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Moduel 5

Safe Medication Administration

When identifying a patient how many identifiers do you need? At least 2 (ex. name and date of birth)
What does affinity refer to? The force of attraction
Agonists The chemical fits well and the chemical response is good.
Antagonists Medication attaches to the receptor site without producing a new chemical reaction
What are Pharmacokinetics The study of how the medications -enter the body -reach the site of action -are metabolized -are exerted from the body
What is absorption the passage of medication molecules into the blood from the site of administration
What is distribution Address the way that medications move to the sites of action in the body
What is metabolism Chemical reactions by which a medication is broken down until it becomes chemically inactive
What is excretion Process of medication elimination from the body via GI tract, kidneys, or other body secretions
A patient has renal disease which area of pharmacokinetics will be effected Excretion
Medication actions include Therapeutic effects, side effects, adverse reactions, toxic effects, idiosyncratic reactions, allergy reactions
When do toxic effects happen develop after prolonged intake of a medication or when a medication accumulates in the blood because of impaired metabolism or excertion
What are antidotes are available to treat specific types of medication toxicity
What is idiosyncratic is when a patient overreacts or underreacts to a medication or has a reaction different from normal
What are anaphylactic reactions severe and life threating.
What are medications known to produce tolerance alkaloids, nitrates, and ethyl alcohol
What are 2 type of medication dependence physical or psychological( addition)
The minimum effective concentration (MEC) the plasma level of the medication below which the effect of the medication does not occur
Onset of medication action Period of time it takes after you administer a medication for it to produce a therapeutic effect
Peak action time it takes for a medication to reach its highest effective peak concentration
Trough minimum blood serum concentration of medication reached just before the next scheduled dose
Duration of action Length of time during which the medication is present in a concentration great enough to produce a therapeutic effect
Plateau Blood serum concentration reached and maintained after repeated, fixed doses
When is the peak and trough levels drawn The trough is drawn 30 minutes before the medication is administered, and the peak is drawn when peak concentration occurs
What is a synergistic effect 2 medications working together cooperatively and produce a greater result
6 rights of medication administration the right medication, the right dose, the right patient, the right route, the right time, and the right documentation
What mediations do you need another nurse to verify your calculations? Anticoagulant, insulin, and IV push medications
Never crush medications that Are given sublingually, enteric coated, or are time released
Examples of time released drugs XR: extended release CR: controlled release LA: long acting SR: slow release
If the route of the medication is missing or if the specified route is not the recommended route what do you do? Consult with the health care provider immediately
What are common routes for absorption Oral, sublingual (under tongue), buccal (between gum and check), 3 topical routes, inhalation, instillation, 4 parenteral routes(ID, IV, IM, and Subcut)
When do you administer time-critical medications at a precise time or 30 minutes before or 30 minutes after the scheduled time
When do you administer non-time critical medications within 1-2 hours of their scheduled time
What do you need to document when giving a medication name of the medication, the dose, the time of administration, and the route on the patient's eMAR. Also document the site of any injections and the patient's response to medications.
What should medication labels include the trade name, the generic name, the dosage, the form of the medication, the expiration date, the lot number, the name of the manufacture, the total amount or volume in the container
What is the nurse responsible for when it comes to giving medications to a patient •Monitoring patients' responses to medications, •Providing education to the patient and/or family about the medication regimen, •Informing the health care provider when medications are effective, ineffective, or unnecessary, •Assessing the patient
When administering medications what should be met patient achieves the medications therapeutic effect, patient does not experience complications related to the method of administration, will understand how to administer medication to self safely
Medication errors include inaccurate prescribing, administration of the wrong medication, administration by the wrong route, at the wrong time interval, extra doses or wrong dose, failure to administer a medication
What does an incident report include patient identifying information, location and time of incident, an accurate and factual description of what occurred and what was done, signature of nurse involved
Can administrating oral medications be delegated to the NAP no but they can report to the nurse if the patients condition worsen or changes, and they should know their side effects and report their occurrence
When should medications be given that need an empty stomach for absorption 1 hour before or 2 hours after a meal
Can antacids impair medication absorption yes
Where are enteric-coated medications designed to absorb in the small intestine
What equipment do you need when administrating oral medication •MAR •Disposable medication cups •Glass of water, juice, or preferred liquid and drinking straw •Paper towels •Clean gloves (if handling an oral medication) •Device for crushing or splitting tablets (optional)
How long do sublingual or buccal medications take action in as little as 15 minutes or less
Created by: spilkington11