CLINICAL Flashcards
(61 cards)
What constitutes a legal document
Black pen Legible Date Time Nursing entry Signed (name, designation) Students must be countersigned Errors have single line Accurate Correct abbreviations Correct notes
SOAP
Subjective data (patients POV)
Objective data (measurable)
Assessment (problem)
Plan
ISOBAR
Identification (you,team leader, patient)
Situation (reason for admission)
Observation (vitals)
Background (relevant history)
Assessment (current issues/problems)
Recommendations (where to from here, expected discharge date, further actions)
Therapeutic effect
Desired or intended effect of the drug
Adverse effect
Unexpected, more severe effect of the drug
Side effect
Secondary effect of he drug, usually predictable
Peak plasma level
Highest concentration of a substance in the blood
Pharmacokinetics
The study in which the way drugs move through the body during absorption, distribution, metabolism and excretion.
(What the body does to the drug)
Pharmacodynamics
The effect that the drug has on the body (what the drug does to the body)
Cumulative effect
The increasing response to repeated doses of a drug that occurs when the rate of administration exceeds he rate of metabolism or excretion
Generic drug name
A drug name that isn’t protected by a trademark and usually describes the chemical structure of the drug
Chemical drug name
The name by which a chemist knows a drug, describes the constituents of the drug precisely
Trade drug name
Name given to a drug by the manufacturer
Absorption
The process by which a drug passed onto the blood stream
Metabolism
The process by which the body breaks down and converts medications into active substances
Excretion
The process by which a drug is eliminated from the body
Distribution
The transportation of a drug from its site of absorption to its site of action
S2 S3 S4 S5 S6 S9 S10
2-pharmacy med 3-pharmacist only med 4-prescription only med 5-caution 6-poison 9-prohibited substance 10-such danger to health as warrant prohibition of sale, supply and use
What to do if you make a medication error
Check your person
Notify RN
Document
The routes of enteral medication administration
Oral Sublingual Buccal Percutaneous endoscopic gastrostomy Nasogastric tube Inhalation Per vaginal Per rectal Skin
What mess can be administered via PEG and NG
Liquid mess
Dissolvable meds
Meds that are not enteric coated
Meds that are not slow/moderate release
BD TDS QID MANE NOCTE POST PRANDIAL PRE PRANDIAL
BD - twice a day TDS-three times a day QID-four times a day Mane- morning NOCTE- night OD- once daily Post PRANDIAL- after food Pre PRANDIAL-before food
7 points for a valid medication order
Right person Right drug Right dose Right date/time Right frequency Doctor signature Right route
6 rights of medication administration
Right person Right dose Right time Right documentation Right medication Right route
