General Questions Flashcards

1
Q

What role do agonists have on receptors?

A

Activate

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2
Q

What role do antagonists have on receptors?

A

Block

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3
Q

What could the benefits be of IM over oral medications?

A
  • Doesn’t require accurate digestion for Medication to enter the blood stream
  • Increased active dose ensured
  • Less frequent repetition needed
  • Useful for patients who are unable to unlikely to comply with oral medication
  • Avoids patients crushing or chewing oral medication (which can decrease absorption)
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4
Q

What are the benefits of patients recieving Oral medication over IM?

A
  • Potenitally easier for the patient to manage and maintain
  • No pain associated with injection site
  • Absorption may be better through oral than IM if peripheries are poorly perfused
  • Needles are likely to provoke stress in individuals, especially children or those with poor mental competency.
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5
Q

If a drugs chart becomes illegible, what action should you take?

A
  • Not give any medication
  • Ensure a new drug chart is written up for the patient promptly to avoid delays in medication administration
  • Discuss with mentor/nurse in charge to inform of incident and ascertain which medication have been administered at this point
  • Document issue/incident form if a delay in administering medication
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6
Q

How many levels of ‘Self-administration’ are there?

A

3

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7
Q

If a patient is deemed to be able to self-medicate at Level 2, what protocol and procedure is followed?

A
  • The registrant is responsible for the safe storage of the medicinal products.
  • At administration time, the patient will ask the registrant to open the cabinet or locker.
  • The patient will then self-administer the medication under the supervision of the registrant
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8
Q

If a patient is deemed to be able to self-medicate at Level 3, what protocol and procedure is followed?

A
  • The patient accepts full responsibility for the storage and administration of medicinal products.
  • The registrant checks the patients suitability and compliance verbally
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9
Q

What Procedure is followed for patients self-administering medication at level 1?

A
  • The registrant is responsible for the safe storage of the medicinal products
  • The registrant is responsible for the supervision of the administration process ensuring the patient understands the medicinal products being administered
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10
Q

Name the only proceses under which you should supply and administer medicinal products?

A
  • Patient specific direction (PSD)
  • Patient medicines administration chart
  • Patient group direction (PGD)
  • Medicines Act exemption
  • Standing order
  • Homely remedy protocol
  • Prescription forms
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11
Q

Prior to administration of medication, what 8 things should you have checked?

A
  • be certain of the identity of the patient
  • the patient is not allergic to the medicine
  • know the therapeutic uses of the medicine
  • be aware of patient’s care plan
  • prescription or the label on medicine dispensed is clearly written
  • expiry date
  • considered the dosage, weight, method, route and timing
  • whether to administer or withhold in the context of the patient’s presenting condition
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12
Q

What must you do if you notice contra-indiciations or if the patient reacts adversly to the medication?

A

Contact the prescriber

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13
Q

Following administration (or refusal) of medication, what must you do?

A
  • Make a clear accurate and immediate record
  • ensure the signature is clear
  • in the case of refusals, detail the reason for this
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14
Q

Who may provide a secondary signature in the case of administering Controlled drugs?

A
  • Ideally a health professional
  • Can be a non-qualified individual if they are assessed as competent to sign.
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15
Q

What are the 7 advantages of Self-administration?

A
  • Encourages patient/client to take an active role in their treatment
  • Encourages patient compliance
  • Allows patient to become familiar with new drugs in a safe environment
  • Empowers decision making
  • Identifies potential for education
  • Reduces medication errors
  • Saves nurses time
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16
Q

What are the 4 disadvantages of Self-administration?

A
  • Clear policy needs to be in place and adhered to
  • Patient may not want to undertake self administration
  • Not all medications are suitable for self administration
  • Education, training and assessment of patients is time consuming
17
Q

What are the 4 key roles for Nurses in the self-administration protocol?

A
  • Check medications
  • Appropriate storage
  • Assess your patients
  • Document
18
Q

Outline the typical management options for a patient who is experiencing Dry Mouth

A

Fluid intake increase

19
Q

Outline the typical management options for a patient who is experiencing Constipation

A
  • Increase Fiber
  • Laxative
20
Q

You are about to administer medication but notice that the patient is not wearing their wristband. What do you do?

A
  • Verify with patient their details, check patient’s details in notes and confirm with another member of staff
  • Ensure a nameband is written and provided for the patient
  • Inform mentor/nurse in charge that the patient has no nameband
  • Document findings/complete incident for
21
Q

Outline the typical management options for a patient who is experiencing Ataxia

A

Advise patient not to drive/use heavy machinery etc.

22
Q

Outline the typical management options for a patient who is experiencing Nausea and/or vommiting

A
  • Monitor fluid input/output
  • consider antiemetic
  • administer medication with food to alleviate GI upset.