UNIT 1 Flashcards

cards for first unit exam

1
Q

What is the difference between generic and trade drug names?

A

generic names are more difficult (acetaminophen) vs trade names which are easier to remember (tylenol)

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2
Q

What is pharmacokinetics?

A

determines how much of an administered dose gets to its sites of action; impact of the body on drugs

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3
Q

What are the four major pharmacokinetic processes?

A

drug absorption, drug distribution, drug metabolism, drug excretion

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4
Q

Define pharmacodynamics

A

the impact of dugs on the body; ex: initial step leading to response is the binding of the drug to its receptor

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5
Q

What are the five rights of drug adminstration?

A

give the RIGHT drug to the RIGHT patient in the RIGHT dose by the RIGHT route at the RIGHT time

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6
Q

What are the basic goals of a preadministration assessment?

A
  • collecting baseline data needed to eval. therapeutic and adverse responses
  • identifying high risk patients
  • assessing patients capacity for self care
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7
Q

How would you identify a high risk patient?

A

patient history (allergies, current organ damage), physical exam, lab data

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8
Q

How does the nurse make sure dosage and administration is correct?

A

indication - pain vs inflammation

route of administration

safety of intravenous agents

verify dosage calculations and read labels carefully

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9
Q

How does a nurse promote therapeutic effects?

A

drug therapy enhanced by nonpharmacologic measures like breathing exercises for asthma, physical therapy for arthritis, or weight loss/smoking reduction for hypertension

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10
Q

What measures can a nurse take to reduce adverse events wrt drugs?

A

identifying high-risk patients, ensuring proper administration, teaching patients to avoid activities that might precipitate and adverse event

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11
Q

What do you have to know about the drugs to minimize adverse EFFECTS?

A

the major adverse effects the drug can produce

when the reactions are likely to occur

what the early signs are of an adverse reaction

interventions that can minimize discomfort and harm

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12
Q

How can a nurse minimize adverse INTERACTIONS

A

taking a through drug history, advising patient to avoid OTC drugs that can interact w prescribed

monitoring for KNOWN adverse interactions

be alert to as yet unknown

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13
Q

What does PRN mean?

A

pro re nata, latin phrase meaning as needed

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14
Q

What is a PRN medication?

A

one which the nurse has discretion regarding when to give a drug and sometimes how much of that drug to give

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15
Q

What should the patient know about the drug name they are taking?

A

If they are prescribed the brand name, they should know the generic too so they don’t accidentally overdose

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16
Q

What should the patient know abs dosage/schedule of administration?

A

how much drug to take and when to take it

for PRN, the schedule of admin is not fixed

should know what to do when the dose is skipped

17
Q

What must patients know about technique of administration?

A

esp important for routes that may be unfamiliar (ex. sublingual) or difficult (injection)

if they should be taken w fluid/not chewed or crushed etc

18
Q

What must patients know about duration of drug use?

A

generally when to stop

acute pain - patients should discontinue use when pain subsides

some might be lifelong or some might be for a specific time interval

19
Q

What must patients know about therapeutic effects?

A

like HOW long the drug will take to work in order to recognize if the drug works or not!

20
Q

What must patients know about minimizing adverse EFFECTS?

A

ex: diabetics who are taught the warning signs of insulin overdose

cancer patients who avoid sick ppl bc immunosuppression

21
Q

How can patient ed. reduce adverse INTERACTIONS?

A

if a drug has reactions with other drugs or food the nurse has to tell them lol

22
Q

What are the five steps of the nursing process?

A

assessment, analysis (includes nursing diagnoses), planning, implementation, evaluation

23
Q

What is assessment in the nursing process?

A

history, physical exam, observation, and labs that are used to identify actual and potential health problems

24
Q

What does a nursing diagnosis consist of?

A

Statement of the patient’s actual or potential health problem

statement of the problem’s probable cause or risk factors

signs, symptoms, or other evidence of the problem

25
Q

What are statements in a nursing diagnosis separated by usually?

A

phrases related to and as evidenced by

26
Q

What is planning in the nursing process?

A

specific interventions directed at solving or preventing the problems identified in analysis

includes interventions performed by other healthcare providers

ongoing process

27
Q

What is implementation in the nursing process?

A

carrying out interventions identified during planning

coordinating actions of other members of healthcare team

28
Q

What is evaluation in the nursing process?

A

evaluating outcomes of treatment/analyzing data - identify interventions that should be discontinued/new ones to be implemented