Medication Administration Flashcards

0
Q

In the last 10 years, errors have ____________ .

A

Doubled

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1
Q

How many people die each year from human error?

A

98,000

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2
Q

How much percentage is due to physician orders?

A

38% (the nurse catches half of these)

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3
Q

How many die from drug error?

A

7,000

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4
Q

What is the time frame a med must be given?

A

Within a 2 hour window. 1 hour before to 1 hour after.

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5
Q

Who determines the safety and efficacy of drugs?

A

FDA

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6
Q

Who provides an official list of drugs including source and properties?

A

USP

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7
Q

How often see controlled substances counted?

A

Daily

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8
Q

If the count of a controlled substance is off what is the next thing?

A

Investigation

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9
Q

If a portion of a controlled substance is not used of wasted, what must be done?

A

It must be witnessed and documented

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10
Q

What does the Drug Abuse Prevention and Control Act of 1970 state?

A

How often rxs can be filled to prevent drug abuse

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11
Q

High abuse potential; no medical acceptance in the US; not prescribed
I.e. cocaine, LSD, heroin

A

Schedule I

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12
Q

High abuse potential; accepted medical use in US; abuse may lead to severe dependence
I.e. morphine, oxycodone

A

Schedule II

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13
Q

Abuse potential less than I and II; accepted medical use in US; moderate or low dependence
I.e. Xanax, Tylenol 3, Ativan

A

Schedule III

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14
Q

Low abuse potential, accepted medical use; limited dependence

A

Schedule IV

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15
Q

Lowest abuse potential; limited dependence

I.e. cough meds

A

Schedule V

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16
Q

Is a substance administered for the diagnosis, cure, treatment or relief of a symptom or prevention of disease also called drug (sometimes a negative meaning)

A

Medication

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17
Q

Name assigned by a manufacturer before drug becomes official

I.e. ibuprofen

A

Generic name

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18
Q

Constituents that makes drug molecular

2-(4 isobutylpphenyl) propinoic acid

A

Chemical name

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19
Q

Registered name assigned by the manufacturer (trademark name)
I.e. Advil, Motrin, Nuprin

A

Brand name

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20
Q

Name listed in the FDA publications

NSAID

A

Official name

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21
Q

The process where the drug enters the bloodstream

A

Absorption

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22
Q

Where are most PO meds absorbed?

A

GI tract

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23
Q

Intravenous vs. subQ absorption?

A

Intravenous = fast; subQ = slow

Even slower when ice is applied

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24
Q

The delivery of a drug to the tissue by the circulatory system

A

Distribution

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25
Q

When a drug is distributed, where is it carried?

A

The most vascular organs (liver, kidneys, brain)

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26
Q

The process by which a drug is transformed to a less active form

A

Metabolism

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27
Q

Metabolism is also called:

A

Biotransformation or detoxification

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28
Q

Where does metabolism take place mainly?

A

The liver

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29
Q

What is metabolism a product of?

A

Active and Inactive metabolites (active metabolites have a pharmacological action; inactive metabolites have none)

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30
Q

Action of an active drug and bi products removed from the body

A

Excretion

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31
Q

Where are most metabolites excreted?

A

In urine (other areas are in feces, breath, perspiration, saliva, and breast milk)

32
Q

How is anesthesia excreted?

A

Via respiratory tract

33
Q

The desired effect of a drug and the reason it is prescribed is called?

A

Therapeutic effect

34
Q

What is a secondary or unintended effect of a medication that is predictable and can or cannot be harmful?

A

Side effect

35
Q

What are severe side effects called?

A

Adverse effects

36
Q

What is a level of a drug too high for the body causing adverse effects?

A

Drug toxicity

37
Q

What is an immunological reaction to a drug where the body is exposed to a foreign substance?

A

Drug allergy

38
Q

What are some examples of a mild or severe allergic reaction to a med?

A

Rash, pruritis, angioedema, rhinitis, lacrominal tearing, nausea, vomiting, wheezing, diarrhea

39
Q

What is are some examples of a severe or anaphylactic reaction?

A

Acute SOB, tachycardia, hypotension, shallow airway

40
Q

Drug allergies can take how long to react?

A

Immediate or within days

41
Q

The body requires more of a drug for therapeutic effect

A

Drug tolerance

42
Q

Alters effect of one or both drugs potentiating or inhibiting effect

A

Drug interaction

43
Q

When 2 drugs are given together to produce a greater effect than given alone
I.e. Asa and codeine

A

Synergistic response

44
Q

Time after administration to produce a response is called:

A

Onset of action

45
Q

The highest serum concentration of drug maximum therapeutic effect

A

Peak level

46
Q

Length of time drug present in concentration to produce therapeutic effect

A

Duration of action

47
Q

Enough drug present in plasma to produce desired effect or response but not enough to cause toxicity

A

Therapeutic range

48
Q

Least amount of drug in serum to produce a therapeutic response

A

Minimum dose

49
Q

Greatest amount of drug in serum without causing adverse effects

A

Maximum dose

50
Q

Maintains desirable drug level - administer time is important

A

Maintenance dose

51
Q

What are some factors that influence drug action?

A

Developmental, pregnancy, infants, gender, diet, environment, psych, illness, and before and after meals

52
Q

What are the physiological changes in the elderly for meds?

A

Loss of vision, accumulation of drug into the body, compatibilities, decreased kidney and liver functions

53
Q

The primary reasons that patients don’t take meds correctly is?

A

The lack of understanding

54
Q

What are the systems of drug measurement?

A

Metric, apothecary, and household

55
Q

What is the most common, safest, and least expensive route of medication?

A

Oral

56
Q

Under tongue

A

Sublingual

57
Q

Parenteral

A

By needle

58
Q

Local and on skin

A

Topical

59
Q

Through the respiratory tract

A

Inhalation

60
Q

To cheek

A

Buccal

61
Q

What is the most widely used drug book?

A

Physicians desk reference

62
Q

Compliance of drugs for use in the hospital

A

Hospital formulary

63
Q

Indicates medication to be given immediately and only one time within 20 minutes

A

STAT

64
Q

Only when physician can’t write order

A

Verbal order

65
Q

A verbal order must be signed by the MD within ________ hours

A

24

66
Q

Order given only once at a specific time

A

Single/one time order

67
Q

Order that may or may not have a termination date, some terminates on set time during a policy

A

Standing order

68
Q

As needed

A

PRN

69
Q

Is located on the unit in large amounts, now only wound cleaners

A

Stock supply

70
Q

Individual supply for each patient (most common) and prepared by the robot at BMC

A

Unit dose

71
Q

Specific dose for each patient in an individual container

A

Individual supply

72
Q

Must keep locked; each patient has their own drawer

A

Medication cart

73
Q

Rare; located at SDS

A

Medication cupboard

74
Q

Most common nursing diagnosis related to drug therapy

A

Deficient knowledge

75
Q

“Real time” documentation is located where?

A

At the bedside

76
Q

If a patient vomits after a med is given . . .

A

Notify the physician and document

77
Q

If a med error occurs what needs to be done?

A

Assess patient first then fill out a STT (safety tracking tool)

78
Q

How often is medication checked before given to the patient?

A

3 times: when removing from the drawer, before opening, and at bedside before administering