Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Funds > wk 5 (CHA & Meds) > Flashcards

wk 5 (CHA & Meds) Flashcards

wk 5 (CHA & Meds)

1
Q

highest plasma concentration of the drug, measured when absorption is complete.

A

Peak level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

when the drug is at its lowest concentration. rate of elimination. 30 mins before the next dose.

A

trough level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

the time when 50% serum concentration of a drug to be eliminated.

A

Half-Life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

current meds order, pt med record, prior prescriptions are all compared to one another

A

Medication Reconciliation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

the goal of collecting pts current med list, and informing and educating pt about the accurate med list to avoid interference.

A

NPSG Goal 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

as needed

A

PRN order

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

single order, and immediate

A

Stat order

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

parts of Med order

A

1) Pts 2 identifiers
2) date and time order was written
3) Name of drug
4) dosage
5) Route
6) frequency
7) signature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

this method of timekeeping is used to diminish the chance of mistaken time telling

A

Military time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

commonly, administering a drug ____ mins before the exact time is acceptable. EXCEPTION: preoperative drug orders

A

30

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

avoid using __ zeros

A

trailing. “3.0 mg” *leading zeros are recommended! “0.4 ml”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

nurses have the right to ___ administration of a drug they know to be harmful.

A

refuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

dose on hand/quantity on hand=

A

dose desired / x(quantity desired)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

1) when the nurse reaches for the unit dose
2) after retrieval from the drawer
3) before hand to pt

A

3 checks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

11 rights

A

meds, dosage, pt, route, time, reason, assessment, documentation, response, education, to refuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

if you must leave meds unattended, make sure to place drugs in a ___ area.

A

locked

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

order for Narcotics require a record of __ (5) by federal law

A

name of pt, amount of substance, the hour given, name prescriber, name nurse who administered substance.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

__ witnesses are required when discarding a narcotic

A

2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

if multiple drugs are being administered at once, make sure to administer drugs

A

one by one, to keep record

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

how often should you leave drugs beside pts bed for them to take when they wish

A

never

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

6 rights

A

patient, time, route, assessment, education, to refuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

these orally administered drugs are not meant to chewed or broken

A

enteric drugs, sustained release, extended release, controlled release, sustained action, and long acting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

if oral meds are refuse by pt due to taste

A

crush meds, allow pt to suck on ice, store oils in fridge, offer oral hygiene right after, give meds with plenty of water.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

nitroglycerin is administered

A

sublingually, or buccal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

determinents for size of needls and syringes

A

route of admin, viscosity, quantity, body size, type of meds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

most needle stick occur during __

A

recapping

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

parenteral injections are a ___ process

A

sterile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

diazepam should not be ___ in the same syringe

A

mixed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

the 4 classes of insulin are

A

rapid, short, intermediate, long

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

insulin that covers the basal metabolic needs

A

NPH, glargine, detemir

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

insulin to be given prandial, or preprandial

A

lispro, aspart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

these 2 insulins cannot be mixed with other insulin

A

glargine, detemir

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

the longest absorption time of all parenteral routes, where TB and allergy test are done

A

intradermal injections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

intradermal injections require a needle ____ administered at a ___ angle

A

1/4” to 1/2” and 25- to 27- gauge. 5-15 degree

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

this parenteral route is administered to adipose tissue, allows for slow sustained absorption. Method used for insulin and heparin.

A

Subcutaneous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

for subcutaneous, the __ absorbs the quickest and the ___ absorbs the slowest

A

abdomen; dorsogluteal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

equipment for subcutaneous injections includes____, at an angel of ___ degrees

A

3/8”- 1”, 25-30 gauge, 45-90. usually no more than 1 ml

38
Q

for subcutaneous injections, ensure that injections sites are a minimum of _inch away from eachother

A

1

39
Q

insulin needles are ___long, ___

A

5/16”-1/2”, 28-30 gauge, 3/10ml-1ml

40
Q

leave __inches from the belly button for subcutaneous injections

A

2

41
Q

method used for antibiotics, hormones, and vaccines

A

Intramuscular

42
Q

common sites for Intramuscular injections are

A

deltiod, ventrogluteal, vastus lateralis (infants)

43
Q

Intramuscular injections requires a needle that is ___ long, ____, admin’d at an angel of ___

A

5/8”-1 1/2”,(oil: 18-25 gauge), aqueou 20-25 gauge, 90 degrees

44
Q

This prevents the medication from leaking back along the needle track and into the subcutaneous tissue. It is recommended for older adults.

A

Z-track technique

45
Q

You should not ___ the site of an intramuscular injection bc it may cause irritation

A

massage

46
Q

this parenteral route delivers med directly into bloodstream, and has an immediate effect.

A

Intravenous injection

47
Q

these intravenous meds work slower

A

Solutions

48
Q

topical ointment that is rubbed into skin for absorption

A

inunction (cleaning site of application improves absorption)

49
Q

meds for eye should ___ be applied directly to the eyeball

A

almost never, instead applied to the lower conjunctival sac.

50
Q

ear drops should be administered to the ____ of the ear canal.

A

side

51
Q

pts with recent rectal or prostate sx, low platelet and WBC counts, thrombocytopenia, neutropenic, should not receive

A

recal suppositories

52
Q

Regarding meds ed, patients should be able to verbalize

  • __ and __ to administer meds
  • when to __ the health care provider
  • ___ effects and adverse reactions
A

how, when
notify
expected

53
Q

the 3rd med check occurs ___, after identifying pt and before administration

A

bedside

54
Q

coordination of CHA & conventional medicine =

A

Integrative health

55
Q

Allopathic medicine is AKA ___ and great for acute, and aggressive treatment, but not as helpful for chronic care.

A

conventional medicine

56
Q

___ is the philosophy which underlies CHA

A

holism

57
Q

Holistic nursing, incorporates CHA and aims at healing the __ person

A

whole

58
Q

the ___ role is to discuss CHA with pt and aid in making informed decisions.

A

Nurse’s

59
Q

“does it all”, “all-natural”, “personal testimony” “quick fix” “miracle cure” “conspiracy” should be thought of as ____

A

Red Flags

60
Q

the 3 categories of CHA are:

A

Mind-Body, Natural Products, Other

61
Q

relaxation, yoga, biofeedback, body scanning, hypnosis, Feldenkrais, guided imagery constitute which category of CHA? (Musculoskeletal pain/ chronic pain)

A

Mind-Body

62
Q

Diet, omega 3 FA, ginger, turmeric, MSM constitute which category of CHA? (Abdominal pain/ Chronic pain)

A

Natural products

63
Q

Qi gong, acupuncture, acupressure, reiki constitute which category of CHA? (trauma/ anxiety/ depression)

A

Other

64
Q 
yogas:
Iyenger =
Kipula=
Ashtanga=
Bikram=
A

proper alignment
gentle
breathing, fast-paced
HOT

65
Q

echincea and Goldenseal can treat

A

respiratory infections

66
Q

ginkgo and Biloba can

A

increase memory, decrease mental confusion

67
Q

“like cures like”, minimal doses preferred, “little evidence”, German

A

Homeopathy

68
Q

the ___ name is the monograph, used in the USP-NE 2018, Ex. “acetaminophen”. it includes name of active ingredients.

A

official/Generic

69
Q

the ____ name is the trademarked name, most useful to communicating with pts. Ex: “Tylenol,Liquiprin” (same drug)

A

Trade

70
Q

these types of drugs should be shaken

A

suspensions

71
Q

refers to the therapeutic use and effects of a drug, answering “why” questions. (clinical indications)

A

Pharmacotherapeutics

72
Q

refers to the effects the body has on the drug once the drug enters the body. Absorption, Distribution, Metabolism, Excretion

A

Pharmcokinetics

73
Q

refers to portion of drug that acts on cell

A

Bioavailability

74
Q

basic drugs taken orally reach the ___ ____

A

small intestine

75
Q

decreased blood flow = ___ absorption

A

decreased

76
Q

sustained release / enteric coated are absorbed in the ___ ____

A

large intestine

77
Q

refers to after drug is absorbed into blood stream, and transported throughout body. based on adequate of blood circulation, protein binding, and selective permeability of blood-brain barrier.

A

Distribution

78
Q

refers to biotransformation, breakdown, “liver’s work”

A

Metabolism

79
Q

removing drug from body, “kidney’s work” via urine, elderly may have trouble

A

Excretion

80
Q

refers to drugs action on target cells, cellular reaction

A

Pharmacodynamics

81
Q

constipation and decrease blood pressure are ADR’s of

A

morphine (opiod agonists)

82
Q

rashes, fever, diarrhea, anaphylaxis that occurs mins, hours, days after an event is a

A

Allergic reaction

83
Q

the body becomes accustomed to effects of a drug, requiring higher dosage

A

drug tolerance

84
Q

2 doses of different drugs in one pts body is a

A

cummulative toxic effect

85
Q

increases overall effect of a drug

A

additve

86
Q

different MOA, but potentiates (alcohol & barbiturates)

A

synergistic

87
Q

decreases overall effect of drug

A

antagonist

88
Q

toxicity

A

interference

89
Q

these still can interact with drugs, although they are not drugs

A

herbal supplements

90
Q

development (pregnant), weight, Biological sex, genetics/culture, Psychological factors, time of administration environment, pathology

A

factors affecting drug action

91
Q

the concentration of a drug in the blood serum that produces the desired effect without causing toxicity

A

Therapeutic Range

Funds (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions