Medication Administration (exam 2)

Question 1

What information is needed before medication administration?

Answer 1

med category/ classification;
mechanism of action;
desired/therapeutic effect;
side effect/ adverse effect/ toxic effect;
interactions;
precautions/contraindications;
preparation/dosage;
route of administration;
nursing implications

Question 2

What are the 4 parts of pharmacokinetics?

Answer 2

absorption, distribution, metabolism, and excretion

Question 3

What is absorption?

Answer 3

passage of meds from site of administration into bloodstream

influenced by: route of administration, ability of med to dissolve, circulation to site of administration, body surface area, lipid solubility of med

Question 4

What is distribution?

Answer 4

after absorption med is distributed to organs/ tissues & to specific site of action

impacted by: circulation, membrane permeability, protein binding

Question 5

What is metabolism?

Answer 5

after med reaches site of action it’s metabolized into a less active form for excretion;
most biotransformation occurs in liver

Question 6

Where does excretion take place?

Answer 6

main organ is kidney; some meds excreted through liver, bowels, and lungs

Question 7

Generic name vs brand name of a drug

Answer 7

generic name- assigned when first manufactured

brand name- assigned by company who sells it

Question 8

What does pharmacodynamics mean?

Answer 8

how the drug effects the cells in the body

Question 9

What does pharmacodynamics involve?

Answer 9

classification, effect on body, and chemical composition

Question 10

What are the different types of orders?

Answer 10

routine/ standard rx
stat
one time or single dose
PRN
standing order

Question 11

What should go into an order?

Answer 11

patient identification;
date/ time;
medication;
dose;
route;
frequency;
signature of prescriber

Question 12

What is a drug’s half life?

Answer 12

.

Question 13

What is a drug’s half life?

Answer 13

amount of time it takes for 50% of the drug to be excreted from blood

Question 14

What are the ‘rights’ of giving medication?

Answer 14

The right:

patient
medication
dose
route
time
documentation

Extra rights:
reason/ indication
response

Other rights:
right assessment data
right to education
right to refuse

Question 15

What are some interventions to cut down the number of medication errors?

Answer 15

read order/med labels/ MARs carefully;
question multiple tablets/ vials for single dose;
check decimal points;
consult resources for unfamiliar meds;
avoid "do not use" abbreviations;
do not attempt to decipher illegible writing;
identify pt accurately;
check allergies;
be aware of meds with similar names

Question 16

What should be done if a medication error occurs?

Answer 16

assess pt immediately- focused;
notify MD;
notify charge nurse/supervisor;
implement ordered/ needed interventions;
document appropriately;
complete occurrence/incident report;
follow facility policy;
near misses count!!