Chapter 31 Medication Administration

Question 1

Medication Legislation and

Standards

Answer 1

1-Federal regulations
Pure Food and Drug Act
Food and Drug Administration (FDA)
MedWatch program
2-State and local regulation of medication
3-Health care institutions and medication laws
4-Medication regulations and nursing practice (Nurse Practice Acts)

Question 2

In medication names.
-the manufacturer who first develops
the drug assigns the name, and it is then listed in
the U.S. Pharmacopeia.

Answer 2

Generic

Question 3

In medication names
-also known as brand or proprietary
name. This is the name under which a
manufacturer markets the medication.

Answer 3

Trade

Question 4

What are some factors that influence absorption

Answer 4

Route of administration
Ability of a medication to dissolve
Blood flow to the site of administration
Body surface area
Lipid solubility

Question 5

What are some factors affecting Distribution in a medication ??

Answer 5

Circulation
Membrane permeability
Protein binding

Question 6

patients with heart failure have impaired circulation, which slows medication delivery to the intended site of action. Therefore, the effectiveness of medications in these patients is often delayed or altered. What factor in de ditribution of the medication is this example

Answer 6

Circulation

Question 7

occurs under the influence of
enzymes that detoxify, break down, and remove
active chemicals.

Answer 7

Biotransformation

Question 8

Types of medication actions

Answer 8

Therapeutic effect
Adverse effects
Medication interaction
Medication tolerance

Question 9

4-What is the difference between a side effect and a toxic effect? (p. 594)

Answer 9

1-side effect is a predictable and often unavoidable adverse effect produced at a usual therapeutic dose. For example, some antihypertensive medications cause impotence in men.

2-Toxic effects often develop after prolonged intake
of a medication or when a medication accumulates in the blood
because of impaired metabolism or excretion. Excess amounts of a
medication within the body sometimes have lethal effects, depending on its action. For example, toxic levels of morphine, an opioid, cause severe respiratory depression and death.

Question 10

When an error occurs during medication administration….?

Answer 10

1-First assess the patient’s condition, then notify the health care provider
2-When patient is stable, report the incident
3-Prepare and file an occurrence or incident report
4-Report near misses and incidents that cause no harm
5-During transitions in care, reconcile medications

Question 11

When administered oral medication Follow special precautions when administering medications to patients with enteral or small-bore feeding tubes

Answer 11

Follow tubing connection standards

Verify tube is compatible with medication absorption

Use liquid medications when possible

Flush between medications