Exam 1 Flashcards by Ashley Martin

5 rights to drug administration

Patient
Drug
Dose
Time
Route

How well did you know this?

Not at all

Perfectly

Additional 5 rights to administer medication

Documentation
Assessment
Education
Evaluation
Right to refuse

How well did you know this?

Not at all

Perfectly

Causes that effect absorption of medications

Blood flow
Temperature
Food
Stress
Pain
Route
Bioavailability

How well did you know this?

Not at all

Perfectly

Pharmaceutic phase

Tablet drugs that need to be broken down into a solution for to be absorbed in the GI tract

How well did you know this?

Not at all

Perfectly

Liquid or tablet absorbed in body faster

Liquid

How well did you know this?

Not at all

Perfectly

First pass effect

Tablet - GI - liver - bloodstream and kidney

How well did you know this?

Not at all

Perfectly

Pharmacokinetic phase

How drugs move through the body
Absorption
Distribution
Metabolize
Elimination ADME

How well did you know this?

Not at all

Perfectly

Percentage of administered drug that reaches the systemic circulation

Bioavailability

How well did you know this?

Not at all

Perfectly

Rapid absorption has _____ bioavailability

Increased

How well did you know this?

Not at all

Perfectly

Slow absorption has ______ bioavailability

Decrease

How well did you know this?

Not at all

Perfectly

IV administration has ______ bioavailability

100% all medication is absorbed through the body

How well did you know this?

Not at all

Perfectly

The four stages of absorption distribution metabolism and elimination of drugs

Pharmacokinetics

How well did you know this?

Not at all

Perfectly

The effects if drugs in the body and the mechanisms of their actions

Pharmocodynamics

How well did you know this?

Not at all

Perfectly

Amount of drugs that are left circulating in the body

Bioavailability

How well did you know this?

Not at all

Perfectly

When a drug is given orally, it must be absorbed from the GI tract into _____ circulation

Portal

How well did you know this?

Not at all

Perfectly

Transdermal application of a medication is ____ circulation

Systemic

How well did you know this?

Not at all

Perfectly

Occurs when a drug has an impact in an irgan than its intended target organ

Side effects

How well did you know this?

Not at all

Perfectly

A drugs impact on the body

Pharmacodynamics

How well did you know this?

Not at all

Perfectly

Binds to a receptor to produce desired effect

Agonist

How well did you know this?

Not at all

Perfectly

Competes with inherent molecules and blocks a response at the receptor site

Antagonist

How well did you know this?

Not at all

Perfectly

Effect of drug when the medication first begins to take effect

Onset

How well did you know this?

Not at all

Perfectly

Effect of drug when the maximum concentration of medication in the body, and the patient shows evidence if the greatest therapeutic effect

Peak

How well did you know this?

Not at all

Perfectly

Length of time a medication produces its desired therapeutic effect

Duration

How well did you know this?

Not at all

Perfectly

Large therapeutic window between effective concentration and toxic concentration of a medication

Study These Flashcards

Large therapeutic index

Small therapeutic window between effective concentration and toxic concentration

Small therapeutic index

Relatively unpredictable, severe, and reason to discontinue medication

Adverse effect

Nursing process steps

Assessment Diagnosis Planning Implementation Evaluation "ADPIE"

Nursing process "Assessment "

Subjective: what pt tells you Objective: what you observe

Nursing process Diagnosis

What the patients problem is

Nursing assessment Planning

The goal for the paients problem

Nursing assessment Implementation

What the patients wants to achieve

Nursing process Evaluation

Effectiveness Side effects Etc

Sedative hypnotic categories

Barbiturates Benzodiazepines Nonbenzodiazepines Melatonin agonists

Barbituates

Short term use-<2 weeks Monitor vs Interactions - no alcohol/cns depressants Contradictions- pregnancy/resp depression/toxicity Side effects-N/V/D, lethargy, drowsiness, dizziness Adverse reaction: dependence/tolerance/hypotension/dizziness

Barbiturates "hint"

"Barb" Examples phenoBARBital

Benzodiazapine "hint"

"Pam," Example lorazaPAM

Benzodiazapines

Combination of drugs for general anesthesia

Balanced anesthesia

Stages of anesthesia

Analgesia-induction stage Excitement/delirium- fighting media Surgical- performing surgery Medullary paralysis- intubation required/longer surgeries require

Types of anesthesia

Inhalation anesthesia Iv anesthesia Topical Local Spinal

Antidote for benzodiazapine overdose

Flumazenil

Drugs that produce a response

Agonists

Drugs that prevent or block a response

Antagonists

Categories of drug actions

Stimulate/depress Replacement Inhibition/killing or organisms Irritation

Stages of anesthesia

Analgesia-relaxing Excitement/delirium Surgical -surg performed Medullary paralysis-longer surg, intubation required

Types of anesthesia

Inhalation Iv Topical Local Spinal

COx inhibitors causing damage to stomach lining

NSAIDS

Immediate anti inflammatory properties

Corticosteroids

Lab interactions: elevated glucose, and wbc

Corticosteroids

Gets rid of uric acid crystals and protects your kidneys

Anti inflammatory Gout medication

Acute pain

Mild moderate, right now issue

Cancer pain

Pressure on organs, Metastasized to bone

Chronic pain

Pain for >6 months difficult to treat

Somatic pain

Skeletal muscle or joint pain

Visceral pain

Smooth muscle or organ pain

Acetylcysteine

Acetaminophen overdose antidote

Opioid, severe pain, antidote is narcan, iv push over 4 to 5 minutes

Morphine

6x more potent than morphine, iv push 2 to 5 min, must dilute with normal saline

Hydromorphone (dilauted)

Narcotic antagonist

Narcan

Exam 1 Flashcards

(59 cards)