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VNSG 1227 Exam 1
Medication Administration
Question | Answer |
---|---|
opium and caster oil | 1600 BC |
insulin | 1922 |
Sulfanilamide | 1937 |
penicillin | 1942 |
The number and variety of drugs has increased wihtin the | past decade |
who is legally responsible for safe and therapeutic effects of drugs | physicians, pharmacists, and nurses |
who must be knowledgeable about possible drug interactions | The nurse |
provides a chemical composition of the drug | chemical name |
a name NOT protected by trademark | generic name |
a name protected by a trademark | Trade name |
for a drug to pass FDA approval and be marketed, it must meet standards in five areas | purity, potency, bioavailability, efficacy, and safety |
treatment, palliation, diagnosis, cure, and prevention of disease | use for drugs |
drugs with no accepted medical use and a high potential for abuse example heroin and cocaine | Schedule one |
drugs with a medical use and a high potential for abuse and/or dependence example morphine or demorall | Schedule two |
drugs that are medically useful but with less potential for abuse example Valium | schedule three |
drugs that are medically useful but with less potential for abuse than schedule 3 drugs | schedule four |
drugs with medical use and low potential for abuse and that produce less physical dependence than do schedule four drugs example codine | schedule five |
how drugs enter the body, are metabolized, reach their site of action, and are excreted | pharmacokinetics |
rate determined by weight, age, sex, disease conditions, genetic factors, and immune mechanisms | Absorption |
distribution to tissues and site of action depends on chemical and physical properties of drug and physical status of patient | distribution |
skin, oral, and subcutaneous | slow absorption |
mucous membranes and respiratory tract | quick absorption |
Intramuscular | depends on the form of the drug |
intravenous | most rapid absorption |
begins when the drug reaches a minimum effective concentration level | onset |
occurs when the highest blood or plasma concentration of the drug is achieved | Peak |
length of time the drug exerts a pharmacologic effect | Duration |
drugs that produce a response | Agonists |
drugs that block a response | Antagonists |
Stimulation, replacement, inhibition, and irritation | Four types of drug action |
direct action on a receptor site | Stimulation or depression |
injected insulin for people who do not produce their own | Replacement |
action of an antibiotic when it blocks synthesis of the bacterial cell wall | Inhibition |
such as that produced by a laxative on the colon wall, resulting in peristalsis and defecation | Irritation |
speed up, reduce, or even prevent the absorption of the drug into the bloodstream | Food in the stomach can affect the drug |
some drug actions are accentuated by other drugs | some drugs are incompatible with others |
dosage for infants and children is based on | size, age, and weight |
carried out until it is canceled by physician or prescribed number of doses has been given | Standing Order |
an order written for when the patient requires it | PRN order |
written for a drug to just be given the one time | one-time order |
a single dose of a medication to be given without delay | stat order |
know what medical condition is being treated with the drug and know the drug action and contraindications | applying the nursing process |
drugs in large, multidose containers | Stock supply |
use a portable cart with a drawer containing a 24 hour supply of drugs | unit dose systems |
especially useful for delivery and control of narcotics and other scheduled drugs | Computer controlled dispensing system |
the right drug, dose, route, time, and patient | five rights to administer medication |
teach the patient about the drugs, take a complete drug history, assess the patient for drug interactions for other drugs or foods, and document each drug you give after giving it | The five rules of administering medication |
basic unit of weight | Gram |
basic unit of volume | Liter |
basic unit of length | Meter |
Kilo | 1000 |
Deci | 0.1 |
Centi | 0.01 |
Milli | 0.001 |
Micro | 0.000001 |
1 gram | 1000mg |
1mg | 1000mcg |
1L | 1000mL |
3 tsp | 1 tbsp |
2 tbsp | 1 oz |
8oz | 1 cup |
2 cups | 1 pint |
2 pints | 1 qt |
4 qt | 1 gallon |
16oz | 1lb |
1 tsp | 5mL |
3 tsp | 15mL |
1 tbsp | 15mL |
1 oz | 30mL |
1 cup | 240mL |
1qt | 1L |
2.2lbs | 1kg |