22/07 (Medications) Flashcards

1
Q

What is the Enrolled Nurses role in administering medication

A

The enrolled nurse can administer medication under the supervision and direction of a registered nurse.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

S2 Drugs?

A

Substances dangerous to life if misused, but available to the public without restriction

E.g Panadol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

S3 Drugs?

A

Substances that are used for therapeutic use and about which personal advice may be required by the user, excessive unsupervised use unlikely.

May be required for use urgently, so that prescription only would cause hardship

Some products are recordable by the pharmacy.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

S4 Drugs?

A

Restricted Substance

Substance which in the public interest should be supplied only on the written prescription of a medical practitioner, dentist or veterinary surgeon.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

S4D drugs?

A

Drugs which may be abused or are liable to cause dependence.

Should only be supplied with written prescription

These drugs have special storage & handing requirements over & above those for S4 substances.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

S8 Drugs?

A

Drugs of addiction

Substances which produce addiction as defined by the poisons & therapeutic goods act.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

RN compared to EN which scheduled medications can they administer?

A

RN can administer up to and including schedule 8 medications by all routes.

EN can administer up to and including 4D medications by all routes. May check S8 with an RN.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

PRN meaning

A

As required “pro re nata”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

D meaning

A

Daily

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Mane meaning

A

in the morning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

nocte meaning

A

at night

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

bd meaning

A

Bi daily

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

q12h meaning

A

Every 12 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

TDS meaning

A

Three times a day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

QID meaning

A

Four times a day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Stat meaning

A

Straight away

17
Q

2/24 meaning

A

every 2 hours

18
Q

ac meaning

A

before meals “ante cibum”

19
Q

pc meaning

A

after meals “post cibum”

20
Q

The 4 steps of Pharmacokinetics

A
  • Absorbed
  • Distributed to the cells
  • Metabolised
  • Excreted
21
Q

Absorption process

A
  • Drug moves into the blood stream from site of administration.
  • Distribution occurs in the interstitial and intracellular fluids.
22
Q

Distribution Process

A

The movement of drugs throughout the body. Determined by blood flow to the tissues, it is ability of the drug to enter the vasculature system and the ability of the drug to enter the cell if required.

23
Q

Metabolism process

A

Metabolism is the process by which drugs are chemically altered to make them sufficiently water-soluble for excretion in urine or faeces. Metabolism occurs in a variety of body organs and tissues, but chiefly in the liver, gut wall, kidney and skin.

24
Q

Excretion process

A

The process by which drugs leave the body. Drugs that are sufficiently water-soluble will be excreted unchanged in the urine. Lipid-soluble drugs must be modified to water-soluble metabolites before excretion via the kidney or into the intestine via the bile.

25
Q

Therapeutic effect

A

The desired effect, response that is expected

26
Q

Side effect

A

A known or expected effect that is not desirable - nausea, vomiting, skin reactions

27
Q

Adverse effect

A

An unexpected reaction to a drug

Usually mild but can be serious

28
Q

Idiosyncratic reaction

A

An unusual or unexplainable reaction to a drug

29
Q

Toxic reaction

A

Occurs when a drug builds up in the body and can cause damage

30
Q

Allergic reaction

A

Caused when a person becomes sensitive to a drug. The effect can range from a mild rash to anaphylactic shock.

31
Q

Factors affecting medication actions

A
Weight 
Gender
Hereditary
Psychological state
Cognitive state
Smoking
Age