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Pharm II - Review
Foundational concepts
| Question | Answer |
|---|---|
| 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 |