CH 36

Question 1

Medication

Answer 1

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

Question 2

Prescription

Answer 2

Written direction for the preparation and administration of a drug

Question 3

Generic Name

Answer 3

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

Question 4

Chemical Name

Answer 4

Describes the constituents of the drugs or the drugs chemical formula

Question 5

Trade or Brand Name

Answer 5

Name given by the drug manufacturer (proprietary name)

Question 6

Who is responsible for dispensing medication?

Answer 6

The pharmacist

Question 7

How do pharmacists dispense drugs?

Answer 7

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

Question 8

Patient Bill of Rights

Answer 8

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

Question 9

Routes of administration:

Answer 9

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

Question 10

Oral Admin

Answer 10

Most common - safest, least expensive, most convenient.

Question 11

What are disadvantages of oral admin?

Answer 11

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

Question 12

NG

Answer 12

Nasogastral

Question 13

PEG Tube

Answer 13

Endoscopy dept places tube percutanously through gastro wall

Question 14

G Tube

Answer 14

surgically placed tube through gastro wall

Question 15

Enteral

Answer 15

Delivery of drug through a gastro tube

Question 16

Sublingual

Answer 16

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

Question 17

Buccal

Answer 17

Med held in mouth against cheek until it dissolves

Question 18

Parenteral Routes

Answer 18

Subcut
IM
Intradermal
IV

Question 19

Less Common Parenteral Routes

Answer 19

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

Question 20

Topical

Answer 20

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

Question 21

Mucosal

Answer 21

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

Question 22

Who can order medications in OH?

Answer 22

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

Question 23

How can medications can be ordered?

Answer 23

Can be on telephone or verbal, but usually written

Question 24

Tablet

Answer 24

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

Question 25

Enteric-coated

Answer 25

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

Question 26

Sustained-Release

Answer 26

Designed to slow the absorption of the drug

Question 27

STAT

Answer 27

Immediately (within 15 min)

Question 28

Which oral meds are not to be crushed ever?

Answer 28

Enteric-Coated or Sustained-Released

Question 29

ODT

Answer 29

Orally Disintegrating Tablet

Question 30

Capsule

Answer 30

Gelatin shell containing a powder or pellets of medication.

Question 31

Now Order

Answer 31

Have 90 min to give - Only for admin once

Question 32

What HAS to be on a drug order?

Answer 32

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

Question 33

Liquid Medications

Answer 33

syrups elixirs solutions suspensions

Question 34

Which type of liquid medication needs shaken before administering?

Answer 34

Suspension should always be shaken

Question 35

What are the 5 rights for accurate drug admin?

Answer 35

Right Drug Right Dose Right Time Right Route Right Patient

Question 36

How long does the state give you to give med?

Answer 36

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

Question 37

Narcotics

Answer 37

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

Question 38

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

Answer 38

Inital then circle around them - then notate on nursing note

Question 39

Transdermal route

Answer 39

Method of applying a drug to the skin using a patch

Question 40

Vaginal Route

Answer 40

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

Question 41

Rectal Route

Answer 41

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

Question 42

Respiratory Route

Answer 42

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

Question 43

MDI

Answer 43

Meter Dosed Inhaler

Question 44

Meter Dosed Inhaler

Answer 44

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