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NUR 220 > medication administration > Flashcards

medication administration Flashcards

1
Q

pharmacokinetics

A

metabolism and excretion

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2
Q

idiosyncratic

A

opposite result than what you expected

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3
Q

therapeutic range

A

concentration of drug in the blood serum that produces the desired effect without causing toxicity

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4
Q

peak level

A

the point when the drug is at its highest

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5
Q

trough level

A

the point when the drug is at its lowest concentration, indicating the rate of elimination

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6
Q

half-life

A

amount of time it takes for 50% of the blood concentration of a drug to be eliminated from the body

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7
Q

admission assessment: reconciliation

A

-prescribed medications
-PTA meds/ OTC meds
-allergies vs adverse effects
-pregnancy and lactation status
-dietary supplements and herbal and natural remedies

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8
Q

aging and drug response

A

-decreased gastric motility
-decreased total body water
-decreased lipid content in skin
-decreased liver function
-decreased kidney function
-adverse CNS effects
-altered peripheral vascular tone

**MONITOR MONITOR MONITOR

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9
Q

verbal and telephone orders require

A

mandatory read backs (repeating the order)

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10
Q

patient rights

A

patient
medication
dose
route
time

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11
Q

three checks

A
  1. removing medication from medcart
  2. comparing medication to MAR
  3. rechecking to EMR/MAR at bedside prior to admission
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12
Q

ac

A

before meals

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13
Q

pc

A

after meals

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14
Q

HS

A

hours of sleep

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15
Q

2 patient identifiers

A

name, birthdate, MRN
*compare with EMR

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16
Q

medications given more frequently than 6 hours (Q1-Q5)

A

can administer 30 minutes before or after scheduled time

17
Q

medications given Q6 hours or less frequently (Q6-Q12)

A

can administer 60 minutes before or after scheduled time

18
Q

QD, weekly or monthly medications

A

administer within 2 hours before or after scheduled time

19
Q

half time rule

A

-late dose can be give up to half way of the next scheduled dose
-if the patient is only available after the halfway, give the missed dose and skip the next dose, then resume

20
Q

exceptions to the half-time rule

A

aminoglycosides and chemotherapy

21
Q

enteral meds

A

PO, feeding tubes, sublingual and buccal routes
(GI system)

22
Q

NEVER CRUSH

A

sr,xl, cr, and enteric-coated medications

23
Q

topical medications

A

lotions, creams, ointments, powders
-transdermal patches
-eye drops
-nose drops/ mists
-ear drops
-suppositories

23
Q

brown syringe

A

oral dose only

24
Q

“one and only”

A

one needle
one syringe
only one time

25
Q

direct syringe reuse

A

use of same syringe for more than one patient

26
Q

is contamination only limited to the needle?

A

NO

27
Q

indirect syringe reuse

A

double-dipping
-accessing parental medications with a used syringe followed by reuse of the vial or container for additional patients
–single-dose medications commonly involved

28
Q

can saline bags be used for more than 1 patient?

A

NO

29
Q

intradermal

A

TB test
-5-15 degrees
-1/4-1/2 inch
-25G, 27G
-0.5mL

30
Q

subcutaneous

A

insulin, heparin
-3/8-5/8 inch
-45-90 degrees
-25-30G
-1mL

31
Q

Intramuscular

A

deltoid (1mL) , ventral gluteal (3mL) , vastus lateralis
-5/8-1.5 inch
-20-25G
-up to 3mL in larger muscles (not deltoid)
-Z track method

32
Q

aspiration of injections is only required when

A

IM, large molecule medications = penicillin

33
Q

controlled substances

A

-locked
-narcotic counts
-report any discrepancies
-record partial doses

34
Q

where are wasted meds disposed of

A

cactus

35
Q

drug diversion

A

keeping drugs away from patients for their own personal use

36
Q

what do you do if you have a medication error

A

-checks patient’s condition immediatley; observe for adverse effects
-obtain a set of VS
-notify nurse manager and primary care provider
-complete form used for reporting errors (not completed in patient chart)

NUR 220 (7 decks)

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