Ch 32 medication administration

Question 1

administration of all injections

Answer 1

• use sharp beveled needle in smallest suitable length and gauge
• position pt comfortably to reduce muscle tension
• select proper injection site
• apply vasocoolant spray or topical anesthetic
• divert attention
• insert needle quickly and smoothly
• hold steady
• inject med slowly and steadily

Question 2

pharmacokinetic factors

Answer 2

1. absorption- route of admin, ability to dissolve, bllod flow to site of admin, body surface area, lipid solubility
2. distribution- circulation, membrane permeability, protein binding
3. metabolism- biotransformation
4. excretion

Question 3

therapeutic effects

Answer 3

the expected or predicted physiological response caused by a med

Question 4

adverse effects

Answer 4

undesired, unintended, and often unpredictable response to med

Question 5

side effects

Answer 5

predictable and often unavoidable adverse effect produced at a usual therapeutic dose

Question 6

toxic effects

Answer 6

develop after prolonged intake of med or when med accumulates because of impaired metabolism or excretion

Question 7

idiosyncratic reactions

Answer 7

pt overreacts or underreacts to a med or has reaction different from normal

Question 8

medication interactions

Answer 8

when one med modifies the action of another

Question 9

peak

Answer 9

highest level of serum concentration

Question 10

trough

Answer 10

lowest level of serum concentration, drawn 30 min before administering next dose

Question 11

biological half-life

Answer 11

time it takes for excretion processes to lower the amt of unchained med by half

Question 12

components of medication orders

Answer 12

1. pt full name
2. date and time order written
3. med name
4. dosage
5. route of administration
6. time and frequency of admin
7. signiture of care provider

Question 13

older adults consideration

Answer 13

polypharmacy, swallowing, economic concerns, memory