220-medication

Question 1

nurses should know

Answer 1

generic name
trade name
classification
indications
pharmakinetics
effects
tolerence
toxic
Idiosyncratic(unintended effects)

Question 2

therapeutic range

Answer 2

concentration of drug in the blood serum that produces the desired effect without causing toxicity

Question 3

peak level

Answer 3

the point the drug is at the highest (60 mins after given)

Question 4

trough level

Answer 4

the point when the drug is at its lowest concentration, indicating the rate of elimination (30 mins before the next dose)

Question 5

half life

Answer 5

amount of time it takes for 50% of blood concentration of a drug to be eliminated from the body

Question 6

admission assessment

Answer 6

comparing prior to admission drugs to drugs prescribed

allergies

pregnancy and lactation status

dietary and herbal supplements taken

Question 7

how does aging effect drug response?

Answer 7

decreased
gastic mobility
total body eater
lipid content in skin
liver function
kidney function
adverse CNS effects
altered peripheral vascular tone

Question 8

PRN orders

Answer 8

as needed

Question 9

standing order

Answer 9

in chart

Question 10

5 rights

Answer 10

patient

medication

dose

route

time

Question 11

daily

Answer 11

daily

Question 12

BID

Answer 12

x2

Question 13

TID

Answer 13

x3

Question 14

QID

Answer 14

x4

Question 15

ac

Answer 15

before meals

Question 16

pc

Answer 16

after meal

Question 17

HS

Answer 17

Hour of sleep

Question 18

Identifying patients (need two to identify patients)

Answer 18

name

birthdate

Medical record number

and compare with EMR

Question 19

Medications that must be given 30 mins before or after scheduled time

Answer 19

Q1, Q2, Q3, Q4, rapid short acting insulin(regular aspart/novolog)

Question 20

medication that must be given 60 mins before or after scheduled time

Answer 20

Q6, Q8, Q12

Question 21

medications that must be given 2 hours before or after scheduled time

Answer 21

daily, weekly, monthly

Question 22

Enteral

Answer 22

mouth (PO)

Question 23

Enteral administration

Answer 23

feeding tubes
sublingual and buccal routes
solid
liquid
scored
SR, XL, CR (no crush-deadly)
enteric coated (no crush)

Question 24

topical medications

Answer 24

lotions, cream, ointments and medicated powders
transdermal patches
eye drops
nosedrops/mist
ear drops
rectal- suppositories
vaginal-creams and suppositories

Question 25

transdermal patches go where on the body

Answer 25

upper arm upper chest upper back side of chest

Question 26

eye drops go where in the eye

Answer 26

bottom sack then dap the inner corner to avoid it dripping out

Question 27

parenteral medications

Answer 27

Intradermal Subcutaneous administration Intramuscular administration

Question 28

intradermal

Answer 28

TB test

Question 29

Subcutaneous

Answer 29

insulin administration heparin

Question 30

Intramuscular

Answer 30

deltoid ventral gluteal (side butt) vastus lateralis (side leg)

Question 31

the needle get smaller as

Answer 31

the gauge get larger

Question 32

Intramuscular is administer at

Answer 32

72 and 90 degrees

Question 33

intradermal is administered at

Answer 33

15 degree

Question 34

Subcutaneous is administered at

Answer 34

90 and 45 degree

Question 35

intradermal perimeters

Answer 35

1/4-1/2 inch 25G, 27G less then 0.5 ML 5-15 degree angle

Question 36

subQ perimeters

Answer 36

drug specific syringes 3/8-5/8 inch 25G-30G 1ML max volume 45-90 degree angle

Question 37

sub Q sites

Answer 37

lower stomach front thighs back of arms upper back upper butt

Question 38

intramuscular perimeters

Answer 38

5/8-1.5 inch 20G-25G up to 3ML in large muscles gentle pressure Z-track it

Question 39

what is Z-track?

Answer 39

pushing the muscle to the side and injecting it to prevent the large volume from leaking out of the injection site

Question 40

controlled substances

Answer 40

locked counted record partial doses report any discrepancy

Question 41

What to document

Answer 41

dose given: site and parameters doses missed refused medications incident reports for medication errors (SHARE) patient teaching and education

Question 42

medication errors process

Answer 42

check the patients condition watch for adverse effects obtain a set of VS notify nurse manager and PCP Complete a SHARE but do not indicate that the form was filled out in the patient chart