Chapter 23 Medication Administration

Question 1

Generic Name

Answer 1

• Nonproprietary name

- Can have multiple

Question 2

Stock Supply of Doses

Answer 2

• Bulk quantity
• Central location
• Not client specific
• Multiple doses

Question 3

Unit Does

Answer 3

• Individually packaged
• Clien-specific
• 24-hr supply
• One does

Question 4

Pharmacokinetics

Answer 4

What happens to the drug in the body

Question 5

Pharmacodynamics

Answer 5

How does the drug affect the body

Question 6

Four processes of Pharmacokinetics (4)

Answer 6

• Absorption
• Distribution
• Metabolism
• Excretion

Question 7

Time until onset and peak refers to…

Answer 7

Medications highest level in the blood

Question 8

Peak level refers to…

Answer 8

Highest level in blood

Question 9

Trough level refers to…

Answer 9

Lowest level in the blood

Question 10

Therapeutic level refers to…

Answer 10

The amout of a drug (range) to see affects

Question 11

Half-life

Answer 11

Time of half of the med to be excreted

Question 12

Primary effects include

Answer 12

• Therapeutic effects
• Predicted effects
• Intended effects
• Desired effects
• Why was the drug prescribed

Question 13

Secondary effects include

Answer 13

• Uninteded

- Nontherapeutic

Question 14

Types of secondary effects (5)

Answer 14

• Side effects
• Adverse reactions
• Toxic reactions
• Allergic reactions
• Idiosyncratic reactions

Question 15

Antagonistic Reaction

Answer 15

One drug interacts with another drug, making it less effective

Question 16

Synergistic interaction

Answer 16

Added affect fo 2 drugs together

Question 17

Tolerance of drug

Answer 17

More drug is needed

Question 18

Dependence of drug

Answer 18

Withdrawal

Question 19

Addiction of a drug

Answer 19

Disease

Question 20

Prescriptions need to include the following (5)

Answer 20

1. Client’s full name
2. Date and time order is written
3. Drug name
4. Drug does
5. Route

Question 21

Types of prescription communication (4)

Answer 21

• Handwritten
• Preprinted
• Oral
• Telephone

Question 22

Medication Errors (5)

Answer 22

1. Lack of knowledge or information
2. Faulty communication
3. Equipment errors
4. Calculation and measurement errors
5. Other

Question 23

What to do if medcation error occurs (5)

Answer 23

1. Put the patient first
2. Notify the prescrib
3. Notify the nurse manager
4. Complete an incident report
5. Avoid being to hard on yourself

Question 24

Where do the three checks occur for medication admiistration

Answer 24

1. Med room
2. Outside the patients door
3. At the bedside

Question 25

Need to assess what during medication administration (4)

Answer 25

1. VS/Labs 2. Patient mental status/coordination 3. Swalowing ability 4. Effectiveness of medication and side effects

Question 26

5 Rights of Medication Administration

Answer 26

1. Right drug 2. Right does 3. Right time 4. Right route 5. Right patient

Question 27

Most commonly used route

Answer 27

Oral

Question 28

Sublingual is placed under the tongue

Answer 28

Placed under the tongue

Question 29

Buccal is placed where

Answer 29

Against the mucos membrane of the cheek

Question 30

What do you use to apply topicals?

Answer 30

Cotton swab

Question 31

Transdermal considerations (4)

Answer 31

- Do not use the same spot - Directly on the skin - Patch should be dated and initialed - Older patch removed and folded in on itself

Question 32

Ophthalmic Medication Considerations

Answer 32

Hold nasal lacrimal duct to prevent systemic spread

Question 33

Otic Medication Considerations

Answer 33

- Adults hold pinna up and back | - Children hold pinna down and back

Question 34

Nasal medicaiton considerations (2)

Answer 34

- Shrink swollen mucosal membrane | - Blow nose prior to administration

Question 35

Position for vaginal medication application

Answer 35

Dorsal recumbent