Medication Flashcards

1
Q

Pharmacodynamics

A

is the study of how a drug works, its relationship to
drug concentrations, and how the body responds.

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2
Q

Peak plasma level

A

is when a drug is at its highest concentration, not
necessarily at its most therapeutic level.

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3
Q

Trough serum levels

A

are the lowest level of concentration of a medication that correlates to the rate of elimination

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4
Q

Stevens-Johnson Syndrome

A

that develops 1-14 days following drug administration. SJS is manifested by respiratory
distress, fever, chills, a diffuse fine rash, and then blisters

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5
Q

Pharmacokinetics

A

is the study of the absorption, metabolism,
distribution, and excretion of drugs in the human body.

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6
Q

Metabolism or biotransformation

A

is the process of converting a medication to a form that is easily
excreted from the body.

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7
Q

Prodrugs

A

are inactive chemicals that are transformed through metabolism to become active before they have therapeutic effect

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8
Q

teratogenic meds

A

known to cause fetal defects

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9
Q

High-alert medications

A

insulin, opiates, narcotics, intravenous heparin, and injectable potassium chloride are high-alert medications.

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10
Q

Time-critical medications

A

are those that when administered either 30 minutes before or after the scheduled administration time can cause harm to client or substandard
pharmacological effect.

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11
Q

Non-time critical medications

A

are defined as medications that can be administered between one and two hours early or late
without causing harm or substandard pharmacological effects to the client

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12
Q

Factors Affecting Drug Action

A
  • Developmental considerations
  • Weight
  • Gender
  • Genetic and cultural factors
  • Psychological factors
  • Pathology
  • Environment
  • Timing of administration
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13
Q

Types of
Medication
Orders

A
  • Standing order (routine order): carried out until cancelled by another order
  • PRN order: as needed
  • Single or one-time order
  • Stat order: carried out immediately
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14
Q

BCMA

A

Bar code–enabled medication cart

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15
Q

Buccal administration:

A

placing drug between
tongue and cheek

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16
Q

Sublingual
administration

A

placing the drug under tongue

17
Q

oral meds

A
  • Enteric-coated - covered with a hard surface;
    medication is released in the small intestine – used
    when the drug is irritating to the stomach mucosa
  • SR – sustained release
  • XL – extended release
  • CR – controlled release
  • SA – sustained action
  • LA – long acting
  • Chewing or crushing these medications may result in
    potentially toxic reaction
18
Q

Administration of
Parenteral Medications

A

Subcutaneous injection: subcutaneous tissue
Intramuscular injection: muscle tissue
Intradermal injection: corium (under epidermis)
Intravenous injection: vein
Intra-arterial injection: artery
Intracardial injection: heart tissue
Intraperitoneal injection: peritoneal cavity
Intraspinal injection: spinal canal
Intraosseous injection: bone

19
Q

Sites for Intramuscular Injections

A

Ventrogluteal site
Vastus lateralis site
Deltoid muscle

20
Q

Eye drop procedure

A

Hand hygiene, patient ID, explain procedure,
gloves, clean eyelid if needed, tilt head
back, look up/focus, expose conjunctival
sac, place drop(s) in sac - avoid touching
eye, have patient close eyes, apply gentle
pressure, remove gloves, hand hygiene,
document, evaluate response

21
Q

Anaphylactic

A

Allergic reaction, life threatening resulting from histamine release
Producing dyspnea, hypotension, tachycardia

22
Q

idiosyncratic effect

A

Idiosyncratic drug reactions are a significant cause of morbidity and mortality for patients; they also markedly increase the uncertainty of drug development. The major targets are skin, liver, and bone marrow

23
Q

ADE

A

Adverse drug event
Life threatening reaction that requires medical intervention

24
Q

Enteral

A

Administrated directly into GI tract

25
Q

Parenteral

A

Administrated by injection using needle or syringe or catheter

26
Q

Otic (ear)

A

Wait 5 mins between, press the tragus
Pull earlobe differently:
Adults- up and back
Children- straight back
Under 3- down and back

27
Q

Elixir

A

Medication in a clear liquid, containing water, alcohol, sweeteners, and flavor