Medication Administration

Question 1

10 rights

Answer 1

RIGHT:
drug - 3 checks
dose
client - 2 ways
time
route
documentation
education
right to refuse
assessment
evaluation

Question 2

Med Prep consists of:

Answer 2

1. checking the MAR
2. assess labs/vs/accucheck/allergies
3. know action, SE, dose

Question 3

Meds that can’t be crushed

Answer 3

Tegretol, ER, enteric coated

Question 4

Meds in the abdomen only

Answer 4

Heparin, Lovenox

Question 5

Check IV’s for

Answer 5

1. correct solution
2. correct rate
3. will primary bag need to be changed

Question 6

SBAR

Answer 6

Situation
Background
Assessment
Request

Question 7

Carrying out a physician’s order involves questioning:

Answer 7

• any order a client questions
• any order if the client’s condition has changed
• verbal orders to avoid miscommunication (record)
• any order that’s illegible, unclear, or incomplete

Question 8

Carrying out a physician’s order involves questioning:

Answer 8

• any order a client questions
• any order if the client’s condition has changed
• verbal orders to avoid miscommunication (record)
• any order that’s illegible, unclear, or incomplete

Question 9

pharmacopoeia

Answer 9

book containing a list of products used in medicine with descriptions of the product etc

Question 10

liniment

Answer 10

med mixed with alcohol, oil or soapy emollient and applied to the skin

Question 11

tincture

Answer 11

alcohol or water-and-alcohol solution prepared from drugs derived from plants

Question 12

elexir

Answer 12

sweetened and aromatic solution of alcohol used as vehicle for medicanal agents

Question 13

aqueous suspension

Answer 13

one or more drugs finely divided ina liquid such as water

Question 14

aqueous solution

Answer 14

one or more drugs dissolved in water

Question 15

Who is responsible for med error done by nurse?

Answer 15

nurse and practitioner

Question 16

therapeutic effect

Answer 16

desired effect, the primary effect intended and reason med is prescribed

Question 17

adverse effects

Answer 17

more severe side effects that may justify the dc of med

Question 18

drug toxicity

Answer 18

deleterious effects of a drug on an organism or tissue, resulting from overdosage (ingestion of external meds, buildup of med in blood)

Question 19

palliative

Answer 19

relieves the symptoms of a disease but does not affect the disease itself MS, ASA

Question 20

curative

Answer 20

cures a desease or condition, penicillan

Question 21

supportive med

Answer 21

supports body function until other treatments or the body’s response can take over, ASA for temp

Question 22

substitutive

Answer 22

replaces body fluids or substances, insulin, thyroxine

Question 23

chemotherapeutic

Answer 23

destroys malignant cells, bulsulfan for leukemia

Question 24

restorative

Answer 24

returns the body to health, vitamin

Question 25

potentiating effect vs inhibiting effect

Answer 25

increasing or decreasing drug effect

Question 26

synergist effect

Answer 26

occurs when two different drugs increase the action of one or another drug

Question 27

Idiosyncratic effect

Answer 27

unexpected, unpredictable, unexplainable response to a drug that is individual to that patient

Question 28

cumulative effect

Answer 28

increasing response to repeated doses of a drug that occurs when the rate of administration exceeds the rate of metabolism or excretion

Question 29

drug habituation

Answer 29

mild form of psychological dependence continues habit even though it may be injurious to health

Question 30

Two types of drug dependence

Answer 30

psychological and physiological

Question 31

drug half life

Answer 31

time required for the elimination process to reduce the concentration of the drug to 1/2 what it was at initial concentration (ie. 8 hr t1/2 = 50% at 8 hours, at 16 25%, at 24 12.5%)

Question 32

onset of action

Answer 32

the time after administration when the body initially responds to med

Question 33

peak plasma level

Answer 33

highest plasma level achieved by a single dose when the elimination rate of a drug equals the absorption rate

Question 34

plateau

Answer 34

a maintained concentration of a drug in the plasma during a series of scheduled doses

Question 35

pharmacodynamics

Answer 35

mechanism of drug action and relationships btwn drug concentration and the body's responses

Question 36

receptor

Answer 36

the drugs specific target, usually a protein located on the surface of a cell membrane or within the cell (binding is usually reversible and the action terminated once the drug leaves the receptor)

Question 37

agonist vs antagonist

Answer 37

drug producing same type of response as the physiological substance and antagonist inhibits cell function by occupying receptor sites

Question 38

pharmacokinetics

Answer 38

process by which a drug passes into the bloodstream

Question 39

biotransformation

Answer 39

detoxification or metabolism, drug is converted to a less active form, most occur in the LIVER

Question 40

suppository

Answer 40

use non sterile gloves, place beyond the rectum ridge, leave suppository in for 30 minutes before normal defacation time, position in prone, fetal or sim's position

Question 41

NEVER use abbreviations:

Answer 41

``` U IU QD QOD 0 not noted before decimal and at end of decimal MS, MsOG4 < or > drug abbreviation ``` ``` apothecary cc @ ug (write out mcg) TIW AS AD AU HS SC/SQ D/C ```

Question 42

Orders for certain medication expire

Answer 42

after a specified time frame, ie narcotics, antibiotics; they need to be reordered by physician

Question 43

position client in oral medication

Answer 43

sitting or side lying facilitate swallowing and prevent aspiration

Question 44

major consequence to polypharmacy is

Answer 44

falls

Question 45

What do you do when you commit a medication error?

Answer 45

assess notify doctor internvention document inform at shift change

Question 46

intrathecal

Answer 46

intraspinal - into the spinal canal