Chapter 19: Medication Administration Flashcards Preview

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Flashcards in Chapter 19: Medication Administration Deck (65)
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1

chemical name

based on its molecular structure

2

generic name

given by the United States Adopted Names Council and is the drug’s official name throughout its lifetime

3

trade or brand name

used by the pharmaceutical company for a 17-year period in which it has the exclusive rights to make and sell the drug.

4

unit-dose system

involves the pharmacy or manufacturer in prepackaging and prelabeling an individual patient dose

5

Bar Code Medication Administration

Uses a handheld laser scanner, a laptop, and bar codes. Patients wear bar-coded id bracelets. The nurse enters a password to access the computer. When the nurse scans the id bracelet, the computer displays the medication record. The nurse selects medications from a drawer and scans the bar code on each packaged medication. The system confirms patient, medication, dose, and route. It also tracks time and nurse. The system will warn of a potential error if the action does not meet five of the six rights.

6

self-administered medication system

supplies each patient with prescribed doses

7

prescription

is a legal order for the preparation and administration of a medication.

8

SAFETY ALERT

Always determine which nonprescription medications the patient has been taking and ensure that he takes no medications without the healthcare provider’s knowledge.

9

Tallman letters

minimize the risk of selecting the wrong medication name

10

SAFETY ALERT

Always clarify with the provider any medication order that is unclear or seems inappropriate.

11

SAFETY ALERT

If an order specifies a certain route of administration and the patient’s condition changes, making the ordered route inappropriate or possibly unsafe, notify the provider so that he or she can change the route of administration.

12

SAFETY ALERT

To ensure accuracy when taking telephone orders, always repeat the order to the provider after writing it down. The provider must cosign the order within a specified time, usually 48 hours. Do not take verbal orders except in an emergency situation (code), because the risk for error is very great. Direct the provider to write the order.

13

Food and Drug Administration (FDA)

Division of the U.S. Department of Health and Human Services. Regulates the manufacture, sale, and effectiveness of medications. Requires drug testing in lab animals and humans before a drug is approved for use. Keeps ineffective or unsafe drugs off the market and recalls inadequately tested or dangerous drugs. Identify which medications can be obtained with or without a prescription, set and enforce standards of purity and potency, oversee all drugs, and control drug advertising to the medical profession.

14

SAFETY ALERT

You have the right and responsibility to decline to administer a medication if you believe it jeopardizes patient safety.

15

SAFETY ALERT

Do not give any medication prepared by another nurse unless the unit-dose label identifies the drug and the seals are intact.

16

6 rights

right patient
right medication
right dose
right route
right time
right documentation
In addition, the patient has the right to refuse.

17

Controlled substances

drugs that are considered to have either limited medical use or high potential for abuse or addiction.

18

SAFETY ALERT

The chemically impaired nurse cannot be trusted to exercise optimal clinical judgment. Such individuals must be identified in order to protect patient safety and so that the nurse can obtain treatment.

19

Pharmacokinetics

Is the process by which a drug moves through the body and is eventually eliminated. It involves the absorption, distribution, metabolism, and excretion of a medication.

20

Pharmacodynamics

refers to the physiologic and biochemical effects of a drug on the body.

21

Absorption

process by which a medication enters the bloodstream

22

Distribution

process by which the medication is delivered to the target cells and tissues

23

Metabolism

process of chemically changing the drug in the body. It takes place mainly in the liver.

24

Excretion

process of removing the drug or its metabolites from the body

25

therapeutic effects

medication’s desired and intentional effects

26

adverse drug event

effect other than therapeutic

27

side effects

Minor adverse effects

28

Tolerance

when a patient develops a decreased response

29

Medication toxicity

overdose or buildup of medication in the blood due to impaired metabolism and excretion.

30

medication interaction

when a medication’s effects are altered by the concurrent presence of other medications or food