ati medication admin Flashcards
6 rights
right client right medication right dose right route of administration right time of delivery right documentation
additional pt rights related to medication admin
right to refuse
right assessment
right education
right response
safety strategies for med admin
- checking the medication against medication admin reecord
- checking drug upon preparation
- checking drug just prior to admin
medication reconciliation
- preformed when care of client is transferred from one health care prof to another, such as when a client returns from one physical location to another
- involves reviewing clients current medication, then addressing omissions and duplications
- ensures continuity of care
therapeutic actions
- pharmacodynamics
- peak plasma level
- trough serum levels: lowest level of concentration of medication that correlates to the rate of elimination
black box warning
issued on medications that may produce lethal and iatrogenic results
steven-johnsons syndrome
develops 1-14 days following drug admin
manifested by respiratory distress, fever, chills, defuse fine rish, than blisters
dissolution
medication is dependent upon its initial state and route of admin
prodrugs
inactive chemicals that are transformed through metabolism to become active before they have therapeutic effect
first pass effect
oral medications pass from the small intestines to the hepatic circulation via the mesenteric vein and portal vein flowing into liver resulting in lower concentration of the medications in the systemic circulation
teratogenic
fetal defects
enteral
directly into GI tract
time critical meds
those that when admin either 30 min before or after can cause harm to client or substandard pharm effect
