chap 29 Flashcards

(54 cards)

1
Q

types of drug names

A
  • chemical
  • generic
  • trade
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2
Q

classification of drug

A
  • effect drug has on body
  • symptoms medication relieves
  • desired effect
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3
Q

medication forms

A

capsules, tablets, extended release, lotion, ointment, powder, syrup, inhalants, etc

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4
Q

pharmokinetics

A

study of movement of drugs within the body

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5
Q

4 processes of pharmokinetics

A
  • absorption
  • distribution
  • metabolism
  • excretion
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6
Q

in order for a medication to be considered therapeutic

A

must be absorbed, distributed to cells/tissues, and alter physiological function

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7
Q

factors that influence absorption

A
  • route of administration
  • ability to dissolve
  • blood flow to site
  • body surface area
  • lipid solubility
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8
Q

topical route

A

slowest rate

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9
Q

mucous membrane/respiratory tract route

A

quick rate

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10
Q

IV route

A

quickest rate

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11
Q

oral route

A
  • takes time
  • cheaper
  • pt prefers
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12
Q

when a site of administration requires high blood supply, ….

A

medication absorbs quickly

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13
Q

absorption

A

passage of meds into the bloodstream from the site of administration

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14
Q

distribution

A

drug molecules are transported throughout body to where they take action

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15
Q

distribution speed depends on

A
  • adequacy of blood circulation
  • protein binding
  • selectively permeable blood-brain barrier
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16
Q

metabolism

A

change of an active drug from its original form to an inactivated or new form

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17
Q

what is the primary site for drug metabolism

A

liver

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18
Q

what would happen if the liver was damaged and could not function properly

A

it would take longer to metabolize and can lead to toxicity

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19
Q

how much liquid is needed for proper excretion

A

8-9 cups a day

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20
Q

medication leave/excrete from body through

A
  • kidney
  • liver
  • bowel
  • lungs
  • exocrine glands
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21
Q

where do kidneys excrete most drugs?

A

through urine

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22
Q

with a decrease in renal function

A

increase risk of toxicity

23
Q

if a pt experiences a decrease in renal function, what should the nurse do

A

lower the dosage

24
Q

therapeutic effect

A

expected or desired outcome

25
side effect
unavoidable secondary effects, predictable, mild, tolerated
26
adverse effect
harmful effects that lead to injury | -some immediate, some take weeks/months to develop
27
toxic effect
accumulation of medication in bloodstream
28
allergic reaction
severe is anaphylaxis
29
drug tolerance
body gets used to effects of a drug | -larger does required
30
drug interaction
one medication modifies the action of another medication
31
additive effect
drugs w/ similar actions results in an increase in the overall effect
32
synergistic effect
combined effect of 2 or more meds is greater than the effect of meds given separately
33
idiosyncratic reaction
overreaction, underreaction, or different reaction from most other pts
34
antagonistic effect
combined drugs alter overall sum effect or negate each other's effects
35
interference
one drug interferes with the metabolism of another
36
displacement
one drug binds to protein site and forces another drug to be displaced
37
onset
time it takes for med to produce a response
38
peak
time at which a med reaches its highest effective concentration
39
trough
minimum blood serum concentration before next scheduled dose
40
duration
time medication takes to produce greatest results
41
in order to keep pt in therapeutic range
must administer medication around the clock
42
oral
swallowed, buccal
43
parenteral
epidural, IV, etc
44
topical
skin, mucous membranes, eyes, ears
45
standing or routine order
administered until the dosage is change or another med is prescribed
46
PRN order
given when pt requires it
47
single order
given one time only for a specific reason
48
STAT order
given immediately in emergency, DROP EVERYTHING
49
now order
when a medication is needed right away, a little wiggle room
50
prescription order
medication to be taken outside of hospital
51
6 rights of medication administration
- right pt - right drug - right dose - right route - right time - right documentation
52
nurses roles in med administration
- determining if ordered med is correct - clarify confusion on medication orders - assess pt ability to self-administer - determine whether pt should receive - administer correctly - check order 3 times - closely monitor - provide pt teaching - do not delegate this task
53
patients have the right to
- be informed about med - refuse a med - have a medication history - be properly advised about experimental nature of medication - receive labeled medication safely - receive supportive therapy - not receive unnecessary meds - be informed if med is part of research study
54
narcotics
- must be counted by an oncoming shift nurse and an off-going nurse - any discrepancies notify the nursing supervisor immediately