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CH. 34
Ch. 34Stack #83336
Question | Answer |
---|---|
Absorption | Passage of med. molecules into the blood from site of administration. |
Adverse Effects | Severe responses to medication |
Anaphylactic Reactions | Severe, characterized by sudden constriction of bronchiolar muscles, edema of pharynx/larynx, wheezing, SOB. |
Biotransformation | Enzymes detoxify, degrade, and remove biologically active chemicals. |
Detoxify | Break down |
Idiosyncratic Reaction | Unpredictable effects |
Instillations | Fluid is retained |
Intraarticular | Injection of a medication into a joint |
Intracardiac | Injection of a medication directly into cardiac tissue |
Medication Allergy | Unpredictable reaction, can be mild or severe. |
Medication Error | Any event that could cause or lead a pt. to recieving inappropriate meds or failing to recieve appropriate meds. |
Medication Interaction | When one med. modifies another. |
Metered-dose Inhalers | Produce local effects like bronchiodilation. |
Narcotics | Controlled substances. |
Nurse Practice Acts | Have the most influence over nurseing practice. Defines scope of nurse's professional functions and responsibilities. |
Parenteral Administration | Injection of a medium into body tissues. |
Peak | Highest serum concentration of med |
Pharmacokinetics | Study of how meds enter body, reach their site of action, are metabolized, and exit the body. |
Polypharmacy | Means the client is taking many meds, prescribed or not, in attempt to treat several disorders at once. |
Serum Half Life | Time it takes for the excretion process to lower the serum medication concentration by half. |
Side Effects | Unintended, secondary effects a medication will predictably cause. |
Solution | A given mass of solid substance dissolved in a known volume of other fluid. |
Synergistic Effect | The effect of two medications combined is greater than the effect of the medications when given separately. |
Therapeutic Effect | The expected or predicted physiologic response a med causes. |
Toxic Effect | May develop after prolonged intake of med or when it accumulates in the blood due to impaired metabolism or excretion. |
Z-Track Method | Hold skin taunt, inject med, and when skin moves back over it seals into the muscle and doesn't leak into subcutaneous tissue. Use with medications that burn. |
Medication Rights | Right Medication, Dose, Client, Route, Time, Documentation |
What right has been added to the traditional five rights? | Right documentation |
The nurse if having difficulty reading a physician's order for a medication. The nurse knows the physician is very busy and does not like to be called. The nurse should? | Call the physician to have the order clarified. |
The client has an order for 2 tbs. of Milk of Magnesia. The nurse converts this dose to the metric system and would give the client? | 30 ml |
Where do most medication errors occur? | Failing to follow routine procedures |
A client is to recieve cephhalexin 500mg PO. The pharmacy sent 250mg tablets. The nurse should give? | 2 tablets |
The primary intent of the state Nurse Practice Act is to what? | Protect the public from unskilled, undereducated, and unlicensed personnel. |
The nurse is responsible for following legal provisions when administering controlled substances or narcotics. Failure to do so may result in what? | Fines, imprisonment, and loss of licensure |
Pharmakokinetics is the study of how medications do what? | Enter the body, reach their site of action, are metabolized, and exit the body. |
Official publications such as the following set standards for medication strength, quality, purity, packaging, safety, labeling, and dose form. | USP and the National Formulary |
Enforcement of medication laws rests within the what? | FDA |
Which statement correctly characterizes drug absorption? | Most drugs enter the systemic circulation to have a therapeutic effect. |
The onset of drug action is the time it takes for a drug to do what? | Produce a response |
Which of the following is not a parenteral route of administration? | Buccal |
The nurse is preparing an insulin injection in which both regular and modified insulin will be mixed. Into which vial should the nurse inject air first? | The vial of modified insulin |