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chapter 29
Medications
29
Nursing
Undergraduate 1
11/25/2013

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Term
Which drug name is the name selected by the pharmaceutical company selling the drug and protected by trademark?
Definition
Trade name
Term
The process by which a drug is transferred from its site of entry into the body to the bloodstream is known as
Definition
absorption
Term
A patient has a abnormal, unexpected response to a drug. This is defined as which of the following?
Definition
An idiosyncratic effect
Term
A medication order reads: "K-Dur, 20mEq PO b.i.d." When does the nurse give this medication?
Definition
Twice a day by the oral route
Term
You are to administer a medication to Mr. Brown. In addition to checking his identification bracelet, you can correctly verify his identify by doing what?
Definition
Asking the patient his name
Term
You are to administer a medication using a nasogastric tube. Before giving the medication, what should you do?
Definition
Check for proper placement of the ng tube
Term
The medication order reads: "Hydromorphone, 2mg IV every 3 - 4 hurs prn pain:. The prefilled cartridge is available with a lable reading "Hyudromorphone 3mg/1ml: The cartridge contains 1.2 ml of hydromorphone. What is the correct action?
Definition
Dispose of 0.2 ml correctly before administering the drug
Term
A patient requires 40units of NPH insulin and 10 units of regular insulin daily subcutaneously. What is the correct sequence when mixing.
Definition
Inject air into the NPH insulin vial being careful not to allow the solution to touch the needle; next, inject air into the regular insulin vial and withdraw 10 units; then withdraw 40 units of NPH
Term
Ms. Hass has an order for hydromorphone, 2 mg, intravenously, q5h prn pain. The nurse notes according to Ms. Hall;s chart, she is allergic to Dilaudid. The order medication signed by the doctor. What is the correct procedure?
Definition
Call Dr.Long and ask that she change the med.
Term
The nurse manager on your unti prepared medication for Mr. Giles. She is called to the phone and ask you to give the patient his medications. What is the best response?
Definition
Tell the nurse manager that because you did not pour the medication, you cannot administer it.
Term
Why is the intravenous method of medication administration called for the most dangerous route of administration?
Definition
The drug is placed directly into the bloodstream and its action is immediate.
Term
Mr. King is receiving heparin subcutaneously. what demonstrates correct technique for this procedure?
Definition
Do not aspirate before or message after the injection
Term
A patient refuses to take her noon medication saying that she does not need it. What would be the best response?
Definition
Tell her that you will return the medications to the cart but would like to discuss her reasons for refusing to take the medications
Term
A nurse discovers that she has made a medication error. What should be her first response?
Definition
Check the patients condition to note any possible effect of the error
Term
The nurse takes 8am medicaiton tot he patient and properly identifies her. The patient asks the nurse to leave the medication on the bedside table and states that she will take it with breakfast whit it comes. What is the nurses best response?
Definition
I cannot leave the medication but will return with it when breakfast arrives.
Term
Pharmacology
Definition
The study of medications
Term
Biotransformation
Definition
Change of a drug from its original form to a now form. (Metabolism)
Term
Pharmacodynamics
Definition
The process by which drugs alter cell physiology and affect the body.
-drug-receptor interaction
-drug enzyme interaction
Term
Latrogenice disease
Definition
Term
Toxic effects
Definition
are specific groups of symptoms related to drug therapy that carry risk for permanent damage or death.
Term
cumulative effect
Definition
occurs when the body cannot metabolize one dose of a drug before another dose is administered. The drug is taken more frequently than it is excreted and the new dose increases the total quantity in the body.
Term
Idiosyncratic effect
Definition
(sometimes called paradoxical effect) is any unusual or peculiar response to a drug that may manifest itself by over response, under response, or even the opposite of expected response.
Term
drug-drug interactions
Definition
the combined effect of two or more drugs acting simultaneously
Term
antagonist effect
Definition
two or more drugs taken together that have a greater than that of each drug was taken alone
Term
synergistic effect
Definition
alcohol and barbiturates...when taken together can create an unbeneficial synergistic effect.
Term
teratogenic
Definition
drugs that are known to have the potential to cause developmental defects in the embryo or fetus and are definitely contraindictated. exp: cocaine, alcohol, phenytoin (dilantin) and isotretinoin(acne treatment).
Term
Peak level
Definition
the highest plasma concentration of the drug should be measured when absorption is complete.
Term
Trough level
Definition
the point when the drug is at its lowest concentration and this specimen is usually drawn in the 30-minute interval before the next dose.
Term
half-life
Definition
the amount of time it takes for half of the blood concentration of a drug to be eliminated from the body.
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