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Pharmacology 1 > Cultural, Legal & Ethical Issues > Flashcards

Cultural, Legal & Ethical Issues Flashcards

1
Q

Culture & Its Effect on Medication Administration

Americans

Most want ______(1)____, want to be _____(2)_____ and expect to be _____(3)______.

A
  1. informatin
  2. involved
  3. consulted
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2
Q

Culture & Its Effect on Medication Administration

Hispanics

  • Some may believe that illness is due to ______(1)______.
  • _______(2)______ are very important
  • Hispanics often need ______(3)____ due to better metabolism.
A
  1. some bad luck
  2. extended family
  3. smaller doses
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3
Q

Culture & Its Effect on Medication Administration

Asians

  • May use _____(1)_____ not recognized by Western medicine.
  • ______(2)______ are also very important.
  • Asians often need ______(3)______ due to better metabolism.
A
  1. folk medicine and practitioners
  2. extended family
  3. smaller doses
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4
Q

Culture & Its Effect on Medication Administration

Africans

  • May use _______(1)_____ and _______(2)_____ believed to have healing powers.
  • Avoid the use of _____(3)_____ and ______(4)_____ for black patients.
  • ______(4)_____ is a big issue- may need _____(5)_____ to treat (so severe)
A
  1. folk medicine
  2. practitioners
  3. beta blockers
  4. ace inhibitors
  5. hypertension (HTN)
  6. multiple medications
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5
Q

Culture & Its Effect on Medication Administration

  • The patient will be more _____(1)____ with medications if they understand their use and reason for taking the.
  • The patient needs to ____(2)____ the medication
A
  1. compliant
  2. value
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6
Q

Some Pharmacology Legislative History

  • 1906
  • First Federal Legislation regarding drugs
  • Goal: to ensure safety by requiring labeling to identify dangers and additives
  • Also created first standards for drug use and quality
A

“Pure Food and Drug Act”

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7
Q

Some Pharmacology Legislative History

  • 1938
  • Purpose: required proper testing of drugs for basic safety
    • It doesn’t have to work, but it can’t kill you
A

Food, Drug and Cosmetic Act of 1938

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8
Q

Some Pharmacology Legislative History

  • 1952
  • Purpose: made medications either prescription or over the counter (OTC)
  • Classified some drugs that cannot be refilled without a new prescription each time
    • ​High additive drugs
A

Durham-Humphry Act

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9
Q

Some Pharmacology Legislative History

  • 1962
  • Additional legislation passed that required that drug companies prove that the drug really worked for what they said it was for
    • Not just prove it’s safety
  • Thalidomide for morning sickness = massive birth defects
A

Food, Drug and Cosmetic Act of 1962

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10
Q

Some Pharmacology Legislative History

  • 1970
  • Categorized addictive drugs into 5 categories with dispensing restrictions
A

Controlled Substance Act

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11
Q

Controlled Substances

C-1

A
  • Illegal drugs (no prescription can be written, not medically recognized)
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12
Q

Controlled Substances

C-2

A
  • High addictive pain meds and stimulants in large doses
    • No refills
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13
Q

Controlled Substances

C-3

A
  • Moderately addictive pain meds in small doses (some combination drugs)
  • Limited refills
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14
Q

Controlled Substances

C-4

A
  • Limited additive meds
  • Some psychiatric meds and anti-anxiety meds
  • Limited refills
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15
Q

Controlled Substances

C-5

A
  • Low dose opiates
  • Limited addictive
  • Cough suppressants, antidiarrheals, etc
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16
Q

Handling of Controlled Substances

  • Must be locked (usually -_____(1)____ on the patient care unit.
  • Must be ____(2)_____ and every dose accounted for.
  • Any wastage must be _____(3)_____.
  • Narcotics are _____(4)_____ at every staff change.
A
  1. double-locked
  2. signed out
  3. witnessed
  4. counted
17
Q

Nurses Role in Medication Administration

  • Know the _____(1)_____ regarding ______(2)______.
  • Use the _____(3)_____.
  • Must be _____(4)____ to _____(5)_____ (nursing students have a special status).
  • No _____(6)____ (less than is expected of the average person is expected of an RN).
  • No ______(7)______ (wrong med is really a bad error).
A
  1. instituion’s policies
  2. medication administration
  3. 8 rights
  4. licensed
  5. give medications
  6. negligence
  7. malpractice
18
Q

Medication Errors

What do you dos?

  • Focus on the ______(1)_____ response.
  • _____(2)_____
  • Called the _____(3)_____.
  • Document ______(4)____ response and __________ actions.
    • Remember: don’t use words like _____(5)_____ or _____(6)___.
  • Just state the _____(7)____.
  • Do an _______(8)_____ report.
A
  1. patient’s
  2. Assess (mini assessment)
  3. MD
  4. patient’s
  5. your
  6. error
  7. mistake
  8. an incident
19
Q

Medication Errors

Ethics requires also:

  • Do what is best for the patient- also known as _____(1)_____.
  • Do no harm/ Keep the patient safe- also known as ___(2)___.
  • Informed consent/ no coercion- also known as _____(3)____.
  • Be fair- also known as _____(4)_____.
  • Tell the truth- also known as _____(5)____.
  • Maintain confidentiality- also known as _______(6)_____.
A
  1. beneficence
  2. nonmalefeasance
  3. automy
  4. justice
  5. veracity
  6. confidentiality
20
Q

Black Box Warnings

  • As black box warning indicates that serious/ _____(1)______ effects have been reported with the drug. The drug can still be _____(2)_____, however the prescriber must be aware of the potential _____(3)_____.
A
  1. severe adverse
  2. prescribed
  3. risks

Pharmacology 1 (15 decks)

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