Shared Flashcard Set

Details

Med/Doc
nursing skills
52
Nursing
Undergraduate 3
09/23/2010

Additional Nursing Flashcards

 


 

Cards

Term
Parts of Medication order
Definition
  • Patient name
  • date/time of prescription
  • medication name
  • amount, time and frequency of dose
  • route of administration
  • signature of prescibing provider
Term
Absorption
Definition
entering bloodstream
Term
Distribution
Definition
delivery to target cell
Term
metabolism
Definition
deactivation of drug in body
Term
Excretion
Definition
removing drug from body
Term
Six Rights
Definition
  • right patient
  • right drug
  • right dose
  • right route
  • right time
  • right documentation
    • check dose 3X before giving
    • never give med you didnt prepare
Term

Controlled substance

(I)

Definition
High abuse potential, no accepted medical use (heroin, marijuana)
Term

Controlled substance

(II)

Definition
High abuse potential, may lead to severe dependence. must have written prescription (e.g. opium, morphine, codeine)
Term

Controlled substances

(III)

 

Definition
Less abuse potential, may lead to mod or low dependence (e.g. limited quantities of opioids)
Term

Controlled substances

(IV)

 

 

Definition
Less abuse potential. May lead to limited dependence. (e.g Valium)
Term

Controlled substances

(V)

Definition
Low abuse potential may lead to limited dependence (e.g cough syrups)
Term
Narcotics
Definition
  • Kept in secure locked area
  • Ordered by a licensed prescriber
  • choose size closest to dose being ordered
  • counted every shift by 2 nurses
Term
Narcotic Discrepencies
Definition
Means the durg count does not match the records indicating the amount of drug that should be present
Term
Medication Error
Definition
any preventable event that may couse or lead to inappropriate medication use or patient harm while the medication is in the controlof the health care professional, patient, or consmer.
Term
Why do we chart?
Definition
  • reflects the patient care delievered
  • communication between health care professionals
  • legal record care was provided
  • demonstrates compliance with professional standards, rules regulations
  • justify financial reimbursement
Term
Charting Guidelines
Definition

Factual: objective data as much as possible

Accurate: specific and concise

complete:clear picture of event

current: chart soon after event

Organized: note should read with an organized flow to it

Term
Advantages of computer charting
Definition
  • Legibility
  • standardized quality of forms
  • merges flowsheets/decrease repeat charting
  • easy to find information
  • tracks changese to the record and who is making them
Term
Disadvantages of computer charting
Definition
  • Computer crashes
  • learning a new system
  • confidentiality

 

Term

Giving medication through tube

NG/NGT

Definition
  • Check the tape is at level of nares
  • it must have been comfirmed by x-ray
  • first- flush 30 ml of water through tube
  • 2nd- give med
  • 3rd- flush with 30 ml of water
Term
Why do you pull down on lower lid when administering opthalmic meds
Definition
so gtt(drop) fall into conjunctival sac
Term
Classification
Definition
indicates the effect of the medication on the boy system, the symptoms, the med relieves, or med desired effects
Term
Therapeutic drug
Definition
must be taken into a clients body, be absorbed and distributed to cells, tussues, or a specific organ
Term
Pharmocokinetics
Definition
study of how medication enters the body
Term
Biotransformation
Definition
occurs under the influence of enzymes that detoxify, degrade, and remove biologically active chemicals
Term
adverse effect
Definition
are unintended, undesirable and unpridictable severe responses to medication.
Term
Idiosyncratic reaction
Definition
in which a client overreacts or underreacts to a medication or has a reaction differnt from normal
Term
solution
Definition
a given mass of soild substance dissolved in a known volume of fluid or a given volume of liquid dissolved in a know volume of another fluid
Term
standing order
Definition
is carried out until the prescriber cancels it by another order or until a prescibed number of days elapse
Term
Prn order
Definition
medication to be given only when a client requires it
Term
Single orders
Definition
medication to be given once at a specified time
Term
Stat order
Definition
signifies that a single dose of a medication is to be given immediately and only once
Term
Now order
Definition
a nurse has up to 90 minutes to administer the medication
Term
Polypharmacy
Definition
happens when the client takes two or more meds to treat the same illness, or when they take two or more meds from the same chemical class
Term

Automated Medication Dispensing System

(AMDS)

Definition

control the dispensing of all medications, including narcotics.

This system causes the drawer containing medicaiton to open, records it, and charges it to the client.

Term
Oral medication
Definition
  • easiest and most desirable way to administer meds
  • importnat precaution to take when administering these meds is to protect clients from aspiration.
Term
what happens if you dont instill ear drops at room temp?
Definition
causes vertigo, dizziness, or nausea
Term
Inhaled menications
Definition
often described as "rescue" or "maintenace" medications.  rescue meds are short-acting meds that are taken for immediate relief. Maintenance inhalers are used on a daily schedule basis to prevent acute respriatory disease.
Term

Meterd-dose inhalers

(MDI)

Definition
  • deliever a measure dose of medication with each push of a canister
  • they are either squeeze and breathe and requires the client to apply approximately 5 to 10 pounds of pressure to the top of the canister
Term

Needle sizes

 

Definition
vary in length from 1/4 to 3 inches
Term
Ampule
Definition
contain single doese of medication in a liquid. made of glass. range in size from 1mL to 10 ml
Term
mixing medications from two vials
Definition
  1.  do not contaminate one medication with another
  2. ensure the final dose is accurate
  3. maintain aseptic technique
Term
Subcutaneous injections
Definition
  • placing meds into the losse connective tissue under the dermis
  • absorption is somewhat slower
  • sites are: outer posterior aspect of the upper arm, abdomen,anterior asepect of the thighs.
  • pitch area of injection
  • can go in at a 45 or 90 degree angle
Term

Low-molecular weight heparin

(LMWH)

 

Definition
  • when injecting use the right or left side of the abdomen
  • pinch the injection site
  • in a prefilled syringe with the attached needle, do not expel the air bubbles in the syringe.
Term
intramuscular injections
Definition
  • faster med absorption
  • can cause more infections
  • longer and heavier-gauge needle
  • has to be 90 degree angle
  • sites- vntrogluteal muscle, vastus lateralis, deltoid, dorsogluteal.
Term
Z- track method
Definition

used to minimize local skin irritation by sealing the medicaiton in muscle tissue.

pulling on overlying skin during IM injection moves tissue to prevent later tracking

Term
intradermal injections
Definition
  • skin testing
  • potent so injected to the dermis
  • absorbed slowly
  • inner forarm and upper back
  • 15 degree angle

 

Term
Intrathecal
Definition
administered through a catheter placed in the subarachnoid space or one of the ventricles of the brain.
Term
intraosseous
Definition
administration involves the infusion of meds directly into the bone marrow
Term
intraperitoneal
Definition
administered into the peritoneal cavity are absorbed into the circulation.
Term
intraarterial
Definition
administered directly into the arteries, for arterial clots
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