anti clotting drugs |
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|
Term
| Describe fluid overload in IV therapy |
|
Definition
| infusion of IV fluids at a much faster rate than ordered causing "runaway IV" |
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Term
|
Definition
| milliliters delivered per hr |
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Term
|
Definition
| number of drops needed to make 1 mL of fluid |
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|
Term
| What are the important concepts of IV fluid regulation? |
|
Definition
| what fluid, volume, duration, rate |
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|
Term
| What are 3 regulators for IV fluids? |
|
Definition
| controller, infusion pump (won't damage RBCs), roller clamp (manually adjusts drip rate) |
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Term
|
Definition
|
|
Term
| How do you calculate the drops per min in IV macrodrip? |
|
Definition
| volume/time x drop factor |
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|
Term
| How do you calculate drops per min for Microdrip IV? |
|
Definition
|
|
Term
| What 4 items are required to be on IV prescription? |
|
Definition
| Drug, dosage, duration, rate of infusion |
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|
Term
| How often should you check the IV insertion site for infection? |
|
Definition
|
|
Term
| What are the SnS of fluid overload? |
|
Definition
| rapid pulse, increase BP, bulging veins when upright, SOB, coughing, pitting edema |
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|
Term
| What are 3 types of drug interactions? |
|
Definition
Drug-food
Drug-drug
Drug-herbs |
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Term
|
Definition
| Routine order (Q4, q6 etc.) |
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Term
|
Definition
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|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| What does "down the tube" refer to? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| How many drops are in 1 CC? |
|
Definition
|
|
Term
| when should you do an injection bevel down? |
|
Definition
| infants, elderly and small children that are dehydrated |
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|
Term
| What is the rate of a micro drip (usually)? |
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Definition
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