CHAPTER THREE: MEDICATION ADMINISTRATION AND THE NURSING PROCESS OF DRUG THERAPY Flashcards
What is an erroneous order
Wrong order
Nurses responsibilities for administration
- safe/accurate administration
-questioning wrong orders
-refusing to administrate unsafe meds
Things nurses should know about med administration
-drug classes/categories and common meds
-why it is being administered
- things you need to monitor before and after
-administration procedure
3rd leading cause of death
Medication error
Common mediation errors
- incorrect dose
- not giving ordered med
-giving discontinued med
Examples of common meds that are given wrong: insulin, heparin, warfarin
Categories of error
A-I
- capacity to cause error to death
Forms of systemic meds
Liquids, tablets, capsules, suppositories, patches (transdermal), injections
Z track
For meds where it will irritate the tissue
- pull skin and administer, having the IM med not go into SQ tissue
Non drug interventions
Promoting health
Preventing drug therapy
- Lifestyle change
Patient teaching
Individualizing care
Observing patient response
Are generic and trade name drugs different
The active ingredients are not but fillers are, watch for allergies
Can supplements and OTC meds effect treatment
Yes
Phase one of clinical trials
- 20-100 participants (with or without disease)
- goal: learn safety, human effects, dosage
- length: less than one year
Phase two of clinical trials
300 people with disease
- goal: side effects
length: months to two years
Phase three of clinical trials
300-3,000 with disease
- goal: effectiveness
- length: 1-3 years
FDA will approve if safe and effective
Phase four of clinical trials
Thousands of people
Goal: look for benefits
Length: years
Physicians can subscribe during this phase
