CH 36 Flashcards

1
Q

Medication

A

Substance administered for the diagnosis, cure, treatment, relief, or prevention of disease

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2
Q

Prescription

A

Written direction for the preparation and administration of a drug

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3
Q

Generic Name

A

The name assigned by the US adopted names council to the manufacturer who first developed the drug

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4
Q

Chemical Name

A

Describes the constituents of the drugs or the drugs chemical formula

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5
Q

Trade or Brand Name

A

Name given by the drug manufacturer (proprietary name)

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6
Q

Who is responsible for dispensing medication?

A

The pharmacist

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7
Q

How do pharmacists dispense drugs?

A

Directly to clients or to a person who will administer the drug

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8
Q

Patient Bill of Rights

A

-Be informed
-Refuse
-Have qualified person assess Hx
-Complete Information
-Receive labeled meds Safely
-Receive appropriate therapy w/ drug therapy
-Not given unnecessary meds

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9
Q

Routes of administration:

A

-Oral
-Enteral
-Sublingual
-Buccal
-Parenteral
-Topical
-Mucosal

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10
Q

Oral Admin

A

Most common - safest, least expensive, most convenient.

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11
Q

What are disadvantages of oral admin?

A

Can taste unpleasant
Choking
Irritate GI mucosa
Harm teeth
acts slowly compared to other routes

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12
Q

NG

A

Nasogastral

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13
Q

PEG Tube

A

Endoscopy dept places tube percutanously through gastro wall

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14
Q

G Tube

A

surgically placed tube through gastro wall

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15
Q

Enteral

A

Delivery of drug through a gastro tube

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16
Q

Sublingual

A

Drug placed under the tongue, where it dissolves. Absorbed by blood vessels under tongue

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17
Q

Buccal

A

Med held in mouth against cheek until it dissolves

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18
Q

Parenteral Routes

A

Subcut
IM
Intradermal
IV

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19
Q

Less Common Parenteral Routes

A

Intra-Arterial
Intra-cardiac
Intra-osseous
Intra-thecal

20
Q

Topical

A

Dermatologic Prep is applied to skin
Instillations and irrigations is applied into body cavities or orifices
Transdermal is administered slowly through the skin via patch

21
Q

Mucosal

A

Absorbed through mucosa
-rectum
-vagina
-eye
-ear
-inhaled into lung/bronchi

22
Q

Who can order medications in OH?

A

Physician, NP (nurse practitioner) and PA (physician’s assistant)

23
Q

How can medications can be ordered?

A

Can be on telephone or verbal, but usually written

24
Q

Tablet

A

Made of powered ingredients compressed into various sizes and shapes. Most common form of oral med.

25
Q

Enteric-coated

A

Has outer coating that does not dissolve until med reaches the intestines.

26
Q

Sustained-Release

A

Designed to slow the absorption of the drug

27
Q

STAT

A

Immediately (within 15 min)

28
Q

Which oral meds are not to be crushed ever?

A

Enteric-Coated or Sustained-Released

29
Q

ODT

A

Orally Disintegrating Tablet

30
Q

Capsule

A

Gelatin shell containing a powder or pellets of medication.

31
Q

Now Order

A

Have 90 min to give - Only for admin once

32
Q

What HAS to be on a drug order?

A

Clients FULL NAME & hospital number
Date and Time
Name of Drug (clearly written)
Dose of drug
Route of admin
Frequency of admin
Physician Signature

33
Q

Liquid Medications

A

syrups
elixirs
solutions
suspensions

34
Q

Which type of liquid medication needs shaken before administering?

A

Suspension should always be shaken

35
Q

What are the 5 rights for accurate drug admin?

A

Right Drug
Right Dose
Right Time
Right Route
Right Patient

36
Q

How long does the state give you to give med?

A

30 min if med is due at 8 you can give between 7:30-8:30

37
Q

Narcotics

A

Medications that are made with opium or opium derivatives that control and relieve pain.

38
Q

If you do not admin a drug how do you mark it in the MAR?

A

Inital then circle around them - then notate on nursing note

39
Q

Transdermal route

A

Method of applying a drug to the skin using a patch

40
Q

Vaginal Route

A

Come in form of suppositories, creams, aerosol foams, or tablets that are inserted into the vagina and dissolve there.

41
Q

Rectal Route

A

Usually suppository or enema form. Possible to be ointment or cream form. Inserted directly into the rectum.

42
Q

Respiratory Route

A

Dispersed in fine droplets and inhaled into the lungs and bronchial airways, usually through inhalers or nebulizers

43
Q

MDI

A

Meter Dosed Inhaler

44
Q

Meter Dosed Inhaler

A

Pressurized Medication dispenser that spray a pre-measured amount of drug into the lungs

45
Q
A