nonparenteral meds Flashcards
pharmacological concepts
medication names
-chemical : rarely use
-generic !!!!!!
-trade
pharmacological concepts
medication forms (7)
-
-
-
-
-
non-parenteral medications
introducing proper administration of : (6)
-
-
-
-
adverse drug reaction
unintended and undesired effects of normal drug doses
side effects of ADR are… (3)
-predictable
-intensity is dose dependent
-development depends varies
ADR
toxicity - severe ADR
__________ drug dosing or __________ drug dosage
excessive
therapeutic
ADR
allergic reactions
-immune response
-intensity of reaction varies
-not based on dosage
-sensitivity of drug can change overtime
ADR
idiosyncratic effect
uncommon drug response because of genetic disposition
ADR
paradoxical effect
opposite effect drug was intended for
ADR
iatrogenic effect
disease cause by drug
ADR
teratogenic effect
causing birth defects
ADR - physical dependence effect
body has ________ to drug exposure
adapted
ADR - physical dependence effect
examples – (4)
opioids, barbiturates, amphetamines, psyche meds, etc
ADR - physical dependence effect
abstinence syndrome
-warn pts of abrupt discontinuation
-harmful effects if continued abruptly
ADR
identification - questions to ask
-Did symptoms occur shortly after drug use?
-Did symptoms leave after drug discontinued?
-Did symptoms reappear when drug was reinstituted?
ADR - ways to minimize
-educations
-early identification
-monitoring
-black box warning
ADR
to minimize drug ADR, what do we monitor? (3)
lab values, s/s, individualized therapy (risks v benefits)
ADR
black box warning
strong safety warning
-black border
medication guides
description of ________ and _________
drug and indications
medication guides
who should ______ take the drug
not
medication guides
how the drug should be taken
-
-
overdose?
if the dose is missed?
medication guides
what should be ______ while taking the drug
avoided
medication guides
possible and reasonable _____ _________
side effects
medication guides
tells what _________ should be given for what indication
dosages
medication forms - oral
tablets, capsules, caplets, syrups, suspensions, modified release
medication forms - oral
modified release
-delayed
-extended
-oral disintegrating
medication forms - oral
delayed release
enteric coated
medication forms - oral
extended release
controlled release, sustained release and long-acting
medication forms - oral
oral disintegrating
disintegrates in mouth
administering oral meds
patent should be at minimum of __________
30 degrees
administering oral meds
assess for __________
potential aspiration
administering oral meds
opening __________ meds
packaged
administering oral meds
offer how _________ ?
many?
administering oral meds
administration of _______ and _________
solids and liquids
administering oral meds
always supervise __________
swallowing
administering oral meds
wear ________
gloves
avoid PO meds if
changes in
LOC
avoid PO meds if
_________ status
NPO
avoid PO meds if
altered ______ function
-
-
GI
-NG tube with suction
-N/V
avoid PO meds if
***dysphagia - def
difficulty swallowing
PO meds NOT to crush , split or chew
-enteric coated (EC)
-sustained release (SR)
-Time released (TR)
-controlled delivery (CR)
-sublingual (SL)
-buccal
if you need to crush a med…
look for “_____ _____ ________”
DO NOT CRUSH
if you need to crush a med…
may use pill _______ in original/alternative package
crusher
if you need to crush a med…
mixing - yes/no,how?
if you need to crush a med…
call ___________
pharmacy
if you need to crush a med…
Don’t ________ to ___________
rush to crush
if you need to crush a med…
Don’t ________ to ___________
rush to crush
why would we split pills?
why crush a med?
pill splitting
_______ pill splitter with ______ ________ before and after use
clean
alcohol swab
pill splitting
use _______
gloves
pill splitting
__________ pill from package
remove
pill splitting
position pill to be split where ________
scored
topical meds are medications applied to _________ surfaces or _______ membranes
body
mucous
topical meds
-skin application
-eye instillation
-ear
-vaginal
-rectal
types of topical meds
administering topical meds
__________ area prior to application
assess
administering topical meds
__________previous and present area well
clean
administering topical meds
avoid _________
shaving
administering topical meds
________ if needed
measure
administering topical meds
apply as _________
directed
administering topical meds
_______________ if needed
cover
transdermal medicated patches
____________ and ______ previous area BEFORE replacing
remove and clean
transdermal medicated patches
proper ________ and replacement
removal
transdermal medicated patches
transdermal medicated patches
transdermal medicated patches
most are ____ _____ _____
transdermal medicated patches
remove for
transdermal medicated patches
avoid
rectal suppositories
explain
rectal suppositories
what position does pt need to be iN?
rectal suppositories
what do we do with gloves?
rectal suppositories
prep the ________
rectal suppositories
tell patient to
rectal suppositories
insert ___________
rectal suppositories
________ patient
what do we tell them?
teach
don’t push it out,
vaginal medications
_________ procedure
vaginal medications
position of pt
lithotomy
peri-care?
vaginal medications
what do we do with gloves?
vaginal medications
proper insertion/application
like a tampon
vaginal medications
teach patient…
-may administer own
-may need perineal pad
administering eye meds
know the _______ and _______
med and why
administering eye meds
_________ procedure and instructions
administering eye meds
why do we DON gloves?
administering eye meds
position of pt and eyelid
administering eye meds
instill as
administering eye meds
tip of mottle or tube must not touch _____ or ______________
