220-medication Flashcards

1
Q

nurses should know

A

generic name
trade name
classification
indications
pharmakinetics
effects
tolerence
toxic
Idiosyncratic(unintended effects)

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2
Q

therapeutic range

A

concentration of drug in the blood serum that produces the desired effect without causing toxicity

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3
Q

peak level

A

the point the drug is at the highest (60 mins after given)

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4
Q

trough level

A

the point when the drug is at its lowest concentration, indicating the rate of elimination (30 mins before the next dose)

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5
Q

half life

A

amount of time it takes for 50% of blood concentration of a drug to be eliminated from the body

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6
Q

admission assessment

A

comparing prior to admission drugs to drugs prescribed

allergies

pregnancy and lactation status

dietary and herbal supplements taken

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7
Q

how does aging effect drug response?

A

decreased
gastic mobility
total body eater
lipid content in skin
liver function
kidney function
adverse CNS effects
altered peripheral vascular tone

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8
Q

PRN orders

A

as needed

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9
Q

standing order

A

in chart

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10
Q

5 rights

A

patient

medication

dose

route

time

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11
Q

daily

A

daily

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12
Q

BID

A

x2

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13
Q

TID

A

x3

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14
Q

QID

A

x4

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15
Q

ac

A

before meals

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16
Q

pc

A

after meal

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17
Q

HS

A

Hour of sleep

18
Q

Identifying patients (need two to identify patients)

A

name

birthdate

Medical record number

and compare with EMR

19
Q

Medications that must be given 30 mins before or after scheduled time

A

Q1, Q2, Q3, Q4, rapid short acting insulin(regular aspart/novolog)

20
Q

medication that must be given 60 mins before or after scheduled time

A

Q6, Q8, Q12

21
Q

medications that must be given 2 hours before or after scheduled time

A

daily, weekly, monthly

22
Q

Enteral

A

mouth (PO)

23
Q

Enteral administration

A

feeding tubes
sublingual and buccal routes
solid
liquid
scored
SR, XL, CR (no crush-deadly)
enteric coated (no crush)

24
Q

topical medications

A

lotions, cream, ointments and medicated powders
transdermal patches
eye drops
nosedrops/mist
ear drops
rectal- suppositories
vaginal-creams and suppositories

25
Q

transdermal patches go where on the body

A

upper arm
upper chest
upper back
side of chest

26
Q

eye drops go where in the eye

A

bottom sack then dap the inner corner to avoid it dripping out

27
Q

parenteral medications

A

Intradermal
Subcutaneous administration
Intramuscular administration

28
Q

intradermal

A

TB test

29
Q

Subcutaneous

A

insulin administration
heparin

30
Q

Intramuscular

A

deltoid
ventral gluteal (side butt)
vastus lateralis (side leg)

31
Q

the needle get smaller as

A

the gauge get larger

32
Q

Intramuscular is administer at

A

72 and 90 degrees

33
Q

intradermal is administered at

A

15 degree

34
Q

Subcutaneous is administered at

A

90 and 45 degree

35
Q

intradermal perimeters

A

1/4-1/2 inch
25G, 27G
less then 0.5 ML
5-15 degree angle

36
Q

subQ perimeters

A

drug specific syringes
3/8-5/8 inch
25G-30G
1ML max volume
45-90 degree angle

37
Q

sub Q sites

A

lower stomach
front thighs
back of arms
upper back
upper butt

38
Q

intramuscular perimeters

A

5/8-1.5 inch
20G-25G
up to 3ML in large muscles
gentle pressure
Z-track it

39
Q

what is Z-track?

A

pushing the muscle to the side and injecting it to prevent the large volume from leaking out of the injection site

40
Q

controlled substances

A

locked
counted
record partial doses
report any discrepancy

41
Q

What to document

A

dose given: site and parameters
doses missed
refused medications
incident reports for medication errors (SHARE)
patient teaching and education

42
Q

medication errors process

A

check the patients condition watch for adverse effects
obtain a set of VS
notify nurse manager and PCP
Complete a SHARE but do not indicate that the form was filled out in the patient chart