homework review 3 Flashcards
Controlled substances include
a. only intravenously administered drugs.
b. all analgesics.
c. only opiates.
d. drugs with a high abuse potential.
d. drugs with a high abuse potential.
Flumazenil (Romazicon) and naloxone (Narcan) are prescribed to
reverse the sedation of other drugs.
Generic medications are usually the ___________________ proprietary medications.
same as, but less expensive than,
Insulin, tolbutamide (Orinase), chlorpropamide (Diabinase), rosiglitazone (Avandia), and metformin (Glucophage) are examples of
hypoglycemic agents.
The role of the radiographer in medication administration involves
preparing the medication for administration and monitoring the patient after it has been given.
The term pharmacokinetics refers to the study of
the physiological movement of medications**
When a patient has an adverse response to a medication because he or she has been sensitized to a previous dose of the drug, the effect is considered to be
allergic
When a patient overreacts or underreacts to a medication or has an unexpected response, the effect is categorized as
idiosyncratic
Which is a common antihistamine (generic and trade names) kept in the radiology department?
Diphenhydramine (Benadryl)
What medication is a corticosteroid drug that acts as an anti-inflammatory agent, preventing or reducing edema of the tracheobronchial tree and minimizing the possibility of respiratory arrest during allergic reactions?
Methylprednisolone (Solu-Medrol)
A common site for blood draws and emergency IV injections is
the median cubital vein
A drug usually takes effect most rapidly when administered
a. orally.
b. intravenously.
c. intradermally.
d. intramuscularly.
b. intravenously.
Administering nitroglycerine under the patient’s tongue is an example of
sublingual administration
All of these are included in the six rights of drug administration, except.
a. the right time.
b. the right documentation.
c. the right dose.
d. the right cost.
right cost
chemical name for drug example
2-(DIETHYLAMINO)-N-(2,6-DIMETHYLPHENYL-M ONOHYDROCHLORIDE)
generic name for drug example
lidocaine hydrochloride
brand name for drug example
xylocaine
6 rights of medication adiministration
Right Patient
Right Drug
Right Dose
Right Route
Right Time
Right Documentation
mnemonic for 6 rights of drug administration
patients do drugs round the day
weight conversion equation
Pounds (lb) / 2.2 lb/kg = kilograms (kg)
dose calculation equation
Dose/kg x Weight (kg) = Total Dose
Angle of Intradermal = _++ degrees
10-15
Angle of subcutaneous = _____ degrees
45 or 90
IV complication that occurs when microorganisms invade the IV line, port, or skin on the site of injection
Infection
Angle of intramuscular = __ degrees
90
IV complication that occurs when the cannula is too large for the vein or if it’s improperly secured
phlebitis
IV complication that occurs when IV fluids or medications leak out of the vein and into the surrounding tissue
infiltration
IV complication that occurs when a vesicant agent in the IV leaks into surrounding tissues and causes serious tissue damage
extravasation
IV complication that occurs when the IV angio-catheter passes through more than one wall of a vein or if pressure is not applied to the IV site when the catheter is removed
hematoma
IV complication that occurs when air enters the venous system from the VI catheter and circulates
air embolism
Failure to apply pressure to the vein after discontinuing an IV can result in
hematoma
If extravasation occurs during IV infusion, you should remove the needle or catheter, apply pressure, and then apply (cold/hot packs)
cold packs
Which administration route is the injection of a contrast medium into the subarachnoid space for a myelogram?
intrathecal
Which two are performed after oral administration of a medication?
a. Hand hygiene
b. Documentation of the medication
c. Recheck the patient identity.
d. Read the label again.
hand hygiene, documentation of the medication
A “skin test,” such as a test for tuberculosis, which is administered to an area on the anterior forearm, is an example of the _________________ route of medication administration.
intradermal
A multidrawered cabinet on wheels that contains medications, supplies, and equipment needed in the event of a cardiac arrest is called a(n)
emergency cart
A noninvasive treatment that is appropriate for any patient who experiences acute anxiety accompanied by a rapid heart rate and shortness of breath is
a low rate of oxygen administration
An emergency drug given to reverse bronchospasm is
isoproterenol
Before suctioning a patient, it is important to check the suction system for which of the following?
a. There is adequate length of tubing connecting the suction catheter to the receptacle.
b. There is an assortment of disposable catheters available.
c. The pump is working and a clean receptacle is connected to the pump
d. All of the above
all of the above
Research has proven that victims of massive trauma who survive the initial injury have a greater chance of recovery if their condition can be stabilized within the “golden” period, which refers to the first
hour
the most common cause of death for individuals under 40 years of age in the United States is
trauma
When patients who suffer from a chronic lung disease, such as emphysema, experience respiratory distress, they should receive
a low flow rate of oxygen (less than 3 L/min).
Which of the following are accepted methods for administering oxygen?
1. Mask
2. Nasal prongs
3. Ventilator
4. Tent
all of the above
Xylocaine (Lidocaine) is a drug found on the emergency code cart that can be used for treating cardiac emergencies because it is a(n)
antidysrhythmic
The process of placing an artificial airway through the mouth or nose and into the trachea is commonly called
intubation
emergency code: code blue
heart or respiration stops
emergency code: code orange
hazardous spills
emergency code: code red
fire
emergency code: code silver
weapon or hostage situation
emergency code: code gray
combative person
emergency code: internal triage
internal emergency
emergency code: external triage
external disaster
emergency code: amber alert
infant/child abduction
emergency code: rapid response
medical team needed at bedside
flow rate for use of nasal cannula; oxygen delivery %
used with lower levels 1-6 L/min; 45% O2 delivery
flow rate for use of simple oxygen mask; oxygen delivery %
1-10 L/min, 40-60% oxygen delivery
flow rate for use of non-breathing oxygen mask; oxygen delivery %
supplies 100% oxygen
A diabetic patient who has taken insulin but eaten no food may develop (hypoglycemia/hypergylcemia)
hypoglycemia
A dizzy sensation that feels as if the room is spinning and that often causes nausea may be reported by patients who suffer from
inner ear disturbances
A numeric system developed to evaluate the changing status of coma patients that can be used by a variety of healthcare workers is called the
Glasgow Coma Scale
All of the following actions are appropriate when caring for a patient who is experiencing a tonic-clonic seizure, except for
a. placing a pad under the head.
b. accurate observation.
c. maintaining the airway.
d. restraining movement as much as possible.
d. restraining movement as much as possible.
An AED has the ability to do all of the following except
a. deliver a shock.
b. analyze a cardiac rhythm.
c. remind staff to not touch the patient.
d. identify ventricular tachycardia and fibrillation.
c. remind staff to not touch the patient.
An acute attack of asthma or other reactive airway disease may be treated by the administration of oxygen and
a bronchodilating medication
The vital sign that most accurately indicates the condition of shock is the
blood pressure
In small children or infants, a foreign body obstruction of the airway should be suspected if there is a sudden onset of
severe coughing or stridor
A device to drain bile from the hepatic and common bile ducts to the outside of the body following cholecystectomy is called a
T-tube
A substantial intravenous dose delivered rapidly is called a(n)
bolus
an ionic iodinated contrast agent is one
that dissociates into charged particles in solution
Aqueous iodine compounds that are injected into the body are removed from the blood and excreted
in urine via the kidneys.
ERCP stands for
endoscopic retrograde cholangiopancreatography
The principal laboratory tests used to evaluate renal function prior to the injection of iodinated contrast media are the BUN and
creatinine
When a contrast medium is described as aqueous, this means that
water is the principal solvent for the iodine compound.
Which of the following listings is the most reliable predictor of risk of allergic response to contrast media?
a. BUN level
b. Seafood allergy
c. Intradermal skin test
d. Allergy history
allergy history
Which of the following conditions is least likely to be an adverse reaction to the intravenous injection of aqueous iodinated contrast media?
a. Hypertension
b. Anaphylactic shock
c. Nausea
d. Urticaria
hypertension
Gases commonly used as contrast agents are air and
carbon dioxide
