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NURS120 > Medication Administration > Flashcards

Medication Administration Flashcards

(80 cards)

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1
Q

Pharmakinetics

A

study of absorption, distribution, metabolism, and excretion (ADME)

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2
Q

ionization

A

pH of the medication and the site of absorption; ionized: weak bases more readily absorbable in the small intestine

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3
Q

dissolution

A

meds must be dissolved before absorption takes place

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4
Q

surface area of the absorption site

A

size of the surface area where the meds will be absorbed

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5
Q

what facts can influence absorption

A

route of administration
ionization
dissolution
blood flow
lipid solubility
surface area of the absorption site
client-specific factors

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6
Q

between high and low lipid soluble meds, which will get absorbed faster

A

high lipid soluble meds

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7
Q

enteral route

A

meds administered via the mouth, stomach, or intestines

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8
Q

distribution

A

med delivery to the target after it has been absorbed into the circulatory system

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9
Q

what factors contribute to distribution

A

blood flow
solubility
protein binding ability

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10
Q

toxicity

A

body can’t metabolize or excrete a meds, can cause irreversible damage to organs

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11
Q

prodrugs

A

inactive chemicals that are activated through metabolism

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12
Q

which organ is the primary one for excretion

A

kidneys

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13
Q

factors that influence excretion

A

kidney, heart, and liver function

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14
Q

pharmacodynamics

A

how a medication works, its relationship to medication concentrations, and therapeutic range

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15
Q

what is therapeutic drug monitoring (TDM) method used for

A

monitor med concentration in pt’s blood; meds with a narrow therapeutic window

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16
Q

adverse drug event (ADE)

A

requires intervention to prevent death, permanent disability, or congenital anomaly, causes hospitalization; need to report to FDA

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17
Q

black box warning

A

on meds that may produce lethal and iatrogenic results

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18
Q

iatrogenic

A

unforesseable or unintended injury or disorder caused by the treatment or procedure

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19
Q

signs of allergic reaction

A

rash, hives, swelling, circulatory collapse, laryngeal edema

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20
Q

anaphylaxis symptoms

A

dyspnea, hypotension, and tachycardia

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21
Q

Steven Johnson syndrome (SJS) symptoms

A

respiratory distress, fever, chills, fine rash followed by blisters

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22
Q

high fat meals will decrease or increase the rate of absorption

A

decrease intestinal absorption

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23
Q

teratogenic

A

cause fetal defects, pregnancy loss, developmental disabilities, or prematurity

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24
Q

examples of teratogenic meds

A

cocaine, alcohol
angiotensin converting enzyme (ACE) inhibitors
gentamycin
lithium
NSAIDs
tetracycline

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25
which meds can be excreted into breast milk after metabolism
codeine, morphine, herbal supplements, alcohol
26
1kg = ? lbs
2.2lbs
27
pediatric clients vs. adult med administration
pediatric: higher rates of metabolism so requires larger dose adults: lower dose
28
polypharmacy
use of 5 or more medications by a nonhospitalized client
29
rights of drug administration accronym
patients do drugs round the day (PDDRTD) right patient, dose, drug, route, time, documentation
30
what are the 3 identifications you can use for drug administration
name, DOB, medical record number and then compared to the medication administration record (MAR)
31
STAT vs. urgent/ASAP orders
STAT: administer within 30mins urgent: within an hour
32
time-critical medications
administered 30mins before or after the scheduled time or would cause harm
33
non time-critical medications
administered 1-2hrs early or late without causing harm
34
3 checks before giving the medication
from medication drawer preparation immediately prior
35
prescription should include what information
name, date/time when it was written, medication name (generic), dosage, route, frequency, indication for use, provider's signature
36
reconciliation process
review current meds, compare to new meds, address issues; include OTC or herbal supplements
37
3 factors that contribute to errors
identification: right meds etc interruption correction: alerts and temptation to ignore
38
workaround
avoiding a policy or procedure in a system
39
which medications should never be crushed or opened
enteric-coated, capsules, sustained-release, and immediate-release meds
40
punctal occlusion/nasolacrimal occlusion
prevent the med from entering into the nasolacrimal duct and into the systemic circulation; gentle pressure on the inner corner for 30-60 secs
41
parenteral route
intradermal, intramuscular, subcutaneous, IV; aseptic technique
42
gauge for intradermal injections
27-25G
43
gauge for intramuscular injections
25-18G
44
gauge for subcutaneous injections
27-25G
45
length of needle for intradermal injections
1/4 - 3/4inches
46
length of needle for intramuscular injections
1 - 1 1/2 inches
47
length of needle for subcutaneous injections
3/8 5/8 inches
48
intramuscular injection angle
90degrees
49
subcutaneous injection angle
45-90 degrees
50
intradermal injection angle
5-10 degrees
51
lipohypertrophy
small lumps of irritated fat tissue; in clients that receive long term subcutaneous injections
52
ventrogluteal
between iliac crest and the anterior superior iliac spine; no major blood vessels or nerves
53
vastus lateralis
anterior lateral aspect of thigh
54
dorsogluteal
butt
55
intermittent piggyback intravenous infusion
medication via IV infusion set
56
phlebitis
inflammation of the vein
57
infiltration: what is it and symptoms
IV fluid inadvertently administered to surrounding tissue; cool skin temp around insertion site, taut skin, oozing fluid
58
preferred IM injection site for infants
vastus lateralis
59
deci
divide by 10
60
centi
divide by 100
61
milli
divide by 1000
62
micro
divide by million(1,000,000)
63
deka
times 10
64
hecto
times 100
65
kilo
times 1,000
66
1tsp to apothecary
60 drops
67
1tsp to metric
5mL
68
1tbsp to metric
15mL
69
2tbsp to apothecary
1oz
70
2tbsp to metric
30mL
71
1cup to apothecary
8oz
72
1cup to metric
240mL
73
1 pint to apothecary
16oz
74
1 pint to metric
480mL
75
1 quart to apothecary
32oz
76
1 quart to metric
960mL
77
1 m = ? cm
100cm
78
1 inch = ? cm
2.54cm
79
1 kg = ?lbs
2.2lbs
80
what grade level should client educational material be written in
6th grade or lower

NURS120 (38 decks)

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