Medication Administration Flashcards
In the last 10 years, errors have ____________ .
Doubled
How many people die each year from human error?
98,000
How much percentage is due to physician orders?
38% (the nurse catches half of these)
How many die from drug error?
7,000
What is the time frame a med must be given?
Within a 2 hour window. 1 hour before to 1 hour after.
Who determines the safety and efficacy of drugs?
FDA
Who provides an official list of drugs including source and properties?
USP
How often see controlled substances counted?
Daily
If the count of a controlled substance is off what is the next thing?
Investigation
If a portion of a controlled substance is not used of wasted, what must be done?
It must be witnessed and documented
What does the Drug Abuse Prevention and Control Act of 1970 state?
How often rxs can be filled to prevent drug abuse
High abuse potential; no medical acceptance in the US; not prescribed
I.e. cocaine, LSD, heroin
Schedule I
High abuse potential; accepted medical use in US; abuse may lead to severe dependence
I.e. morphine, oxycodone
Schedule II
Abuse potential less than I and II; accepted medical use in US; moderate or low dependence
I.e. Xanax, Tylenol 3, Ativan
Schedule III
Low abuse potential, accepted medical use; limited dependence
Schedule IV
Lowest abuse potential; limited dependence
I.e. cough meds
Schedule V
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)
Medication
Name assigned by a manufacturer before drug becomes official
I.e. ibuprofen
Generic name
Constituents that makes drug molecular
2-(4 isobutylpphenyl) propinoic acid
Chemical name
Registered name assigned by the manufacturer (trademark name)
I.e. Advil, Motrin, Nuprin
Brand name
Name listed in the FDA publications
NSAID
Official name
The process where the drug enters the bloodstream
Absorption
Where are most PO meds absorbed?
GI tract
Intravenous vs. subQ absorption?
Intravenous = fast; subQ = slow
Even slower when ice is applied
The delivery of a drug to the tissue by the circulatory system
Distribution
When a drug is distributed, where is it carried?
The most vascular organs (liver, kidneys, brain)
The process by which a drug is transformed to a less active form
Metabolism
Metabolism is also called:
Biotransformation or detoxification
Where does metabolism take place mainly?
The liver
What is metabolism a product of?
Active and Inactive metabolites (active metabolites have a pharmacological action; inactive metabolites have none)
Action of an active drug and bi products removed from the body
Excretion