Medication Administration

Question 1

Steps of pharmacokinetics

Answer 1

1. Absorption
2. Distribution
3. Metabolism
4. Excretion

Question 2

What is pharmacokinetics

Answer 2

The process of how medications work within the

Question 3

Nursing considerations of medication administration

Answer 3

1. timing of administration
2. selection of route
3. evaluating pt response

Question 4

7 rights

Answer 4

1. patient
2. medication
3. indication
4. dose
5. route
6. time
7. documentation

Question 5

Therapeutic effect

Answer 5

• the happy place
• expected response

Question 6

Nitroglycerine (example of therapeutic effect)

Answer 6

decreases cardiac workload and increases myocardial supply

Question 7

Adverse effect definition

Answer 7

unintended/unpredictable response

Question 8

High risk patients

Answer 8

• infants
• elderly
• pregnant
• malnourished
• liver/renal failure
• polypharm

Question 9

Side effect definition

Answer 9

predictable, unavoidable response

Question 10

Most common side effects

Answer 10

• n/v
• anorexia
• constipation
• diarrhea
• drowsiness

Question 11

Toxic effect definition

Answer 11

from prolonged/increased intake of med that’s accumulating in the blood

Question 12

Example of toxic effect

Answer 12

Opioid toxicity= respiratory depression

Question 13

Idiosyncratic reaction

Answer 13

• overreacts or underreacts to med
• reaction different that normal

Question 14

Example of idiosyncratic reaction

Answer 14

Child takes Benadryl and becomes excited rather than drowsy

Question 15

Allergic reaction definition

Answer 15

unpredictable histamine response

Question 16

If there is an allergic reaction/anaphylaxis, what do you do?

Answer 16

1. stop medication
2. assess pt, ABC
3. report to physician
4. communicate w/ pharm

Question 17

Intolerance definition

Answer 17

side/adverse effect that pt cannot tolerate
ex. n/v, diarrhea

Question 18

Tolerance definition

Answer 18

receiving an increased dose to achieve same therapeutic effectd

Question 19

Dependence definition

Answer 19

needing a med to feel better `

Question 20

Onset definition

Answer 20

time it takes after med to produce a response

Question 21

Duration definition

Answer 21

during med is present in concentration

Question 22

Plateau definition

Answer 22

blood serum concentration of med reached and maintained

Question 23

Peaks definition

Answer 23

highest effective concentration

Question 24

Trough definition

Answer 24

minimum concentration before next scheduled dose

Question 25

Half life definition

Answer 25

time it takes for drug to reduce by 1/2

Question 26

Stat vs now orders

Answer 26

Stat: give once immediately
Now: give once within 90 minutes

Question 27

Chemo meds administration and effects

Answer 27

Routes: IV, PO
Effects: cancer, birth defects, immune depression

Question 28

Example of med errors

Answer 28

1. inaccurate prescribing
2. administering wrong meds
3. utilize wrong route
4. extra dose
5. no administering med
6. administering med that pt is allergic to

Question 29

Med error occurred, what do you do?

Answer 29

1. assess pt
2. notify provider and develop plan
3. inform pt
4. notify charge nurse
5. notify pharm
6. document incident report

Question 30

Medication reconciliation

Answer 30

1. obtain, verify document (current list of meds)
2. consider and compare (review what pt is taking preadmission and compare to treatment plan)
3. reconcile (compare new orders to current list)
4. communicate (make sure list is updated)