Module 2 exam Flashcards
Generic Medication Names
- Not capitalized
-lengthy/ hard to pronounce - One official Form
Trade Names for Medications
- Capitalized
-Trade Mark symbol - Easier to pronounce
- Several Brand Names
Drug classification
Categorizes drugs by the way they act against diseases or disorders
Drug Category
Ways drugs work at the molecular, tissue, or body system level
What is a Side Effect?
- non-theraputic reaction
-Expected
-Beneficial / Harmful
What is an Adversed Effect?
-Undesired
-Non Theraputic
-may be life threatening
- Unexpected
Action
Binds to & activates receptors
Antagonists
- Binds to receptors without activating decreases receptor ability to become activated by other agonist
Indications (examples)
- Diabetes = indication for Insulin
- Hypertension= indication for ACE inhibitors (BP medication)
- Depression= Indication for SSRI
Contradiction
- Specific treatment, drug, or vaccine is not given because it could harm the person
Precaution
Action to protect against possiblr harm/touble
- limits damage if something goes wrong
7 rights of medication Administration
- The Right person
- The Right medication
- The Right Dose
- The Right Indication
- The Right Time
- The Right Route
- The Right Documentation
what does the Rights of Medication Administration Ensure?
- administration of accurate and safe drugs
Three (3) Checks
- Check label w/ MAR
- Check label BEFORE preparing & Opening medication
- Check @ bedside before Administering Medication
Right Patient:
- Identify by Pt name & DOB
-Verify with Pt’s armband
How do you determine the Right Dose?
- Read label to determine correct dosage strength
What indicates the amount of drug in a specific units of measurement?
Dosage strength
Right Route:
- Site of the body & method of delivery for the medication
Oral Forms of Medicine:
- Tablet (scored)
-Capsules
-Caplets
-Liquid
Paternal:
Intramuscular (IM)
Subcutaneous ( Sub q / Fat)
Intravenous
Intradermal
Scored Tablet:
groove down the middle; can easily be broken in half
Capsule:
Contains Powder, Liquid, Gel
Enteric Coated Tablet:
-never to be crushed/ chewed
- Meant to be dissolved
Cutaneous ( skins) Medication can be …..?
-topical (skin surface)
-transdermal
-inhalation
-ointments
-Suppositoeries (inserted into the body_
Right documentation:
- always document 7 rights on MAR
- Always sign
Right indication:
Ensure Medication is given for the right person/ right reason
What protects against medication error
-E.g appropriate dosage ranges for adults, the elderly, & Children
Dosage & Rights
Interactions:
- can be desirable/ Undesirable
- E.g mix of drugs and food
Incompatibilities:
Drugs shouldn’t be mixed
Signs of Effectiveness:
Understanding drug class, action, & use helps a nurse understand therapeutic outcomes
How does the nurse teach a Client?
- explains drug name & dose
- Explains why it was ordered
-Explain what to watch for
Who is responsible for sharing information about drugs to clients?
- Nurse, healthcare provider, & pharmacist
What correlates with its duration of action & Indicates how often a drug may be given to continue theraputic effect?
Half-life of a drug
T/F:
Time required for half of the drug to be excreted & no longer available for therapeutic use
True
What does therapeutic Range do?
- Evaluates the effects of drug therapy
-Nurse monitors the drug concentration in the clients blood/serum through use of laboratory - Tests to measure the therapeutic level
How can a nurse Avoid liability?
- look up what you do not know
- Chart carefully
- Listen to the client
- do not leave medicines at bedside
Autonomy:
freedom of choice & accepting the responsibility of One’s Choice
Beneficence:
- Doing good acts in patients best interest
Nonmalficience:
Do not Harm
Justice:
Be fair/ treat people fairly
Fidelity:
Faithful to agreement/ commitment/ keeping promises
Veracity/ Truthfulness:
Telling the Truth/ obligation not to lie
Confidentiality:
- respect for info with professionalism with clients
Felony:
- more serious crime than a misdemeanor in which the punishment is imprisonment
Misdemeanor:
- less serious offense than a felony.
- may be punishable by a fine or sentencing to a local prison for less than one year
Good Samaritan Laws:
- encourages anyone to render assistance in an emergency situation without fear of liability for Negligence
Negligence:
- Failure to perform as a reasonable, prudent Nurse would
- Failure to follow standards of practice
-No intent to harm is present
Malpractice:
-professional form of negligence
Defamation:
False Communication to a 3rd person
Slander:
-oral defamatory statements
Libel:
written defamatory statements
Advanced Directives:
legal DOCUMENTS stating wishes of individuals regarding healthcare in situations where they are no longer capable of giving personal informed consent
Living Will:
info on preferences regarding End-Of-Life issues
E.g.= types of care to provide or whether to use various resuscitation measures
Durable Power of Attorney:
Legal document where a person appoints someone to make his/her decisions if he/she becomes incapable of doing so
Ear Drops for Adult:
Pinna up and Back
Ear Drops for Children:
Pinna down & Back
Eye drops:
lower conjunctival sac
Ointment:
Spread inner to outer cantos of eye
Civil Law:
individual is looking to sue
Criminal Law:
- Misdemeanor
-Felony
Battery:
-Physical touching of he person w/o consent
Assault:
- Verbal/ Percieved Threat
- intent to harm another person
What are the 3 types of Syringes?
- 1 ml Syringe
- 2 ml syringe
- 3 mL syringe
1 mL syringe ( precision or tuberculin)
- Rounded to the nearest hundredth if 1 mL or less
- read in the nearest hundredths of a mL ( Most Accurate)
3 mL syringe ( average):
- used for IM injections
- rounded to the nearest tenth
Insulin syringe:
- Measured in units; normally U-100
- Only used for insulin (subcutaneous areas)
-low dose insulin ( use 50- unit) syringe
Angle of insertion for Intramuscular (IM)
- 90 degree Angle
Subcutaneous (Fatty) angle of insertion:
45 degree angle
Intradermal (skin)
- 5-15 degree angle
What is the Injection Site for Intramuscular?
- Ventrogluteal, Vastus lateralis, & deltoid muscles
What is the injection site for Subcutaneous?
- upper arms, anterior thigh, lower abdomen, upper back
Intradermal (intracutaneous) injection sight:
- inner aspect of arm
E.g. TB skin Test
Where are sublingual Tablets plcaced?
- Tablet is placed underneath the tounge
Where is a Buccal Tablet placed?
- Between the gum & Cheek