Safety in Medication Administration - TAS, NP2, Test 1
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| show | Generic, Official, Chemical, Brand
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| What is an example of a drug administered for diagnosis? | show 🗑
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| show | Chemo
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| What is an example of a drug administered as a treatment? | show 🗑
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| What is an example of a drug administered for the relief of a symptom? | show 🗑
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| What is an example of a drug administered for the prevention of disease? | show 🗑
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| What are the three natural drug sources? | show 🗑
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| Why are lab synthesized drugs safer than natural drugs? | show 🗑
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| show | Before the drug is approved
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| When is the chemical name used for a drug? | show 🗑
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| show | After the drug is approved, may differ from company to company
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| Therapeutic Effect | show 🗑
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| show | An effect of a drug that is not intended, but is usually predictable.
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| show | More severe reaction to a drug that may require discontinuing the medication regime. May be dose related.
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| show | Overdose, Ingestion of drug intended for external use, Cumulative effect
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| show | When a drug builds up to a toxic level in the system due to impaired metabolism or excretion, especially in the elderly.
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| show | False. The signs and symptoms of drug toxicity may appear immediately or over several weeks.
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| show | An unpredictable response of the immune system.
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| Phase 1 of a drug allergy | show 🗑
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| show | The body produces antibodies against the drug.
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| show | The body's immune system has a heightened response against the drug
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| show | Severe reaction immediately following administration that may be fatal if not treated immediately.
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| Symptoms of Anaphylactic Reaction | show 🗑
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| Drug Tolerance | show 🗑
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| What drugs commonly produce tolerance? | show 🗑
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| Drug Interaction | show 🗑
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| show | potentiating, inhibiting
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| Potentiating Drug Interaction | show 🗑
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| show | Decreased effect of one or both drugs
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| show | Two different drugs increase the action of one or the other drug.
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| show | Unexpected, unpredictable and unexplainable over or under response to a drug
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| show | Caused by medication
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| Examples of iatrogenic drug effect | show 🗑
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| show | The time it takes for the body to reduce drug concentrations by one-half.
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| show | Time after administration when the body initially responds to the drug
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| Peak Plasma Level | show 🗑
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| show | Maintained concentration of a drug in plasma during a series of scheduled doses.
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| Receptor based drugs | show 🗑
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| show | Drugs that produces the same type of response as the endogenous substances in the body. Heightens the reaction.
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| Endogenous | show 🗑
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| Antagonist drug | show 🗑
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| show | The study of absorption, distribution, biotransformation, and excretion of drugs.
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| show | metabolism, detoxification
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| Absorption | show 🗑
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| Which route administers the drug immediately with no absorption? | show 🗑
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| show | Intramuscular route
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| show | Oral route
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| show | Subcutaneous route
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| Which route has an unpredictable absorption rate and therefore is reserved when no other routes are available? | show 🗑
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| show | transportation of a drug from the absorption site to the site of action
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| show | liver, kidneys, brain
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| Which drugs will accumulate in the fatty tissues? | show 🗑
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| When dealing with drugs that bind to the plasma proteins, what kind of reaction can you expect from a client that is deficient in protein? | show 🗑
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| What values are important to evaluate before administering drugs that bind to plasma proteins? | show 🗑
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| show | The process of a drug being transformed or converted into a less active form.
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| show | liver
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| What component in the body completes the process of biotransformation (metabolism)? | show 🗑
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| What is the end product of biotransformation (metabolism) called? | show 🗑
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| show | possesses, no
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| show | Oral drugs first pass through the liver and are partially metabolized prior to reaching the target organ which results in the necessity of a higher dose of the drug.
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| show | Because of the first pass effect. Nitro must be kept out of the liver.
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| show | Excretion
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| Excretion primarily occurs in the _______ via _______. | show 🗑
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| show | feces, respiration, perspiration, saliva, breast milk
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| show | pregnancy and age
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| What factors affect the impact of drugs pharmacogenetically? | show 🗑
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| What are the ethnopharmacologic factors affecting the impact of drugs in the body? | show 🗑
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| Diet, Environment(hot/cold), mindset and timing of administration are factors that impact the _____ of drugs. | show 🗑
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| AC | show 🗑
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| show | after meals
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| show | penicillin
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| show | Physiological
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| show | Psychological
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| show | Psychological
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| The client's access to health care affects which variable? | show 🗑
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| The client's education level, cognitive abilities, language, and physical abilities affect which variable? | show 🗑
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| How might a client be affected spiritually in regards to medication administration? | show 🗑
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| Name the routes of medication administration. | show 🗑
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| Name the advantages of orals meds. | show 🗑
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| show | GI irritation, slowed/predictable absorption, requires functional GI tract, requires ability to swallow
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| Names the advantages of sublingual/buccal meds. | show 🗑
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| Why does administering meds sublingually/buccally have a more potent effect than administering meds orally? | show 🗑
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| show | If swallowed, drug may be inactivated by gastric acid, localized stinging and irritation, must wait for tablet to completely dissolve
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| show | Place inside the lower eyelid
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| What must a nurse remind a patient to do after receiving inhaled meds and why? | show 🗑
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| show | Lack of stinging or irritation with sublingual/buccal meds may indicate and expired due date.
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| show | Few side effects, Avoids GI side effects, Onset of med faster than oral
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| show | Unpredictable absorption, skin irritation, visible evidence of illness, risk for error in failing to remove old applications.
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| show | rapid delivery of meds into the respiratory tract, localized effect, can be administered to unconscious client.
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| show | rapid effect
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| Risk of infection, limits to drug distribution in a case of poor circulation, systemic effects, required skill and cost are the disadvantages to what route of medication administration? | show 🗑
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| show | Can administer larger doses than SQ sites, and the drug is rapidly absorbed.
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| show | anxiety producing, localized pain trauma and irritation, breaks skin barrier, requires skill, cost
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| show | subcutaneous
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| show | slow
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| show | Intradermal
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| show | client's name, birthday and MR/HR number, name of drug, dose, route, frequency, length of treatment, signature of MD, PA or ARNP
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| show | immediately and only once
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| show | given once at specific time
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| Standing order | show 🗑
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| PRN order | show 🗑
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| show | effectiveness
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| What are Accudose, Suremed, and BCMA? | show 🗑
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| show | The right medication, dose, time, route, client, education, documentation, right to refuse, assessment and evaluation.
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| T or F. Once the MD has sign the order to administer medication, it must be carried out immediately. | show 🗑
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| What makes up the assessment done before administering medications? | show 🗑
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| The FIRST check of giving meds... | show 🗑
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| show | Prepare med and compare label against MAR again.
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| The THIRD check of giving meds... | show 🗑
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| The 6 step process of administering meds... | show 🗑
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| How many identifiers are necessary when identifying clients? | show 🗑
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| show | At least three
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| What type of syringe is always orange? | show 🗑
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| show | TB syringe
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| show | 0.5mL
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| What can insulin syringes be used for? | show 🗑
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| show | units.
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| show | 50 units or 100 units
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| show | 1mL
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| show | False
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| Needle selection for an IM injection in the Deltoid... | show 🗑
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| Needle selection for an IM injection in the Vastus Lateralis and Ventrogluteal... | show 🗑
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| show | up to 3mL of volume, 21G-22G, 1 1/2 to 2 inch needle
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| show | 24G-26G, 1/4 to 5/8 inch needle
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| show | 25G-27G, 1/4 to 5/8 inch needle
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| ampule | show 🗑
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| vial | show 🗑
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| show | 72 degrees
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| SQ angle of needle insertion | show 🗑
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| show | 15 degrees
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| Process for IM injection... | show 🗑
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| show | lower edge of the acromion process
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| Landmark for Vastalis Lateralis injection | show 🗑
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| show | Vastalis Lateralis
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| What is the preferred IM injection site and why? | show 🗑
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| show | Palm on greater trochanter, Index finger towards the anterosuperior iliac spine
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| What are the precautions for IM injections in the Dorsogluteal muscle? | show 🗑
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| show | lateral and slightly superior to the midpoint of a line drawn from the trochanter to the posterior superior iliac spine
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| Always check injections sites for... | show 🗑
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| show | 18G
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| show | Wash hands, put on gloves, review MAR and allergies, ID client with two identifiers, choose site, inspect skin, wipe with alcohol in circular pattern, dry, stretch or pinch, insert needle with bevel up, 45 or 90 degrees.
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| How does an intradermal injection differ from a SQ? | show 🗑
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| show | use real words
describe procedure
teach breathing
pinch
pull
distract
use local anesthetic if ordered
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| show | prevents backflow of medication into subcutaneous tissue.
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| show | know laws, nurse practice act and agency policies, practice 10 rights, always know the client and the medication, triple check each dispensed med, know resources, continue education, report errors timely
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| What should a student nurse know about giving meds for clinicals? | show 🗑
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| show | document
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| show | clean out supply ev 2-3 months
keep in cool dry place
know two names for meds
know reasons for taking
know dosage and amount
know the time to take
use same pharmacy
call week ahead for refills
keep med list handy
read label before each when to ca
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