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Pharm test 1
chapters 1 &2
| Question | Answer |
|---|---|
| The ___ is a well established, research supported framework for professional nursing. It's a flexible, adaptable, & adjustable 5 step process consisting of assessment, nursing Dx, planning, implementation, and evaluation | nursing process |
| during the __phase, data are collected, reviewed, and analyzed. | assessment |
| data are categorized into __ & __ data | objective and subjective |
| ___ data may be defined as any information gathered through the senses or that which is seen, heard, felt, or smelled. | objective |
| Prescriptions, OTC, herbal therapies, diet supplements, illegal drugs, hormonal drugs (birth control, estrogen), current meds, allergies, and responses to medications (therapeutic and adverse) are examples of the | medication Hx |
| In the ___ the nurse must make a decision about the need/problem of the Pt. (actual or at risk), use the NANDA-I format, use crit thinking, creativity, and accurate data collection. | nursing Dx |
| The nursing Dx has 3 parts. | 1- human response to illness (actual or at risk) 2-related to 3- as evidenced by |
| After data are collected and nursing Dx are formulated, the ____phase begins. | planning |
| Identify goals and outcome criteria (must be specific and measurable) (must be Pt centered), time frame, and prioritization | planning |
| __ are objective, measurable, and realistic, with an established time period for achievement of outcomes. | Goals |
| _ are concrete descriptions of Pt goals. they should be patient focused, succinct, and well thought out. specific standards of measure and Pt specific | outcome criteria |
| _ consist of initiation and completion of specific actions by the nurse as defined by nursing Dx. and outcome criteria | implementation |
| the 6 rights of medication administration | 1-right drug 2-right dose 3-right documentation 4-right time 5-right route 6- right Pt |
| 6 rights: generic name should be used. Check 3 times | right drug |
| 6 rights: id from order. check math dosage. check vital signs | right dose |
| 1/2 hour rule. use military time. avoid abbreviations. know Pt and medicine (example, if meds make you sleepy and Pt has busy life) | right time |
| check name, id number, age/DOB, and allergies before giving meds. | right Pt |
| date/time. name of meds given, dose, route, and site. if no drug given, state why!if med error occured | right documentation |
| any preventable event that may cause or lead to inappropriate medication use or Pt harm while the medication is in the control of health care professional. | Medication error |
| Includes: professional practices, health care product systems. Prescribing order, product labeling, packaging, communication, dispensing, distribution, administration, education, monitoring, and use | medication error |
| _ occurs after the nursing care plan has been implemented. its systematic, ongoing, and a dynamic phase of the nursing process as related to drug therapy. | evaluation |
| __ includes monitoring the patients therapeutic response to a drug, adverse effects, & toxic effects. | evaluation |
| During pt assessment & drug therapy, a nurse should have information on what 3 things | assess all drugs physical characteristics psychosocial |
| _should include: height, weight, muscle mass/ability to swallow/Gi integrity/ etc, chronic illness (Liver and renal) | physical characteristics |
| _ should include: age & developmental stage, education/ reading level, ethnic group, cultural & religious beliefs | psychosocial |
| __ should contain: 1- Pt name 2- date of order 3- name of drug 4- dosage- amount, frequency, number of doses 5- delivery route (very important) 6- prescriber signature | medication order |
| if you are monitoring a pt, what nursing Dx step are you doing | evaluation |
| any chemical that affects the physiologic process of a living organism | drug |
| study or science of drugs | pharmacology |
| describes the drug's chemical composition and molecular structure | chemical name |
| name given by the US adopted name council | generic |
| drug has a registered trademark | trade |
| study of how various dosage forms influence the way in which the body metabolizes a drug and the way in which the drug affects the body. (capsule, pill, chewable, etc) | pharmaceutics |
| study of what the body does to the drug molecules; involves the processes of absorption, distribution, biotransformation, metabolism, and excretion. Determines onset of action, peak effect, and duration of action | pharmacokinetics |
| study of what the drug does to the body. the mechanism of drug actions in living tissues | pharmacodynamics |
| 3 principles of pharmacodynamics: 1- drug action depends on __ & __ the interacts in the body. 2- Drugs __ existing body functions 3- no drug has a __ reaction | where and how modify single |
| dose formulated drug. Then administration. What phase does it enter | physical characteristics |
| what phase disintegration of dosage form dissolution of drug in body | physical characteristics |
| after administration of drug, and Pharmaceutical phase, what is next | drug available for absorption |
| after the drug is available for absorption, what phase is next | pharmacokinetic phase |
| what phase is absorption, distribution, metabolism, and excretion | pharmacokinetic |
| after drug is available for absorption and pharmacokinetic phase, what is next | drug available for action |
| after the drug is available for action, what phase is next | pharmacodynamic |
| what phase is drug-receptor interaction (Last phase, next action is effect) | pharmacodynamic |
| study of the uses of drugs and the clinical indications for administering drugs to prevent and treat disease. Includes empirical and rational therapeutics | pharmacotherapetics |
| the study of natural (plant and animal) drug sources | pharmacognosy |
| study of adverse effects of drugs and other chemicals on living systems | toxicology |
| normally 17 years from time when a new drug molecule is discovered through development and initial marketing | patent life |
| left off pg 10 in syllabus. page 19 in book. slide 12 on power point |