chapters 1 &2
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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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
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during the __phase, data are collected, reviewed, and analyzed. | assessment
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data are categorized into __ & __ data | objective and subjective
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___ data may be defined as any information gathered through the senses or that which is seen, heard, felt, or smelled. | objective
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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
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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
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The nursing Dx has 3 parts. | 1- human response to illness (actual or at risk)
2-related to
3- as evidenced by
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After data are collected and nursing Dx are formulated, the ____phase begins. | planning
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Identify goals and outcome criteria (must be specific and measurable) (must be Pt centered), time frame, and prioritization | planning
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__ are objective, measurable, and realistic, with an established time period for achievement of outcomes. | Goals
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_ 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
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_ consist of initiation and completion of specific actions by the nurse as defined by nursing Dx. and outcome criteria | implementation
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the 6 rights of medication administration | 1-right drug
2-right dose
3-right documentation
4-right time
5-right route
6- right Pt
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6 rights: generic name should be used. Check 3 times | right drug
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6 rights: id from order. check math dosage. check vital signs | right dose
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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
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check name, id number, age/DOB, and allergies before giving meds. | right Pt
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date/time. name of meds given, dose, route, and site. if no drug given, state why!if med error occured | right documentation
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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
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Includes: professional practices, health care product systems. Prescribing order, product labeling, packaging, communication, dispensing, distribution, administration, education, monitoring, and use | medication error
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_ 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
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__ includes monitoring the patients therapeutic response to a drug, adverse effects, & toxic effects. | evaluation
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During pt assessment & drug therapy, a nurse should have information on what 3 things | assess all drugs
physical characteristics
psychosocial
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_should include: height, weight, muscle mass/ability to swallow/Gi integrity/ etc, chronic illness (Liver and renal) | physical characteristics
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_ should include: age & developmental stage, education/ reading level, ethnic group, cultural & religious beliefs | psychosocial
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__ 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
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if you are monitoring a pt, what nursing Dx step are you doing | evaluation
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any chemical that affects the physiologic process of a living organism | drug
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study or science of drugs | pharmacology
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describes the drug's chemical composition and molecular structure | chemical name
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name given by the US adopted name council | generic
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drug has a registered trademark | trade
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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
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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
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study of what the drug does to the body. the mechanism of drug actions in living tissues | pharmacodynamics
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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
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dose formulated drug. Then administration. What phase does it enter | physical characteristics
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what phase disintegration of dosage form dissolution of drug in body | physical characteristics
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after administration of drug, and Pharmaceutical phase, what is next | drug available for absorption
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after the drug is available for absorption, what phase is next | pharmacokinetic phase
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what phase is absorption, distribution, metabolism, and excretion | pharmacokinetic
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after drug is available for absorption and pharmacokinetic phase, what is next | drug available for action
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after the drug is available for action, what phase is next | pharmacodynamic
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what phase is drug-receptor interaction (Last phase, next action is effect) | pharmacodynamic
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study of the uses of drugs and the clinical indications for administering drugs to prevent and treat disease. Includes empirical and rational therapeutics | pharmacotherapetics
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the study of natural (plant and animal) drug sources | pharmacognosy
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study of adverse effects of drugs and other chemicals on living systems | toxicology
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normally 17 years from time when a new drug molecule is discovered through development and initial marketing | patent life
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left off pg 10 in syllabus. page 19 in book. slide 12 on power point |
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