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Medication admin

terms

TermDefinition
adverse drug reaction In medicine, an adverse effect is a harmful and undesired effect resulting from a medication or other intervention such as surgery.
agonist vs antagonist a substance that initiates a physiological response when combined with a receptor. anta-blocks
anaphylactic shock an extreme, often life-threatening allergic reaction to an antigen to which the body has become hypersensitive.
body surface area n physiology and medicine, the body surface area (BSA) is the measured or calculated surface of a human body. For many clinical purposes BSA is a better indicator of metabolic mass than body weight because it is less affected by abnormal adipose mass.
adverse drug reaction In medicine, an adverse effect is a harmful and undesired effect resulting from a medication or other intervention such as surgery.
agonist vs antagonist a substance that initiates a physiological response when combined with a receptor. anta-blocks
anaphylactic shock an extreme, often life-threatening allergic reaction to an antigen to which the body has become hypersensitive.
drip factor An indication of the number of drops needed to obtain one milliliter of solution delivered by a manufacturer's I.V. tubing based on the drop size
body surface area body surface exposed to the environment.
enteral involving or passing through the intestine, either naturally via the mouth and esophagus, or through an artificial opening.
buccal between cheek and teeth.
enteric-coated barrier applied to oral medication that controls the location in the digestive system where it is absorbed. Enteric refers to the small intestine, therefore enteric coatings prevent release of medication before it reaches the small intestine.
cumulative increasing by incremental steps with an eventual total
dimensional analysis (DA) a mathematical system using conversion factors to move from one unit of measurement to a different unit of measurement
drug interaction A drug interaction is a situation in which a substance affects the activity of a drug
idiosyncratic response to a drug is an individual's unique hypersensitivity to a particular drug.
intermittent venous access device usually involves needle in a vein to withdraw blood
lumen inside of the hollow shaft.
meniscus the curved upper surface of a liquid in a tube
potentiation (synergism) the increase in strength of nerve impulses along pathways that have been used previously, either short-term or long-term.
metabolite a substance formed in or necessary for metabolism.
souffle cup no measurement
milliequivalent one-thousandth of an equivalent
sublingual situated or applied under the tongue
parenteral administered or occurring elsewhere in the body than the mouth and alimentary canal.
patient-controlled analgesia (PCA) Patient-controlled analgesia (PCA) is any method of allowing a person in pain to administer their own pain relief.
percutaneous through the skin or mucous membrane by lotions, ointments, creams, and powders. routes are topical, instillation, and inhalation.
pharmacology study of drugs and their action in the living body
minimal dosage the smallest amount of drug that produces a therapeutic effect
maximal dosage the amount of drug that produces signs and symptoms of poisoning
lethal dose amount of a drug that will cause death
What are the two types of drug actions? Local effects the area where it is placed. systemic effect entire body through systemic circulation.
drug interactions are more likely to occur with potent drugs. what drugs? cardiotonics(slow and stregthen heart), antihyperintensives(lower BP), hypolycemics(oral meds), insulin, heparin(decrease blood clotting)
Never give any unfamiliar medication to a patient without... first looking it up in a drug reference book. Physicians' Desk Reference
Factors that affect how patents respond to medication (8) 1.age 2.weight 3.physical health 4.psychological status 5.environmental temp 6.sex 7.amount of food in stomach 8.dosage form
responsibility of medication orders you are ethnically/legally responsible for ensuring that the patient receives the correct med as ordered by the physician
what are the two drug distribution systems? unit-dose system (24hrs supply for each patient), computer-controlled dispensing system
What info does Medication Orders include? name, DOB, date/time of order written by physician, drug, dose, administration, physician signature, maybe special instruction
controlled substances opioids, barbiturates, and others are kept under double lock
types of (physician) orders standing orders, verbal orders
"six rights" of medication administration right...medication, dose, patient, time, route, documentation
three label checks of medication administration check the label when... removing from storage, removed from container, discarding or replacing med container and before giving medication
What are the enteral routes? po (mouth), tubal (nose,mouth), suppository (rectum or vagina), enema (rectum)
What is the tuberculin syringe for? up to 1 mL. used for small doses of epinephrine, intradermal skin tests, and subcutaneous medication
what is insulin syringe for? for insulin only! most frequent is 3 mL
what are the two types of intravenous needles? butterfly, "scalp""wing-tipped" used for short-term basis. over-the-needle catheter, "anagiocaths""jelcos""abbocaths""insytes" used for emergency, surgery, blood, IC, total parenteral nutrition
INTRAmuscular injections, not for INSULIN! why?... Because muscle tissue has a large blood supply, absorption of an IM med is faster than a subQ med.
what are the common intramuscular injections (IM) sites ventrogluteal area, vastus lateralis of the thigh, deltoid muscle
what are the parts of the ventrogluteal sites? Iliac crest, anterior superior iliac spine, greater trochanter
how and when to use the Z-track method for injection for IM. Used for irritation side effect from iron or hydroxyzine. Select large deep muscles like ventrogluteal for dorsoguteal. 90 degrees
how and when to use the intradermal injection. ID is used in the dermis to instill serum, vaccine, or skin test agent. 15 degrees
how and when to use subcutaneous injection to give insulin, heparin, lovenox, fragmin, epogen, and neupogen, by subQ. made to loose connective tissue between the dermis and muscle @ 45degrees.
the IV route serves to... 1) provide fluid and electrolyte maintenance, restoration and replacement 2)administer medication and nutritional feedings 3)admin blood and blood products 4) admin chemotherapy 5)admin PCA 6) admin keep vein open for quick access
what signs and symptoms is reported indicating anaphylactic shock? respiratory distress from bronchospasms (restlessness, dyspnea, wheezing, cyanosis), skin reactions (pruritus, urticaria), falling blood pressure, weak and rapid pulse or vertigo, nausea, vomiting, diarrhea, change in mental status
nursing process participate in planning care base on patients needs. review patient's plan of care and recommend revisions as needed. review and follow defined prioritization for patient care. review patient care.
Safety tip against medication errors teach patients of their meds, make pharmacists part of team, take MAR to bedside, keep calculations to a minimum, ask for double check before admin, patience, report errors, review common errors.
use assessment to determine problem with drug therapy. nursing diagnosis include anxiety, health-seeking behaviors, risk for injury, deficient knowledge, impaired physical mobility, noncompliance: drug regimen, disturbed sensory/perception
goal: patient and family understand drug therapy. outcome? patient and family describe info about drug, dosage, schedule, purpose, and adverse effect. goal?
ac/pc , bid , wa/hs , gt/gtt , GTT , NPO , O.D./O.S./O.U. , qd/qh/qid/qod , SC/SQ/SubQ before meal/after meal, twice daily, when awake/before sleep, drop/drops, glucose tolerance test, nothing by mouth, right/left/both eye, daily/hourly/fourX/every other day, subcutaneous
what are the parenteral routes? IM, subQ, ID, IV
Created by: Addisonfiya