Ch 24 Medication and safety Flashcards
what is the act that is part of the Federal legal aspect
controlled substances act
what is the act that is part of the State legal aspect
Nurse Practice Act
pharmacology
study of drugs and effect on body
what is pharmacotherapeutics
study of drugs that considers the therapeutic uses and effects of drugs.
pharmacokinetics
effect the body has on drug
What are the 4 parts of pharmacokinetics
absorption
distribution
metabolism
excretion
bioavailability
portion of drug that reaches systemic circulation and can act on cells
Drugs taken ____ typically take the ____ to be absorbed
orally, longest
drugs taken via an _____ are usually absorbed _____
injection/IV faster than oral meds
A drug that is more _____ can be absorbed more readily and pass more easily through cell membrane
lipid soluable
(t/f) More basic drugs are well absorbed in the stomach than acidic drugs due to opposite forces attracting
F, more acidic drugs are better absorbed in stomach
where do drugs that are more alkalotic get absorbed orally?
small intestine
T/F absorption is increased with increased blood flow
T
T/F Pt with impaired circulatory function absorbs drugs less rapidly than pt with normal circulatory function.
T
what are the 5 rights?
what are the unacceptable abbreviations by Jcaho
QD (once a day)
QOD (every other day)
QID (must be written out 4 times a day
U (units)
IU mistaken for IV or #10
Trailing zeros
MS (morphine or magnesium)
what are the approved abbreviations for
U, IU, QD, QOD, Trailing zeros, lack of a leading zero, MSO4 and MgSO4
unit
international unit
daily
every other day
remove trailing zeros
add leading zeros
morphine sulphate
magnesium sulfate
what are gerontology considerations with drugs?
environment safety
labels with large print
equipment caps and devices
home safety
sensory deficits
delayed reaction time
encourage self responsibility
what is the window time span to give meds?
1 hour
30 min before due time
30 min after due time
what is the beers criteria
list of meds that the AGS recommend to avoid or use with caution
