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Pharm II - Review

Foundational concepts

QuestionAnswer
Why do nurses need to develop in-depth knowledge of pharmacology? 1) To anticipate therapeutic/adverse drug effects, 2) to prevent drug errors, 3) help patients understand and effectively take medications
Drugs used for palliative reasons do what to the patient? Ease symptoms but don't cure problem
The best drug is the one that creates the ______ _______ with the least _____ Most benefit; harm
True or false: generic and trade drugs always have the same effects because they have the same active ingredients False. Some trade and generic drugs (e.g., theophylline, lipid lowering, and synthetic thyroid) can be very different.
True or false: Inactive ingredients include stabilizers, fillers, diluents, etc. and do not affect the body in any patient. False. Usually inactive ingredients harmless but sometimes unusual and allergic reactions can occur in a few people.
True or false: Wellbutrin SR is a different drug from Wellbrutin LA True.
What are orphan drugs? Drugs used seldomly but priced reasonably so that people who need them can afford the cost. Manufacturing such drugs subsidized by government.
OTC drugs represent ____ of all drugs taken 60%
True or false: most illnesses are treated first with OTC drugs True
True or false: OTC drugs do not significantly factor in DDIs False. Major factor
What is a formulary drug? Drug identified by company as drug of "best value". Usually picked based on cost. Drug has some established efficacy but not necessarily best drug for everyone.
True or false: formulary drugs may change yearly True
True or false: formulary drugs may or may not be research or data-based True
True or false: RNs are dispensers of drugs False. None of the states allow RNs to dispense drugs. They are administrators.
In 2010 the Institute of Medicine stated nurses need to do what regarding drug administration? Nurses need to get smarter and have more science in their education
True or false: in US for drug approval a drug must be shown to be effective only False. Need to be effective and safe
What are standing orders? Given to all persons with same dx/procedure
List the six rights of medication administration Right drug, right dose, right patient, right time, right route, right documentation
Nurses are responsible for what percentage of medication errors? 50% (administering and transcribing)
With drug safety, what error is most common? Dosing error
List the primary causes of medication errors *Interruption/distraction, labeling, supervision, competency/knowledge, training
Medication errors were common (nearly __ of every __ doses in typical hospital) 1 out of 5 doses
Ear medications: is there a difference when delivering to peds and adults? Yes. Adults: tug pinna up and out. Children: back and down
Ear medications are given while the patient is in what position? Sims' position (laying on side)
Eye medications: when applying to a patient, what is the best position? Supine (lying down)
What considerations must be noted with suppositories? Direct contact with mucosa (NOT stool); may have significant systemic effects; gloves, water-based lube, and light source needed
What inhaled medication would you use for emergency Tx? Albuterol (short acting beta agonists)
Intrathecal refers to what sort of routes? Epidural, spinal
What IM sites are contraindicated in infants? Deltoid and dorsogluteal
What is the safest IM site for adults? Ventrogluteal
IM injection volumes for the following patients: newborn, child, adult 0.5 cc, 1 cc, 3 cc
Length of needle for IM injections is determined by... Muscle mass
For nasogastric meds, what type are best to administer? Liquid
What medications can you NOT crush and deliver through NG? Hydrophilic gels, time released capsules, enteric coated tablets (SR, SA, span, EC)
True or false: SL can be fastest than the IV route sometimes True. Very rapid response
True or false: One can give capsules via SL/buccal route False. Tablet must be able to dissolve
True or false: sublingual and buccal routes are the same as oral False. Different!
The RN is usually allowed to change the ______ but not the _____ Preparation; route
Created by: choel
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