Medical Administration Flashcards

1
Q

FDA’s control over medication

A

Ensures that all medications on the market undergo vigorous testing before they are sold to the public

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2
Q

Define Chemical Name

A

Exact description of the medication’s composition and molecular structure

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3
Q

Define Generic Name

A

The adopted name given to the drug listed in official publication

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4
Q

Define Trade Name (Brand Name)

A

Name in which a manufacturer markets a medication

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5
Q

What are the three characteristics of Medication Classification

A
  1. The effect of the medication.
  2. Symptoms the medication relieves
  3. Medication’s desired effect
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6
Q

What does the form of medication determine?

A

The route of administration

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7
Q

What are the five factors that influence Drug Absorption

A
  1. Route of administration
  2. Ability of the medication to dissolve
  3. Blood flow to the site of administration
  4. Body Surface Area
  5. Lipid solubility of a medication
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8
Q

What is the most rapid form of medication absorption?

A

Intravenous

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9
Q

What does the ability of an oral medication to dissolve depend on?

A

it’s form of preparation

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10
Q

How does Body Surface Area relate to medication absorption?

A

The larger the surface area, the faster the medication is absorbed

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11
Q

How does lipid solubility relate to medication absorption?

A

Cell membranes have a lipid layer and allow lipid-soluble medications to cross over quickly

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12
Q

What two characteristics of medication affect the rate and extent in which medication is distributed?

A
  1. Physical properties

2. Chemical properties

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13
Q

What three factors affect the rate and extent of medication distribution in the body?

A
  1. Circulation
  2. Membrane Permeability
  3. Protein binding
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14
Q

Two forms of Parenteral Medication

A
  1. Solution

2. Powder

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15
Q

What is the primary organ for dug excretion?

A

Kidneys

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16
Q

What happens if renal function declines in regrades to medication excretion?

A

A patient would become at risk for medication toxicity

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17
Q

Define Therapeutic Effects

A

The expected or predicted physiological response or responses a medication causes

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18
Q

Define Side Effects

A

Predictable and often unavoidable secondary effects produced at a usual therapeutic dose

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19
Q

Define Adverse Effects

A

Unintended, undesirable, and often unpredictable severe response to medication

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20
Q

Define Toxic Effects

A

Developed after prolonged intake of a medication or when a medication accumulates in the blood stream because of impaired metabolism or excretion

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21
Q

Define Idiosyncratic Reactions

A

An unpredictable effect in which a patient overreacts or underreacts to a medication.

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22
Q

Define Allergic Reactions

A

Unpredictable responses to a medication. The medication or chemical acts as an antigen, triggering the release of the body’s antibodies

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23
Q

Define Medication Allergy

A

A severe or mild reaction where symptoms vary, depending on the individual and the medication

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24
Q

Define Anaphylactic Reaction

A

Severe or life threatening reaction that is characterized by sudden constriction of bronchiolar muscles

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25
Q

Define Medication Interaction

A

Altering the way another medication is absorbed, metabolized, or eliminated from the body

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26
Q

Define Synergistic Effect

A

Combined effect of two medications is greater than the effect if the medications were given separate

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27
Q

Define Serum Concentration

A

Amount of a drug compound in the body’s circulation

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28
Q

Define Peak Concentration

A

Highest serum concentration of the medication

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29
Q

Define Intravenous Infusion

A

Process of injected fluid or medication into the veins

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30
Q

Define Trough Concentration

A

minimum blood concentration or medication is reached just before the next scheduled dose

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31
Q

Define Onset Action

A

Time it takes after a medication is administered for it to produce a response

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32
Q

Define Peak Action

A

Medication reaches its highest effect

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33
Q

What is a Serum Half-Life

A

Time it takes for excretion processes to lower the serum medication concentration by half

34
Q

Three types of Oral Routes

A
  1. Swallowed
  2. Sublingual Administration
  3. Buccal Administration
35
Q

Define Sublingual

A

Under the tongue

36
Q

Define Buccal

A

against the cheek

37
Q

Define Parenteral Administration

A

Involves injecting a medication into body tissues

38
Q

Four major sites for Parenteral Injections

A
  1. Intradermal (ID)
  2. Subcutaneous (Sub-Q)
  3. Intramuscular (IM)
  4. Intravenous (IV)
39
Q

Where is an ID injection administered?

A

Into the dermis

40
Q

Where is a Sub-Q injection administered?

A

Into the tissue just below the dermis of the skin

41
Q

Where is an IM injection administered?

A

into the muscle

42
Q

Where is an IV injection administered?

A

into the veins

43
Q

Define Intrathecal

A

Into the subarachnoid space or one of the ventricles of the brain

44
Q

Define Intraossesous

A

Into the bone marrow

45
Q

Define Intraperitoneal

A

Into the peritoneal cavity

46
Q

Define Intralpleural

A

Into the pleural space

47
Q

Define intraarterial

A

Into the arteries

48
Q

Define Intracardiac

A

Into the cardiac tissue

49
Q

Define Intraarticular

A

Into the joint

50
Q

What are Systemic Effects?

A

Absorbed into the bloodstream and circulated to various parts of the body

51
Q

What are Local Effects?

A

Act mainly at the site of application

52
Q

Define Instillation

A

Introduction of a lipid drop by drop

53
Q

Two common measurements used in medication therapy

A
  1. Metric System

2. Household Measurements

54
Q

Define Verbal Order

A

Nurse receives the order and reads it back to prescriber for confirmation and accuracy

55
Q

Define PRN Orders

A

As needed

56
Q

Define Standing Order

A

administered until dosage is changed or another is prescribed

57
Q

Define Single Order

A

Medication only given once

58
Q

Define Now Order

A

Patient needs a medication quickly, but not right away

59
Q

Define STAT order

A

Immediately

60
Q

Identify the four process for medication reconciliation

A
  1. Verify
  2. Clarify
  3. Reconcile
  4. Transmit
61
Q

6 Rights of Medication Administration

A
  1. Right Medication
  2. Right Dose
  3. Right Patient
  4. Right Route
  5. Right Time
  6. Right Documentation
62
Q

Two most common form of nasal instillation

A
  1. Sprays

2. Drops

63
Q

Four Principles for administering eye drops

A
  1. Avoid cornea
  2. Avoid eyelid touching the dropper
  3. Use only on infected eye
  4. Never let a patient use another patient’s eyedrops
64
Q

Failure to instil ear drops at room temperature causes?

A
  1. Vertigo
  2. Dizziness
  3. Vertigo
65
Q

Vaginal Medications are available as?

A
  1. Suppositories
  2. Foam
  3. Jellies
  4. Creams
66
Q

How do you pull the auricle of the ear when administering ear drops?

A

Pull auricle of ear upwards and outward

67
Q

Rectal suppositories are used for?

A
  1. defecation

2. Reduce nausea

68
Q

Three types of inhalation inhalers

A
  1. Metered-Dose Inhalers (MDIs)
  2. Breath-actuated metered-dose inhalers (BAIs)
  3. Dry Powdered inhalers (DPIs)
69
Q

Identify the two factors that must be considered when selecting a needle for an injection

A
  1. The size and weight of the patient (type)

2. The viscosity of the fluid to be injected or infused

70
Q

Define Ampule

A

Small sealed glass container that holds a single-dose or parenteral solution

71
Q

Define Vial

A

A single-dose or multi-dose container with a rubber seal at the top

72
Q

Three principles to follow when mixing medications from two vials

A
  1. Do not contaminate one medication with another
  2. Ensure the final dose is accurate
  3. Maintain aseptic technique
73
Q

What angles should be utilized with Sub-Q injections?

A

1) 45-degree angle if you can grasp 1 inch of tissue

2) 90-degree angle if you grasp 2 inches of tissue

74
Q

What length needle are used with Sub-Q injections?

A

Length: 5/8th inch for 45-degree
Length: 1/2 inch for 90-degree

75
Q

What angle of insertion for an IM injection?

A

90-degree angle

76
Q

What size needles are used for IM injections?

A

Length: 1/2 in (thin adults) - 3 in (obese adults)

77
Q

Maximum volume of IM injection for well-developed adults?

A

3 mL

78
Q

Maximum volume of IM injection for older children, older adults, and thin adults?

A

2mL

79
Q

Maximum volume of IM injection for small children and older infants?

A

1mL

80
Q

Three sites for IM injections

A
  1. Vastus Lateralis
  2. Ventrogluteal
  3. Deltoid
81
Q

Explain the rational for the z-track method in IM injections

A
  1. minimizes local skin irritation by sealing the medication in muscle tissue
  2. Less discomfort and decreases the occurrence of lesions at injection site