Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

nursing 20030 > medication administration > Flashcards

medication administration Flashcards

(75 cards)

Start Studying
1
Q

terminolgy

MAR

A

-medication administraion record
-legal documentation regarding medication administration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

terminology

EMAR

A

-electronic medication administration record

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

terminology

bar code administration

A

-scan band
-system process to reduce (but not eliminate) medication errors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

terminology

chemical name

A

-molecular makeup of medication
-not used in clinical practice often

ex. acetylsalicylic acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

terminology

generic name

A

-one name given to drug by group who first identified it

ex. aspirin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

terminology

trade name

(brand name)

A

-specific manufacturer, copyrighted to distribute

ex. bayer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

who regulates drugs and requires drugs to have uniform purity standards for active ingredients

A

FDA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

describe how medications are classified

A

-medications are classified by the way they act against disease or disorders (their effects on a body system) or by their chemical composition, or their clinical indications for the therapeutic effect

therapeutic and pharmacologic classification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

describe…

therapeutic classification

A

-the way drugs act against diease or disorders and their effect on a body system
-examples include alagesics and laxatives

what the drug does - physiological change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

describe…

pharmacologic classification

A

-mechanism of action of the drug at the molecular level
-the genera; indications, precautions, and nursing implications are similar in the same pharmacologic classification
-examples: beta blockers and ace inhibitors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

describe…

therapeutic effect

A

desired physiologic response

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

describe…

adverse effects

A

anything other than therapeutic effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

name some adverse effects

A

-side effects
-tolerance
-toxicity
-idiosyncratic effect
-severe adverse effect
-allergic reaction
-anaphylactic shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

describe…

side effects

A

-can vary from slighly bothersome to so bothersome you may have to switch drug therapies
-ex. ace inhibitors can give a harsh cough

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

describe…

tolerance

A

pt requires higher dose over time to achieve same response

ex. opioids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

describe…

toxicity

A

-too much of a drug
-reactions with other drigs
-inhibited metabolism or excretion of a drug (impaired kidneys or liver)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

describe…

idiosyncratic effect

A

-unexpected response
-exaggerated or opposite

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

describe…

severe adverse effect

A

-FDA term (reportes to them by pharmacists- may lead to black box warning)
-response to med is life threatening, requiring intervention to prvent death or disability
-or med leads to death, hospitalization, disability, or congenital defects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

describe…

allergic reaction

A

-when there is an immunologic response to the med
-drug is the antigen -> body creates lymphoctes to attack antigen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

describe…

anaphylactic reaction

A

-life threatening
-throat swelling, circulatory collapse
-use epi and call 911
-can premedicate in hospital for anticipated reaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

name some different types of drug interactions

A

-synergy/synergism
-antagonist/antagonism
-incompatibility
-teratogenic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

describe…

synergy/synergism

A

-better together
-multiple drugs work better when used together than when given alone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

describe…

antagonists/antagonism

A

drugs that reduce, alter, or interfere with the effect of another drug

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

describe…

incompatibility

A

-chemical compatibility if liquid (primarily injectable) medications
-just look it up

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
# describe... teratogenic
-interaction of med with developing fetus -most dangerous in first trimester | not tons of info on it
26
# describe... pregnancy category A
no risk to the fetus in any trimester
27
# describe... pregnancy category B
no adverse effects demonstrated in animals; no human studies
28
# describe... pregnancy category C
studies with animals have shown adverse reactions; no human studies; given only after risks to the fetus have been considered
29
# describe... pregnancy category D
definite fetal risk; only given if life threatening condition exists
30
# describe... describe pregnancy category X
absolute fetal abnormality; not to be used anytime in pregnancy
31
# terminology onset
-amount of time for the therapeutic effect to begin -varies based on med and dose
32
# terminology peak
time when concentration in blood is highest
33
# terminology duration
how long therapeutic effect lasts | effects dosing frequency
34
# terminology trough
-sample of blood is taken prior to next scheduled dose (should be at lowest concentration) -measured to evaluate metabolism of drug
35
# terminology plateau
consistent concentration in blood with repeated fixed doses
36
# terminology half-life
amount of time it takes to reduce concentration by half through elimination
37
# terminology therapeutic range
-blood draw to ensure there is effective concentration but not toxic -can vary between drugs
38
name some different medication orders
-routine -standing -prn -single -stat -telephone or verbal orders -medication reconciliation
39
# describe... routine orders
-usual order -keep giving until order is discontinued
40
# describe... standing orders
-if X, then Y -ex. if BS less than 35, give insulin
41
# describe... PRN orders
-as needed -more freuqent than standing and can be for comfort, or be more lifethreatening
42
# describe... single orders
happen once
43
# describe... stat order
-immediately -usually for life threatening situations -can be given before a pharmacist signs off on it
44
# describe... telephone or verbal orders
-verbal communication with prescriber -has to be urgent -take out something to write on -read back
45
# describe... medication reconciliation
-process of reviewing meds at every change of location of pt | reviewing for duplications and omissions
46
what are the med administration essentials
-triple check -three checks -six rights -patients rights -pre administration assessment -evaluation
47
# describe... triple check
-visually confirm the medication: 1. when the nurse reaches for the med 2. when the dose is in the nurses hand 3. one last time before administering to the patient
48
# describe... three checks
-different from triple check 1. check med order 2. check pt allergies 3. check meds expiration date
49
# describe... 6 rights
-right drug -right dose -right route -right time -right patient -right documentation
50
name some different routs of med administration
-oral -sublingual -buccal -enteral -inhalation -topical -parenteral
51
what are some different types of topical administration
-transdermal -opthalmic -otic -nasal -rectal -vaginal
52
name some different types of parenteral administration
-intradermal -subcutaneous -intramuscular -intravenous -epidural -intrathecal
53
# describe... patients rights
right to... -information -careful assessment -informed consent -safe administration -supportive therapy -have no unecessary medications
54
# describe... pre administration assessment
evaluate... -include both direct and indirect data -med history -allergies -current med list -diet history/diet order -neurological problems -current condition -lab values -physical assessment
55
# describe... evaluation
-when is this completed? -determine therapeutic effect -determine adverse effects
56
# describe... polypharmacy
lots of drugs
57
# describe... misuse
using a medication other than as prescribed
58
# describe... noncompliance
not following the plan
59
# describe... vitamins, supplements, and OTC | as special considerations with med administration
can interact and does interact with other medication
60
when should you remove meds from individual dose packaging?
keep meds in packaging until immediately prior to administration ## Footnote also only the person who prepared the med should administer it
61
should you leave meds unattended?
nope | medication security and verification of medication
62
what do you do with unused medications?
unused medications need to be disposed of following special rules
63
can you withhold medications?
yes. withhold medications based on your assessment and collaboration with physician
64
describe controlled substances | when talking about administration
regulated by federal law (who can prescribe, specific record keeping, procedures for dispensing and wasting)
65
med errors are due to...
-can be due to human error and/or syste ineffectiveness -violation of one of te 6 rights
66
what phase of the administration process can med errors occur?
can occur at each phase of the process: -ordering -transcribing -dispensing -administering
67
what factors can lead to an administration-relted med error?
-miscommunication -too many patients -knowledge deficit -fatigue -complacency -distractions
68
what are some processes and systems to reduce errors?
-tallMAN letters (used for lookalike soundalike drugs) -high alert medications (meds that have increased risk if error occurs) -dual verification
69
in the event of an error... | what do you do???
-assess patient immediately (collect data to determine what you need to assess) -notify physician (may need supportive treatment, reversal agents, tests, monitoring) -complete incident report
70
describe patient centered care | as it applies to safe med administration
if possible, adapt to patients normal schedule and routine
71
describe teamwork and collaboration | as it applies to safe med administration
there are many people invlolved with med administration. including: -pharmacists -prescribers -nurses -nursing assistants -respiratory therapists
72
describe EBP | as it applies to safe med administration
how we administer meds comes from evidence based practice
73
describe quality improvement | as it applies to safe med administration
think aboiut errors before they occur
74
describe safety | as it applies to safe med administration
know what you dont know
75
describe informatics | as it applies to safe med administration
-EHR -med resources online

nursing 20030 (31 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions