Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Fundamentals of Nursing > Medicine Administration > Flashcards

Medicine Administration Flashcards

(74 cards)

Start Studying
1
Q

What does the route of a med mean ?

A

how it enters the body

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

What does the absorption of a med mean ?

A

how it gets from the site into the bloodstream

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

What does the distribution of a med mean ?

A

how it gets from blood into cells, tissues or organs

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

What does action of a med mean ?

A

how does it alter the physiological functions of the body

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

What does the metabolism of a med mean ?

A

how does it get changed to prepare for excretion

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

What does excretion of a med mean ?

A

how it exits the body

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

What does therapeutic effect mean ?

A

the expected affect (physiological response) of a med
- can have more than 1 therapeutic effect

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

What does side effects mean ?

A

unintended, secondary reactions to a drug
- usually not life-threatening

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

What does adverse effects mean ?

A

undesirable and potentially dangerous responses to a medication
- Ex.) seizures

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

What does toxic effect mean ?

A

specific risks and manifestations of toxicity
- develop when med accumulates in the blood

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

What does idiosyncratic reaction mean ?

A

abnormal/unexpected response to over or under reaction to a medication
- peculiar to an individual pt

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

What does an allergic reaction mean ?

A

hypersensitivity to a medication

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

What is a drug-drug interaction ?

A

when one medication modifies the action of another

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

What is a synergistic effect ?

A

combined effect of 2 meds is greater then the effect of the meds given separately

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

What does serum half-life mean ?

A

time for serum medication concentration to be halved through metabolism

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

What does onset mean ?

A

time it takes for a med to produce a response

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

What does peak mean ?

A

time at which a med reaches its highest effective concentration
- IV vs PO

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

What is trough level ?

A

lowest concentration of drug reached in the body after it falls from its peak level

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

What does duration of action mean ?

A

length of time the concentration of a drug in the blood or tissue is sufficient to elicit a response

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

What does plateau mean ?

A

blood serum concentration is reached and maintained

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

What are the 10 rights of med administration ?

A
  • right client: 2 identifiers (full name and DOB)
  • right drug: need order, match with MAR
  • right dose
  • right route
  • right time: institutional (each facility has different standards for what is considered “late”
  • right assessment (allergies, contraindications, VS, diet)
  • right documentation: after its given
  • right to refuse
  • right education
  • right evaluation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What do you do if a pt refuses a med ?

A

you educate the pt further as to why they should take the med and investigate further as to why they don’t want to take the med
- don’t just give up immediately

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

What does every medication order have to include ?

A
  • pt’s name
  • order date
  • med name
  • dose
  • route
  • time of administration
  • drug indication
  • and prescriber signature
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are important things about medication orders ?

A
  • prescriber can be physician, NP, or PA (physician assistant)
  • orders can be written (hand or electronic), verbal, or given by telephone
  • use of abbreviations can cause errors so use caution
  • don’t make any assumptions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What is a standing or routine order ?
administered until the dosage is changed or another medication is prescribed
26
What is a PRN order ?
given when the pt requires it
27
What is a single (one-time) order ?
given one time only for a specific reason
28
What is a STAT order ?
given immediately in a emergency - within 30 mins
29
What is a now order ?
when a medication is needed right away - not a STAT - 30-60 mins
30
What is a prescription order ?
medication to be taken outside of the hospital
31
What is the RN's role in med administration ?
- assess pt's ability to self-administer - determine whether they should receive med (don't just give because it's ordered but evaluate them too and if something seems wrong then call for physician) - administer med correctly - closely monitor effects - DO NOT delegate task
32
Why are avoiding interruptions important when administering medication ?
it can generate med errors
33
What is the standard to ensure you have the right med ?
read labels at least 3 times and compare to MAR
34
What is the RN's role in medication errors ?
- report all med errors (incident report and to provider) - have to report near misses too - documentation is required - incident report has to be accurate, factual of what occurred and what was done
35
What are examples of enteral/oral med routes ?
- sublingual and buccal
36
What are examples of paraenteral med routes ?
- IV, IM, Sub-Q, ID
37
What are some factors affecting oral meds ?
- convenience vs. tolerance - easy to give - often produces local or systemic effects
38
What are some characteristics of injection meds ?
- infection risk - needles - bleeding - rapid absorption
39
What are some characteristics of skin/topical meds ?
- painless - caution w/ abrasions/cuts - provides local effects - only apply to affected areas
40
What is a characteristic of a transdermal med ?
(patch) - prolonged systemic effects
41
What is a characteristic of a mucous membrane med ?
- sensitive - less pleasant
42
What are characteristics of inhalation meds ?
- rapid effect for local respiratory effect - potential serious side effects
43
What is a caplet ?
coated for easier swallowing
44
What is a capsule ?
powder, liquid or oil in gelatin shell
45
What is a tablet ?
compressed powder
46
What is a enteric coated med ?
dissolves in small intestine
47
What is a time release med ?
granules with different coatings, or some tablets that dissolve slowly - releases a steady amount of the med in your system for a period of time
48
What is a lozenge ?
dissolves in mouth
49
What is a elixir ?
mixed with water or alcohol and a sweetener
50
What is a syrup med ?
sugar solution
51
What is a suspension med ?
drug particles in a liquid medium
52
What is a solution med ?
mixed in water - can be sterile for dressing changed (normal saline) or for IM, SQ, or IV routes
53
What is a lotion med form ?
liquid suspension for skin
54
What is a ointment med ?
semisolid (salve another name)
55
What is a paste ?
semisolid, but thicker than ointment - slower absorption
56
What is a transdermal disk or patch ?
semi-permeable membrane disk or patch with drug applied to skin - avoids 1st pass effect - no GI symptoms because you don't ingest
57
What is a suppository ?
solid drug mixed with gelatin that is inserted into body cavity to melt - rectum or vagina
58
What are spacers used for with inhalers ?
when pt's unable to coordinate breaths - can't press button and at the same time breathe in med and hold breathe
59
What do you need to use a pressurized metered-dose inhaler (pMDIs) ?
need sufficient hand strenth for use
60
How are dry power inhalers (DPIs) used ?
activated by patient's breath (pt inhales to get it out) - requires deep inhalation to release med
61
Why is the Z-track method used for IM injections ?
prevents tissue irritation caused by medication leaks into subcutaneous tissue - prevent leakage of of med into SubQ tissue
62
What are the landmarks for a deltoid injection ?
acromion process and axillary line - 2 to 3 finger widths below acromion process - potential for injury because of proximity to brachial artery and radial nerve
63
For a deltoid injection what needle size do we use for adults and kids ?
do not use deltoid for kids younger than 3 yrs old - adults: 1- 1.5 inches - children: 0.5-1 in
64
What are intradermal (ID) injections for ?
skin testing and for local anesthetics - best sites are inner forearm or upper back - almost parallel to pt's skin and bavel faces up
65
At what degrees do you administer a IM injection ?
90 degrees
66
At what degree do you administer a ID (intradermal) injection ?
15 degrees
67
What are SubQ injections for ?
for meds that are intended to absorb slowly - this tissue is less vascular then muscle so its absorbed slowly - rotate sites to avoid tissue damage - do not aspirate for this injection
68
At what degree do you administer SubQ injections ?
- 45 degrees if you can pinch 1 inches of skin - 90 degrees if you can pinch 2 inches of skin
69
What are IM injections administered for ?
deposits meds quickly into the muscle which is highly vascularized, so it absorbs rapidly - aspirate for blood - leave needle in for 10 secs to let med disperse
70
Where are sublingual meds administered ?
under the tongue - quickly absorbed through mucous membrane for systemic effects
71
Where are buccal meds administered ?
toward the back of the mouth between to upper and lower molars and the cheek - quickly absorbed through mucous membrane for systemic effects
72
For liquid meds where should you measure for accuracy ?
base of meniscus - not edges
73
What are the landmarks for a ventrogluteal injection ?
head of greater trochanter and the anterior superior iliac spine
74
What are the landmarks for a vastus lateralis injection ?
head of greater trochanter and the knee

Fundamentals of Nursing (14 decks)

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