chapter 29, medications Flashcards
what is the primary site for drug metabolism
liver
Drug tolerance
occurs when the body becomes accustomed to the effects of a particular drug over a period of time.
any unusual or peculiar response to a drug that may manifest it self by over response, under response or even the opposite of the expected response
idiosyncratic effect (paradoxical)
In a drug-drug interactions, where the combined effect of two or ,ore drugs acting simultaneously produces an effect less than that of each drug alone
antagonist effect
drug to drug interaction in which the effects is greater than that of each drug alone
synergistic effect
elderly patients often see more than one physician and do not always remember to bring the medications that are taking to each physician they see. This can lead to
polypharmacy-the taking of more than two medications at a time
factors affection drug action
developmental weight gender cultural and genetic factors (Christian scientists do not take medicine or childhood vaccination). psychological factors (placebo) pathology Environment (sensory deprivation and overload) Timing of Administration
the concentration of drug in the blood serum that produces the desired effect without concentration
therapeutic range
under which circumstance should a verbal order for medication be given by a physician to a registered nurse
in an emergency
when should a medication reconciliation occur?
at the time of patient discharge, primary care provider identify drugs to be continued and those to be discontinued.
a type of medication order that is carried out as specified until it is canceled by another order.
standing order
what are the parts of a medication order
seven parts patient's name date and time the order is written name of drug dosage Route frequency signature of person writing the order
The rights of medication administration
medication patient dosage route time reason documentation
how can the nurse initiate swallowing in older adults
by massaging the laryngeal prominence or the area just below the chin prominence.
administering medication in the buccal
between the cheek and gum
should not be swallowed
