unit ten

Question 1

what are the 10 rights of medication administration?

Answer 1

1. Right patient
2. Right dose
3. Right medication
4. Right route
5. Right time
6. Right education
7. Right to refuse
8. Right assessment
9. Right evaluation
10. Right documentation

Question 2

what are medication trade vs generic names?

Answer 2

• trade names are the brand names used for marketing
• generic names are used in drug databases and in the MAR

Question 3

what are the generic names of tylenol, advil, gravol, and benadryl?

Answer 3

• acetaminophen
• ibuprofen
• dimenhydrinate
• diphenhydramine

Question 4

what is pharacokinetics? why do we need to know this?

Answer 4

• the study of how medication enter the body, reach the site of action, are metabolized, and exit the body (the prinicples of pharacokinetics)
• we need to know this to give meds at the right time, chose the proper routes, and evaluate the patient’s response

Question 5

what is pharmacotherapeutics?

Answer 5

the study of the therapeutic uses and effects of medications

Question 6

what are the 4 effects of medications?

Answer 6

1. therapeutic effects: intended/desired effects
2. adverse effects: unintended / undesireable / unpredictable effects
3. side effects: predictable and often unavoidable effects
4. toxic effects: happens after taking a med for a long time

Question 7

what are idiosyncratic and allergic reactions?

Answer 7

• idiosyncratic reactions are the unpredictable effects of a med
• allergic reactions are adverse unpredictable effects of a med

Question 8

what is medication tolerance?

Answer 8

when patients receive a med for long periods of time and need higher and higher doses to produce the same effect

Question 9

what are the 2 types of medication dependence?

Answer 9

1. psychological dependence: desires the med for benefit other than intended effect
2. physiological dependence: physiological adaptation causes intense physical disturbances when med is stopped

Question 10

what information should be included in a medication order/prescription

Answer 10

• patient name
• date and time
• medication (generic and/or trade name)
• dose
• route
• frequency

Question 11

what physiological changes in the older adult impact medications?

Answer 11

• decreased pulmonary function
• increased blood pressure
• GI motility slows
• decreased bladder size in men with enlarged prostates
• decreased immunity
• increase in polypharmacy