What types of substances can cause drug interactions?

Perscribed, OTC meds, herbs, alcohol, and food.

Where does meds exit body?

Kidneys, liver, bowel, lungs, and exocrine glands.

Itching of skin that accompanies most rashes.

Inflammation of mucous membranes lining nose – runny nose.

Occurs when combined effect of 2 meds is greater than either alone.

One drug diminishes or cancels effect of first drug.

2 drugs cannot be given together or adverse effect may occur.

Name a drug given by sublingual route.

nitroglycerin – under the tongue

Name routes of med admin that are admined into body cavities.

epidural, intrathecal, intraosseous, intraperitoneal, intrapleural, and intraarterial.

through catheter in subarachnoid space of brain ventricle

administered into peritoneal cavity

adminstered into a chest tube to go into pleural space

What is a cubic centimenter?

The amount of space that 1 mL of liquid occupies. It is abbreviated cc.

Help

Options

focusNode

Didn't know it?
click below

Knew it?
click below

Don't Know

Remaining cards (0)

Know

retry

shuffle

restart

0:00

Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

Normal Size Small Size show me how

NUR151-MedAdmin2

Medical Administration Part 2

Question	Answer
Teratogenic Effect	Causes development in an embryo.
Mutagenic Effect	Causes genetic mutation (changes DNA)
What types of substances can cause drug interactions?	Perscribed, OTC meds, herbs, alcohol, and food.
Contraindicated	cannot be given together
Predictable and often unavoidable secondary effects produced at a usual therapeutic dose.	Side effect
Unintended, undesireable, and often unpredictable severe responses to medication.	Adverse effects
Where does meds exit body?	Kidneys, liver, bowel, lungs, and exocrine glands.
What determines which organs will excrete med?	Chemical makeup of med.
Exocrine glands excrete __ meds.	lipid-soluble
Main organ of med excretion?	Kidneys
Uticaria	hives-raised skin eruptions
Pruritus	Itching of skin that accompanies most rashes.
Rhinitis	Inflammation of mucous membranes lining nose – runny nose.
Synergistic Effect	Occurs when combined effect of 2 meds is greater than either alone.
Antagonistic Effect	One drug diminishes or cancels effect of first drug.
Incompatibility	2 drugs cannot be given together or adverse effect may occur.
Oral meds have a __ onset of action and more __ effect than parenteral meds.	slower, prolonged
Name a drug given by sublingual route.	nitroglycerin – under the tongue
Placing a solid med in the mouth against mucous membrane of cheek until it dissolves.	buccal route of administration
Name 3 ways of oral admin of med.	Swallow, sublingual, buccal
Name 4 parenteral admins of med.	ID, IM, IV, Sub-Q
IM	intramuscular
ID	intradermal
Name routes of med admin that are admined into body cavities.	epidural, intrathecal, intraosseous, intraperitoneal, intrapleural, and intraarterial.
Intrathecal	through catheter in subarachnoid space of brain ventricle
Intraosseous	in bone marrow
Intraperitoneal	administered into peritoneal cavity
Intrapleural	adminstered into a chest tube to go into pleural space
Intraarterial	adminstered into an artery
Intraocular	adminstered into eye
Kilo	1000 times
Deci	0.1, one thenth
Milli	0.001, one thousandth
Micro	0.000001, one millionth
mcg	microgram
L	liter
dL	deciliter
mL	milliliter
1g is equal to __mg.	1000
1000mcg is equal to __mg.	1
1kg is equal to __g	1000
1mg is equal to __ mcg.	1000
What is a cubic centimenter?	The amount of space that 1 mL of liquid occupies. It is abbreviated cc.
1g is equal to __ grains (gr).	15
1 gr is equal to __ mg.	60
1 oz is equal to __ mL	30
1 tsp(t) is equal to __ mL	5
1 tbs(T) is equal to __mL	15
1 cup is equal to __ mL	240 (8 oz)
1 pt(pint) is equal to __ mL	500 (16 oz)
1 qt(quart) is equal to __ ml	1000 (32 oz)
1 kg is equal to __ lbs	2.2
6 rights of medical administration	Right drug, dose, time, route, client, documentation.
Name 2 insertion routes	vaginal and rectal – dissolve with body temp
Name 2 instillation routes	eye drops, ear drops
Percutaneous	applied to skin or membranes and then absorbed
Transdermal	applied to skin in a patch or disk so med goes into tissues
Range in mL of oral syringes	3 mL to 60 mL
What part of syringe is calibrated?	barrel
What inch needle is good for IM?	3 inch
1 inch is equal to __ cm.	2.5
1 lb is equal to __ oz.	16
7 items a medication order must contain.	Client’s name, date/time, drug, dose, route, time/frequency, signature of dr.
Medication orders are written in what order?	name of drug, dosage, route, frequency
MAR	Medication Administration Record
Acute drug therapy	Used to treat a short-term or critical problem like shock or infection.
Maintenance drug therapy	Used to treat long-term chronic disease like hypertension, diabetes.
Suportive drug therapy	Giving hydration or anti-emetics, blood products
Supplemental drug therapy	Giving vitamins, herbals, or iron to boost immune system.
Types of things nurses monitor during drug therapy	Response, side effects, concentration levels, tolerance/dependence, and interactions.
Therapeutic index	drug concentration levels – ratio between therapeutic benefit and toxic effects.
INR	International Ratio – used to measure range
What shows drug dependence?	Withdrawl symptoms if drug is abruptly discontinued.
What 2 methods of identification can you use to confirm client ID?	ID band, name and DOB.
Always assess what before giving meds to a patient?	ID, order, vitals, allergies, and client’s condition.
What are the 3 checks for med admin?	Check MAR against orders, Check meds against MAR while preparing, Check meds against MAR in client room.
Medication Reconciliation	Get list of all client’s current meds, share with providers, and provide list of meds to client upon discharge.
Who are drug prescribers?	Physician, nurse practitioner, or physician’s assistant.
CPOE	Computerized physician order entry
Standing Order/Routine Order	Administered until dosage is changed or another med prescribed.
PRN	Given only when a client requires it.
STAT	Single dose given immediately in an emergency
Now Order	When medication needed and must be administered within 90 minutes.
Prescription	Medication to be taken outside of hospital.
Nurses role in med admin	Must understand drug action, dose, potential SE, monitor patient for effects.
Who is responsible for monitoring compliance with meds and determining their effectiveness in the patient?	The nurse
Polypharmacy	When client takes two or more meds to treat the same illness on accident.
What is the easiest and most desirable way to administer meds?	Oral – by mouth
What position should clients be in during oral admin?	90 degrees, seated.
MDIs	Metered-dose inhalers
It is unusual to use a syringe larger than __ mL for an injection.	5 mL
Needles vary in length from __.	1/4 to 4 inches
Ampules are made of __.	glass
Distribution refers to the method by which	medication, after absorption, is moved within the body.
Pharmacokinetics is the study of how medications	enter the body, travel to the site of action, metabolize, and exit the body.
Absorption is the	passage of medication molecules into the blood from the site of administration.
Who has the ultimate responsibility for the medication that is being administered?	nurse doesn’t have sole responsibility but is accountable for knowing which medications are prescribed for the client, their therapeutic and nontherapeutic effects, the nursing implications, and the level of the client's knowledge.
Which site is no longer used for intramuscular injections?	The dorsogluteal is the not-so-safe traditional site.
Medication errors occur most often when the nurse fails to	follow the routine procedures that are in place to ensure client safety.

Created by: Ladystorm

"Know" box contains:
Time elapsed:
Retries: