DRUG ADMINISTRATION Flashcards
Substance administered for diagnosis, cure, treatment or relief of symptom / prevention of disease
MEDICATION
Book containing list of products used in medicines w/ description of products, chemical tests for determining identity and purity, formulas, prescriptions
PHARMACOPEIA
Drug can be derived from
PLANT
MINERAL
ANIMAL
HUMAN
The nurse practices this act when he/she in collaboration w/ another initiates & performs nursing services
RA. 9173, SEC. 28
Therapeutic effects of drugs (6)
- Palliative
- Supportive
- Chemotherapeutic
- Restorative
- Curative
- Substitutive
Secondary effect of drug
SIDE EFFECT
Deleterious effect of a drug
DRUG TOXICITY
More severe than side effect, may justify discontinuation of drug
ADVERSE EFFECT
Immunulogic reaction to a drug
DRUG ALLERGY
Severe allergic reaction
ANAPHYLACTIC SHOCK
Symptoms of Drug Allergy
-Skin rash
-pruritus
-Dyspnea
-Diarrhea
-Nausea
-Vomiting
Person has low physiologic response to drug & requires increase in dosage to maintain given therapeutic effect
DRUG TOLERANCE
Increasing response to repeated doses of a drug
CUMULATIVE EFFECT
When the solution becomes the problem
IDIOSYNCRATIC EFFECT
Improper use of common medications
DRUG MISUSE
Inappropriate intake of substance
DRUG ABUSE
2 Main facets of drug abuse
- Drug dependence
- Drug habituation
Reliance on or need to take a drug / substance
DRUG DEPENDENCE
Denotes a mild form of psychologic dependence
DRUG HABITUATION
2 official national lists of approved drugs
1.UNITED STATES PHARMACOPEIA (USP)
2. NATIONAL FORMULARY (NF)
This branch of pharmacology study the effects of racial and ethnic differences/response to prescribed medication.
Ethnopharmacology
Medication dispensing systems (4)
- MEDICATION CART
- MED CABINET
- MEDICINE ROOM
- COMPUTERIZED MEDICATION ACCESS SYSTEM
Three checks of medication administration
- BEFORE you pour, mix, draw up a medication
- AFTER you prepare medication
- AT THE BEDSIDE
12 Rights of Drug Administration
- Right dose
- Right time
- Right patient
- Right drug
- Right route
- Right to be educated / informed
- Right frequency
- Right technique
- Right documentation
- Right assessment
- Right to refuse
- Right approach
Indicates that meds are to be given immediately and only once
STAT ORDER
May or may not have a termination date. May be carried out indefinitely
STANDING ORDER
An order that applies indefinitely until prescribe writes an order to alter or discontinue the meds
STANDARD WRITTEN ORDERS
Meds to be given once at a specified time
SINGLE ORDER
Permits nurse to give a medication when in nurse’s judgment, the client requires it
PRN ORDER
Protocols that hospitals use for discontinuing medications after a certain length of time
AUTOMATIC STOP DATE
The written direction for
the preparation and administration of a drug
PRESCRIPTION
Drugs that are used in the ancient times (opium, castor oil, vinegar)
CRUDE DRUGS
is the art of preparing, compounding, and dispensing drugs
PHARMACY
is the study of the effect of drugs on living organisms
PHARMACOLOGY
He/she prepares, makes,
and dispenses drugs as ordered by a physician, dentist, nurse practitioner, or physician assistant.
PHARMACIST
Type of drug that Destroys malignant cells.
CHEMOTHERAPEUTIC
Is a specialist who often guides the primary care provider in prescribing drugs.
CLINICAL PHARMACIST
also referred to as the desired
effect, is the primary effect intended, that is, the reason the drug is
prescribed
THERAPEUTIC EFFECT
Type of drug that Relieves the symptoms of a disease but does
not affect the disease itself.
PALLIATIVE
Type of drug that Supports body function until other treatments
or the body’s response can take over.
SUPPORTIVE
Type of drug that Returns the body to health
RESTORATIVE
Type of drug that Cures a disease or condition.
CURATIVE
Type of drug that Replaces body fluids or substances.
SUBSTITUTIVE
disease caused unintentionally by medical therapy
IATROGENIC DISEASE
a branch of pharmacology that examines the role of genetics in drug response.
PHARMACOGENETICS
Also called detoxification or metabolism. A process by which a drug is converted to a less active form.
BIOTRANSFORMATION
is the study of the effect of racial and
ethnic differences/responses to prescribed medication.
ETHNOPHARMACOLOGY
the administration of a drug into
the dermal layer of the skin just beneath the epidermis.
INTRADERMAL INJECTION (ID)
Intradermal injection is commonly used for?
-Allergy testing (skin test)
-Tuberculosis screening
TB screening usually done on which part of the body?
LEFT ARM
Give 3 IM sites
- Ventrogluteal
- Vastus lateralis
- Dorsogluteal
Why do we use the ventrogluteal site?
We use ventrogluteal site becasue it is the safest IM site for clients older tha 7 months. It provides greatest thickness of gluteal muscle and is free of penetrating nerves
The IM site, Vastus Lateralis (upper thigh) is ideal for?
Infants and young children because it is the largest muscle mass and there are no major blood vessels in the area
A nurse administered medication intramuscularly in the dorsogluteal site. After a few minutes of administering the medication the client felt numbness and pain in the area. The client also complained that he cannot move his leg due to pain.
This is indicates that?
The nurse may have hit the sciatic nerve. When sciatic nerve is hit, complications such as numbness, pain, and paralysis may occur.
It is the preferred site for IM injections
VENTROGLUTEAL SITE
