Exam 1 Flashcards

1
Q

What is a drug?

A

Drugs can be vitamins, pain relievers, supplements, medications to treat diseases
Drugs are a broad category of chemically altering body systems

Drugs can be vitamins, pain relievers, or supplements, medications

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2
Q

What is the nurses role for drug administration

A

Assessment
Selecting appropriate pharmacotherapy
Reassessment
Revising plan if needed

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3
Q

Are nurses allowed to deliver half of a perscribed dose?

A

Absolutely not

Nurses cannot change orders, we are not the prescribers

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4
Q

How often should you be assessing a pt’s pain level if they’re less than 24 hours post-op?

A

Every 15 minutes x 2
Every 30 minutes x 2
Every hour x 4
Every two hours

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5
Q

Whats the name of the automated computerized medication systems?

A

Pyxis/Omnicell

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6
Q

Based on the Drug regulation standards chart;

What medications fall within the highest abuse potential (class 1) catagory

Are there therapuetic uses of these medications?

A

Heroin, LSD, Marjuana

No current accepted theraputic use

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7
Q

Based on the Drug regulation standards chart;

What medications fall within the high abuse potential (class 2) catagory

Are there therapuetic uses of these medications?

A

Potent opioids (Fentanyl, methadone, morphine, oxycodone, hydrocodone)

There are theraputic uses for these meds, but they’re severly restricted

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8
Q

Based on the Drug regulation standards chart;

What medications fall within the Moderate abuse potential (class 3) catagory

Are there therapuetic uses of these medications?

A

Codeine
(When lower doses are mixed with ASA and Acetaminophen)

There are theraputic uses; less stringent that with control 2

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9
Q

Based on the Drug Regulation Standards Chart;

What medications fall within the low abuse potential (class 4) catagory

A

Bensodiazepines (alprazolam, diazepam, midazolam, temazepam) Tramadol, zolpidem

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10
Q

Based of the Drug Regulation Standards Chart

What medications call into the 5th drug schedule; Class 5.
(Lowest abuse potential)

A

Cough medicine w/ codeine, anti-diarrheals that contain trace amounts of opioids.

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11
Q

What can you discard into a red trash container

A

Sharps

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12
Q

What can you discard into a blue trash container

A

Liquid medications; Syringes that still contain medications

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13
Q

What can you place into a small black trash container for disposal

A

Hazardous medications left in a syringe/ ampoule, Coumadin/nicotine packageing, any tablet medications

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14
Q

What can you place into a large 8 gallon trash bag for disposal?

What should you do with things that might leak? Waht about syrnges?

A

Coumadin/Nicotine packaging, Full/partial IV bags, bottles, and vials

Put anything that might leak into a clear ziplock bag. No syringes!

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15
Q

What liquids can we pour down the drain?

How can we remember it?

A

Dextrose, Glucose, Lacted ringer, Normal Saline, Potassium, Electrolytes

“If it’s plain it goes down the drain!”

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16
Q

What can we dispose of in the green CsRx container?

What can we not dispose of in these?

A

IV solutions, Syringe solutions, contents of vials and ampoules, patches, pills, tablet, and capsules

Cannot put syringes, vials, ampoules, and non controlled substances

17
Q

What is the purpose of a Black box warning?

How can you remember it?

A

Alerts of life threatening risks

Black signifies possible death

18
Q

What is a High alert medication?

Who designates what becomes a high alert med?

A

A medication that has a heightened risk of cauing harm when used in error

Designated b the ISMP

19
Q

Are dietary and herbal supplements considered drugs? Who’s responsible for thier management?

What should supplements should we typically look out for?

A

Yes!! DSHEA is responsible for evaluating the safety and labeling of these products

Gingko, green tea, chamomile

20
Q

What vitamins are fat soluable?
Are Fat soluable vitamins stored? Where?
Do we need constant replenishment of them?
Why do we need to be careful about our intake amount?

A

A, D, E, K, are fat soluable
Typically stored in the Liver/ adipose tissues
Due to storage; More consumed = higher risk of toxicity

21
Q

How can Lactose intolerance in the elderly cause issues?

A

Dairy is typically reenforced with vitamin D. Less milk d/t lactose = less vit D = Less calcium = osteoporosis= bone fracture

22
Q

What vitamins are water soluable?
Are water soluable vitasmins stored? Where?

What kind of enviorment do they need to be in to be properly absorped?

A

Vitamins C, B1, B9, B12
None are stored execpt B12
B12 is stored in the liver

Need to have an acidic enviorment to be absorped

23
Q

3 functions of Vitamin A
How much of it is stored in the Liver?

A
  • Forms Rhodopsin (visual purple)
  • Facilitates normal growth of bones, teeth, tissue strength, and immunity
  • Formation and maintence of mucosa (Eyes, nose, throat, mouth)
  • 90% is stored in the liver
24
Q

Symptoms of a Vitamin A deficiency

A
  • Slow vision recovery (night blindness)
  • Decreased bone growth
  • Dry/scaly skin
  • Decreased saliva secretion = Decaying teeth
  • Xeropthalmia (Changes of corneal & conjunctiva of eye)
    = Dry patch on the eye = inflamation = ^ risk of infection
25
Q

Sources of preformed vitamin A?

A

Preformed vitamin A (retinol) - animal sources

26
Q

Sources of Provitamin A Beta-carotnene

A

Provitamin A (Beta-carotene) - yellow, orange, deep green fruits and veggies, chicken/beef liver (carrots, etc…)

27
Q
A
28
Q

What are the names of the two types of vitamin D pro hormones? What do they need to be turned into to be useful? What are some good sources to consume either?

A

D3; Cholecalciferol & D2 Ergocalciferol
Both need to be turned into it’s active form of Calcitriol
D3 = animal courses
D2 = plant sources

29
Q

What are the functions of vitamin D?

A

Develop and maintains strong bones and a balanced serum calcium concentration(important d/t calcitriol)

30
Q

What are the symptoms of a vitamin D deficiency?

A

Decayed teeth,
Bone growth retardation/ bone malformation
Rickets (softening of bones)

31
Q

What happens to women’s vitamin D levels as they age?

A

As women age, they lose estrogen, and therefore it’s harder for them to absorb vitamin D

32
Q

How long should you sit in the sun to get precursor vitamin D

A

15 to 30 minutes

33
Q

What turns dehydro cholesterol into calcidiol in the vitamin D cycle?
What turns it into calcitriol?

A

The Liver turns it into calcidiol
The kidneys turn it into calcidtriol

34
Q

What is the main function of vitamin E? What is vitamin E considered in Laymans terms?

A
  • Protects the cells from being destroyed/oxidized by free radicals
  • Called an antioxidant
35
Q

Symptoms of low vitamin E

A

Hemolytic anemia (blood being broken down)
Peripheral neuropathy
Ataxia (trouble w/ coordination)
Impaired vision and speech