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Skills- Chigozie > T2-Administering Medications (based off PPT) > Flashcards

T2-Administering Medications (based off PPT) Flashcards

1
Q

U.S Drug Legislation or Nurse Practice Acts?: Sets official drug standards

A

U.S Drug Legislation

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2
Q

U.S Drug Legislation or Nurse Practice Acts?: Defines prescription drugs

A

U.S Drug Legislation

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3
Q

U.S Drug Legislation or Nurse Practice Acts?: Regulates controlled substances

A

U.S Drug Legislation

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4
Q

U.S Drug Legislation or Nurse Practice Acts?: Improves safety

A

U.S Drug Legislation

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5
Q

U.S Drug Legislation or Nurse Practice Acts?: Requires proof of efficacy

A

U.S Drug Legislation

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6
Q

U.S Drug Legislation or Nurse Practice Acts?: Identifies nursing responsibilities for administration and client monitoring

A

Nurse Practice Acts

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7
Q

What are the 4 medication systems?

A

Stock supply
Unit dose
Automated dispenser
Self-administration

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8
Q

Which medication system is this: Password accessible locked cart

A

Automated dispenser

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9
Q

Which medication system is this: bulk quantity

A

Stock supply

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10
Q

Which medication system is this: Individually packaged

A

Unit dose

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11
Q

Which medication system is this: Individual containers

A

Self-administration

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12
Q

Which medication system is this: central location

A

Stock supply

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13
Q

Which medication system is this: Client-specific drawers

A

Unit dose

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14
Q

Which medication system is this: Not client-specific

A

Stock

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15
Q

Which medication system is this: Kept at client’s bedside

A

Self-administration

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16
Q

Which medication system is this: Computerized tracking

A

Automated dispenser

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17
Q

Which medication system is this: 24 hour supply

A

Unit dose

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18
Q

Can automated dispensers combine stock and unit doses?

A

Yes

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19
Q

What is pharmacokinetics?

A

What happens to the drug in the body

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20
Q

What is pharmacodynamics?

A

How the drug affects the body

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21
Q

What are the 4 processes of pharmacokinetics?

A

Absorption
Distribution
Metabolism
Excretion

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22
Q

What is movement of the drug into the bloodstream?

A

Absorption

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23
Q

What are 4 factors that affect absorption?

A

Route of administration
Drug solubility
pH/ionization
Blood flow

24
Q

What is distribution?

A

Drug transport to tissues and organs

25
Q

What 3 factors affect distribution?

A

Local blood flow
Membrane permeability
Protein-binding capacity

26
Q

Biotransformation is apart of which pharmacokinetic process?

A

Metabolism

27
Q

What is biotransformation?

A

Chemical conversion of drug

28
Q

What are 3 factors affecting metabolism?

A

Liver function
Health/disease status
First-pass effect

29
Q

What is elimination of the drug?

A

Excretion

30
Q

What are 2 factors affecting excretion?

A 
Organ function (especially the kidneys, liver and lungs)
Exocrine glands
31
Q

What are 4 concepts related to pharmacokinetics?

A

Time until onset and peak
Therapeutic range
Half-life
Concentration of active drug

32
Q

What are primary effects of drug? (5)

A
  1. therapeutic effects
  2. predicted
  3. intended
  4. desired
  5. why the drug was prescribed
33
Q

What are secondary effects of drugs? (3)

A
  1. Unintended
  2. nontherapeutic
  3. can be predictable, harmless, or harmful
34
Q

What are types of secondary effects?

A 
Side-effects
Adverse reactions
Toxic reactions
Allergic reactions
Idiosyncratic reactions
Cumulative effect
35
Q

What are the three drug interactions?

A

Antagonistic
Synergistic
Incompatibilities

36
Q

Types of med orders? (5)

A 
Written
Automatic "stop" date
STAT
Standing
PRN
37
Q

How can communication of orders happen?

A

Handwritten
Preprinted
Orally
Telephone

38
Q

What are the 6 components of the med order/prescription?

A
  1. Clients full name
  2. Date and time
  3. Name of med
  4. Dosage size, frequency, and number of doses
  5. Route of administration
  6. Printed name and signature or prescriber, including relevant credentials and legal registration number
39
Q

What are your three checks? (example of pouring liquid)

A

one: before you pour (check medication label against the MAR)
two: after you pour (verify label against the MAR)
three: At the bedside (check med again)

40
Q

What are the 6 rights?

A 
Right drug
Right client
Right dose
Right time
Right route
Right documentation
41
Q

What are the 3 other rights (I know there are 4 others but she only listed 3 in ppt)

A

Right reason
Right to know
Right to refuse

42
Q

What is the most common used route of med administration?

A

Oral

43
Q

What all is included for oral route?

A

Tabs, pills, caps, liquids, buccal, sublingual, enteral meds

44
Q

Where are topical meds applied?

A

Directly to body surface/body cavities

45
Q

What kind of effects can topical meds have (local, systemic, or both)?

A

Local (and sometimes systemic)

46
Q

What are examples of topical meds?

A 
Lotions, creams, ointments
Transdermal patches
Eye and ear
Nasal 
Vaginal
Rectal
47
Q

What are ways to avoid med errors?

A
  1. Arrive to work well rested and undistracted
  2. Use 6 rights
  3. Calculate doses carefully; double check with second RN
  4. Watch for drugs with similar names
  5. Watch for clients with the same last name
  6. Clarify unfmailar drug names and dosages or illegible orders
  7. Avoid abbreviations
  8. Know and use your resources
  9. Keep up with changes in med orders
48
Q

What is the first thing you do if you have committed a medication error?

A

Immediately assess the patents VS and physical status

49
Q

What is the second thing you do if you committed a med error?

A

Report findings to primary care provider

50
Q

What is the third thing you do if you committed a med error?

A

Notify nurse manager of your unit and report the event surround the error.

*Check with your institution for agency-specific policy regarding incident reporting

51
Q

How are meds ordered?

A 
Standing
Schedule
PRN
Now
STAT
On call
One time dose
52
Q

How are med orders given?

A

Written
Verbal
Telephone

53
Q

Verbal and telephone orders must be ______

A

Repeated back for clarification

54
Q

Can nursing students take med orders?

A

No

55
Q

When teaching about meds we should teach the client, family, and/or the significant others. We should use aids appropriate to our patients level of education. What do we need to teach them about?

A 
Drug
Purpose
Dose
Route
Schedule
Side effects
When to notify prescriber

Skills- Chigozie (11 decks)

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