Term
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Definition
| these identify nursing responsibilities for administration and client monitoring |
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Term
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Definition
| this sets official drug standards, regulates controlled substances |
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Term
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Definition
| this is a bulk quantity in a central location, with non-clin |
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Term
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Definition
| this is individually wrapped, client specific drawers, only has a 24 supply |
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Term
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Definition
| what does not describe the stock supply? bulk quantity, 24 hour supply, central location, |
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Term
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Definition
| this is a password-accessible locked cart, computerized tracking, combines stock and unit doses |
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Term
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Definition
| what happens to the drug in the body |
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Term
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Definition
| how the drug affects the body |
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Term
| absorption,distribution, metabolism, excretion |
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Definition
| what are the four processes of pharmacokinetics? |
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Term
| route of administration, drug solubility (water of fat soluble), pH/ionization, blood flow |
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Definition
| what are some factors affecting absorption? |
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Term
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Definition
| if you need a drug to reach the CNS, what solubility does it have to be? |
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Term
| IV-dont give IM because they will have poor circulation |
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Definition
| if someone is in shock, what route would you use to administer their meds? |
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Term
| local blood flow, membrane permeability, protein-binding capacity |
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Definition
| what are some factors affecting distribution? |
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Term
| liver function, health/disease status, first-pass effect |
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Definition
| what are some factors affecting metabolism? |
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Term
| if they have any liver issues-if the liver cannot metabolize it properly there will be toxic levels in their body |
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Definition
| because many drugs are formulated for the first pass effect, what do you need to take into consideration before administering the drug? |
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Term
| organ function, especially the kidneys, liver and lungs |
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Definition
| what are some factors affecting elimination? |
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Term
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Definition
| this term means the rate of absorption = the rate of elimination in the body |
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Term
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Definition
| this is the level of the drug, right before the next dose |
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Term
| metabolism is taking longer |
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Definition
| if the half-life is still elevated, what is this telling you? |
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Term
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Definition
| these are unpredicted effects (e.g. hypersensitivity) |
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Term
| C. idiosyncratic reaction |
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Definition
a child takes benedryl which normally makes children drowsy, but unfortunately it makes this child hyperactive. what kind of reaction is this?
a. adverse reaction
b. allergic reaction
c. idiosyncratic reaction
d. cumulative reaction |
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Term
| clients full name, date and time order was written, name of the med, dosage size, frequency and number of doses, route of admin, signature of prescriber |
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Definition
| what are the components of the medication order? |
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Term
1. before you pour
2. after you pour
3. at the bedside |
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Definition
| when do you perform your three checks? |
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Term
| right drug, pt, dose, time, route, documentation |
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Definition
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Term
| right reason, right to know, right to refuse |
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Definition
| what are the other three rights? |
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Term
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Definition
| what is the most commonly used route of med admin? |
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Term
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Definition
| this is one of the fastest routes when using the oral route |
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Term
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Definition
| when the concentration of medication is highest in the blood, the medicaation has reached its |
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Term
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Definition
| period of time in which the medication has a pharmacological effect... |
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Term
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Definition
| concentration of a drug in the blood serum that produces the desired effect without toxicity |
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Term
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Definition
| range of therapeutic concentrations |
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Term
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Definition
| occurs right before the next dose is due, when drug is at its lowest concentration |
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Term
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Definition
| those effects of medication that are predicted, intended and desired |
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Term
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Definition
| these are uintended, nontherapeutic effects |
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Term
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Definition
| these are unintended, often predictable, physiological effects that are usually well-tolerated by patients |
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Term
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Definition
| these are harmful, unintended, usually unpredicted reactions to a drug administered at the normal dosage--dose related, or occur becuase of pt sensitivity |
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Term
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Definition
| overdosing, accumulation of the drug or abnormal sensitivity to the drug are all signs of... |
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Term
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Definition
| urticaria, pruritis and rihinits are all considred what kind of reactions? |
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Term
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Definition
| life-threatening allergic reaction |
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Term
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Definition
| reaction that is unexpected, abnormal, or peculiar response to a medication (can take the form of extremem sensitivity, lack of response, agitation in response to a sedative |
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Term
| body cannot metabolize the dose before next is given, excretion is slowed but absorption is normal or rapid, absorption is slowed |
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Definition
| what are three reasons that lead to an accumulative effect? |
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Term
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Definition
| these two drugs are know for their cumulative effect |
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Term
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Definition
| this is when one or more drugs are mixed together and it causes a chemical deterioration of one or both the drugs |
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Term
| saliva, rather than the GI tract |
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Definition
| although placed in the mouth, buccal and sublingual meds are intended for absorption in the the? |
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Term
| hydrophilic meds, will attract water |
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Definition
| what kind of meds do you not want to give through feeding tubes? |
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Term
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Definition
| if enteral tube is connected to suction, you will discontinue the suction for how long after administering meds? |
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Term
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Definition
| this refers to the inside diameter of the needle lumen, the smaller the number, the larger the diameter |
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Term
| smaller gauge needles 26-30 |
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Definition
| what kind of needles do you want to use for insulin and heparin? |
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Term
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Definition
| long bevels are used for what kind of injections. short bevels? |
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Term
| 1mL but calibrated in 100 Units |
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Definition
| tuberculin syringes have how many mL capacity? |
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Term
| if the med is irritating to subq tissues, when you change needles after drawing up medication |
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Definition
| when are you supposed to add air to the needle? |
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Term
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Definition
| insulin is adminstered how? |
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Term
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Definition
| regular insulin is_______acting |
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Term
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Definition
| cloudy insulin is________ |
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Term
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Definition
| what is the saying for drawing up insulin (two kinds) |
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Term
| promote absorption and minimize tissue damage |
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Definition
| why do people rotate injection sites? |
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Term
| add .2 mL of air after drawing up the correct dose, do not aspirate before injecting the pt, do not massage the site after the injection |
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Definition
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Term
| IM-bc the risk of hitting a blood vessel is great |
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Definition
| on what type of injection do you always aspirate? |
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Term
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Definition
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Term
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Definition
| medications are injected undiluted directly into the systemic circulation |
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Term
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Definition
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