Cultural, Legal & Ethical Issues Flashcards
1
Q
Culture & Its Effect on Medication Administration
Americans
Most want ______(1)____, want to be _____(2)_____ and expect to be _____(3)______.
A
- informatin
- involved
- consulted
2
Q
Culture & Its Effect on Medication Administration
Hispanics
- Some may believe that illness is due to ______(1)______.
- _______(2)______ are very important
- Hispanics often need ______(3)____ due to better metabolism.
A
- some bad luck
- extended family
- smaller doses
3
Q
Culture & Its Effect on Medication Administration
Asians
- May use _____(1)_____ not recognized by Western medicine.
- ______(2)______ are also very important.
- Asians often need ______(3)______ due to better metabolism.
A
- folk medicine and practitioners
- extended family
- smaller doses
4
Q
Culture & Its Effect on Medication Administration
Africans
- May use _______(1)_____ and _______(2)_____ believed to have healing powers.
- Avoid the use of _____(3)_____ and ______(4)_____ for black patients.
- ______(4)_____ is a big issue- may need _____(5)_____ to treat (so severe)
A
- folk medicine
- practitioners
- beta blockers
- ace inhibitors
- hypertension (HTN)
- multiple medications
5
Q
Culture & Its Effect on Medication Administration
- The patient will be more _____(1)____ with medications if they understand their use and reason for taking the.
- The patient needs to ____(2)____ the medication
A
- compliant
- value
6
Q
Some Pharmacology Legislative History
- 1906
- First Federal Legislation regarding drugs
- Goal: to ensure safety by requiring labeling to identify dangers and additives
- Also created first standards for drug use and quality
A
“Pure Food and Drug Act”
7
Q
Some Pharmacology Legislative History
- 1938
- Purpose: required proper testing of drugs for basic safety
- It doesn’t have to work, but it can’t kill you
A
Food, Drug and Cosmetic Act of 1938
8
Q
Some Pharmacology Legislative History
- 1952
- Purpose: made medications either prescription or over the counter (OTC)
- Classified some drugs that cannot be refilled without a new prescription each time
- High additive drugs
A
Durham-Humphry Act
9
Q
Some Pharmacology Legislative History
- 1962
- Additional legislation passed that required that drug companies prove that the drug really worked for what they said it was for
- Not just prove it’s safety
- Thalidomide for morning sickness = massive birth defects
A
Food, Drug and Cosmetic Act of 1962
10
Q
Some Pharmacology Legislative History
- 1970
- Categorized addictive drugs into 5 categories with dispensing restrictions
A
Controlled Substance Act
11
Q
Controlled Substances
C-1
A
- Illegal drugs (no prescription can be written, not medically recognized)
12
Q
Controlled Substances
C-2
A
-
High addictive pain meds and stimulants in large doses
- No refills
13
Q
Controlled Substances
C-3
A
- Moderately addictive pain meds in small doses (some combination drugs)
- Limited refills
14
Q
Controlled Substances
C-4
A
- Limited additive meds
- Some psychiatric meds and anti-anxiety meds
- Limited refills
15
Q
Controlled Substances
C-5
A
- Low dose opiates
- Limited addictive
- Cough suppressants, antidiarrheals, etc
16
Q
Handling of Controlled Substances
- Must be locked (usually -_____(1)____ on the patient care unit.
- Must be ____(2)_____ and every dose accounted for.
- Any wastage must be _____(3)_____.
- Narcotics are _____(4)_____ at every staff change.
A
- double-locked
- signed out
- witnessed
- counted
17
Q
Nurses Role in Medication Administration
- Know the _____(1)_____ regarding ______(2)______.
- Use the _____(3)_____.
- Must be _____(4)____ to _____(5)_____ (nursing students have a special status).
- No _____(6)____ (less than is expected of the average person is expected of an RN).
- No ______(7)______ (wrong med is really a bad error).
A
- instituion’s policies
- medication administration
- 8 rights
- licensed
- give medications
- negligence
- malpractice
18
Q
Medication Errors
What do you dos?
- Focus on the ______(1)_____ response.
- _____(2)_____
- Called the _____(3)_____.
- Document ______(4)____ response and __________ actions.
- Remember: don’t use words like _____(5)_____ or _____(6)___.
- Just state the _____(7)____.
- Do an _______(8)_____ report.
A
- patient’s
- Assess (mini assessment)
- MD
- patient’s
- your
- error
- mistake
- an incident
19
Q
Medication Errors
Ethics requires also:
- Do what is best for the patient- also known as _____(1)_____.
- Do no harm/ Keep the patient safe- also known as ___(2)___.
- Informed consent/ no coercion- also known as _____(3)____.
- Be fair- also known as _____(4)_____.
- Tell the truth- also known as _____(5)____.
- Maintain confidentiality- also known as _______(6)_____.
A
- beneficence
- nonmalefeasance
- automy
- justice
- veracity
- confidentiality
20
Q
Black Box Warnings
- As black box warning indicates that serious/ _____(1)______ effects have been reported with the drug. The drug can still be _____(2)_____, however the prescriber must be aware of the potential _____(3)_____.
A
- severe adverse
- prescribed
- risks
