Chapter 23 Medication Administration Flashcards
Generic Name
- Nonproprietary name
- Can have multiple
Stock Supply of Doses
- Bulk quantity
- Central location
- Not client specific
- Multiple doses
Unit Does
- Individually packaged
- Clien-specific
- 24-hr supply
- One does
Pharmacokinetics
What happens to the drug in the body
Pharmacodynamics
How does the drug affect the body
Four processes of Pharmacokinetics (4)
- Absorption
- Distribution
- Metabolism
- Excretion
Time until onset and peak refers to…
Medications highest level in the blood
Peak level refers to…
Highest level in blood
Trough level refers to…
Lowest level in the blood
Therapeutic level refers to…
The amout of a drug (range) to see affects
Half-life
Time of half of the med to be excreted
Primary effects include
- Therapeutic effects
- Predicted effects
- Intended effects
- Desired effects
- Why was the drug prescribed
Secondary effects include
- Uninteded
- Nontherapeutic
Types of secondary effects (5)
- Side effects
- Adverse reactions
- Toxic reactions
- Allergic reactions
- Idiosyncratic reactions
Antagonistic Reaction
One drug interacts with another drug, making it less effective
Synergistic interaction
Added affect fo 2 drugs together
Tolerance of drug
More drug is needed
Dependence of drug
Withdrawal
Addiction of a drug
Disease
Prescriptions need to include the following (5)
- Client’s full name
- Date and time order is written
- Drug name
- Drug does
- Route
Types of prescription communication (4)
- Handwritten
- Preprinted
- Oral
- Telephone
Medication Errors (5)
- Lack of knowledge or information
- Faulty communication
- Equipment errors
- Calculation and measurement errors
- Other
What to do if medcation error occurs (5)
- Put the patient first
- Notify the prescrib
- Notify the nurse manager
- Complete an incident report
- Avoid being to hard on yourself
Where do the three checks occur for medication admiistration
- Med room
- Outside the patients door
- At the bedside
Need to assess what during medication administration (4)
- VS/Labs
- Patient mental status/coordination
- Swalowing ability
- Effectiveness of medication and side effects
5 Rights of Medication Administration
- Right drug
- Right does
- Right time
- Right route
- Right patient
Most commonly used route
Oral
Sublingual is placed under the tongue
Placed under the tongue
Buccal is placed where
Against the mucos membrane of the cheek
What do you use to apply topicals?
Cotton swab
Transdermal considerations (4)
- Do not use the same spot
- Directly on the skin
- Patch should be dated and initialed
- Older patch removed and folded in on itself
Ophthalmic Medication Considerations
Hold nasal lacrimal duct to prevent systemic spread
Otic Medication Considerations
- Adults hold pinna up and back
- Children hold pinna down and back
Nasal medicaiton considerations (2)
- Shrink swollen mucosal membrane
- Blow nose prior to administration
Position for vaginal medication application
Dorsal recumbent
