Medication Administration
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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opium and caster oil | 1600 BC
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insulin | 1922
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Sulfanilamide | 1937
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penicillin | 1942
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The number and variety of drugs has increased wihtin the | past decade
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who is legally responsible for safe and therapeutic effects of drugs | physicians, pharmacists, and nurses
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who must be knowledgeable about possible drug interactions | The nurse
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provides a chemical composition of the drug | chemical name
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a name NOT protected by trademark | generic name
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a name protected by a trademark | Trade name
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for a drug to pass FDA approval and be marketed, it must meet standards in five areas | purity, potency, bioavailability, efficacy, and safety
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treatment, palliation, diagnosis, cure, and prevention of disease | use for drugs
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drugs with no accepted medical use and a high potential for abuse example heroin and cocaine | Schedule one
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drugs with a medical use and a high potential for abuse and/or dependence example morphine or demorall | Schedule two
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drugs that are medically useful but with less potential for abuse example Valium | schedule three
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drugs that are medically useful but with less potential for abuse than schedule 3 drugs | schedule four
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drugs with medical use and low potential for abuse and that produce less physical dependence than do schedule four drugs example codine | schedule five
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how drugs enter the body, are metabolized, reach their site of action, and are excreted | pharmacokinetics
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rate determined by weight, age, sex, disease conditions, genetic factors, and immune mechanisms | Absorption
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distribution to tissues and site of action depends on chemical and physical properties of drug and physical status of patient | distribution
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skin, oral, and subcutaneous | slow absorption
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mucous membranes and respiratory tract | quick absorption
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Intramuscular | depends on the form of the drug
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intravenous | most rapid absorption
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begins when the drug reaches a minimum effective concentration level | onset
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occurs when the highest blood or plasma concentration of the drug is achieved | Peak
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length of time the drug exerts a pharmacologic effect | Duration
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drugs that produce a response | Agonists
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drugs that block a response | Antagonists
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Stimulation, replacement, inhibition, and irritation | Four types of drug action
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direct action on a receptor site | Stimulation or depression
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injected insulin for people who do not produce their own | Replacement
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action of an antibiotic when it blocks synthesis of the bacterial cell wall | Inhibition
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such as that produced by a laxative on the colon wall, resulting in peristalsis and defecation | Irritation
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speed up, reduce, or even prevent the absorption of the drug into the bloodstream | Food in the stomach can affect the drug
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some drug actions are accentuated by other drugs | some drugs are incompatible with others
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dosage for infants and children is based on | size, age, and weight
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carried out until it is canceled by physician or prescribed number of doses has been given | Standing Order
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an order written for when the patient requires it | PRN order
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written for a drug to just be given the one time | one-time order
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a single dose of a medication to be given without delay | stat order
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know what medical condition is being treated with the drug and know the drug action and contraindications | applying the nursing process
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drugs in large, multidose containers | Stock supply
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use a portable cart with a drawer containing a 24 hour supply of drugs | unit dose systems
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especially useful for delivery and control of narcotics and other scheduled drugs | Computer controlled dispensing system
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the right drug, dose, route, time, and patient | five rights to administer medication
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teach the patient about the drugs, take a complete drug history, assess the patient for drug interactions for other drugs or foods, and document each drug you give after giving it | The five rules of administering medication
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basic unit of weight | Gram
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basic unit of volume | Liter
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basic unit of length | Meter
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Kilo | 1000
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Deci | 0.1
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Centi | 0.01
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Milli | 0.001
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Micro | 0.000001
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1 gram | 1000mg
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1mg | 1000mcg
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1L | 1000mL
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3 tsp | 1 tbsp
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2 tbsp | 1 oz
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8oz | 1 cup
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2 cups | 1 pint
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2 pints | 1 qt
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4 qt | 1 gallon
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16oz | 1lb
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1 tsp | 5mL
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3 tsp | 15mL
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1 tbsp | 15mL
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1 oz | 30mL
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1 cup | 240mL
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1qt | 1L
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2.2lbs | 1kg
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