1227 Final BP
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| Six Rights of Drug Administration | show 🗑
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| show | one drug increases the action of another
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| Medication Interaction | show 🗑
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| Peak action | show 🗑
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| The length of time the drug exerts pharmacologic effect is the | show 🗑
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| Adverse effect | show 🗑
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| show | refers to the passage of medication molecules into the blood from the side of admin
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| absorption is affected by | show 🗑
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| Unit dose system is considered | show 🗑
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| show | noncompliance. Often pts may not understand why they need the meds.
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| show | side effects, cost, just plain don't like taking it!
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| Using the nursing process to help the noncompliant people: ASSESS | show 🗑
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| show | deficient knowledge or noncompliance
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| show | verbalize understanding of why they are taking meds, list adverse effects, take all meds.
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| STAT | show 🗑
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| show | after the STATs givfe the "NOW"s
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| PRN | show 🗑
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| show | usually scheduled per the policy of the institution. Nurses have a 30 minute window to give the routine meds. Sometimes referred to as standing orders.
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| Medication Orders | show 🗑
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| show | Physicians and dentists write med orders.
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| show | write medication orders if legally designated by state statutes.
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| show | writes an order on a form in the pts medical record, in an order book, on a legal prescription pad, or though a computer terminal.
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| show | nurse is not possible. The prescriber will countersign the order at a later time, usually within 24h.
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| Clients name, Date and time order is written, Drug name, Dose, Route, Frequency, and Signature are all part of | show 🗑
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| show | person who as written the order.
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| show | medication erros
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| show | medication order.
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| show | documents its omission according to agency policy.
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| Circle the time of administration the | show 🗑
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| show | comment section or in the client's record.
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| show | clients condition and reports the mistake to the prescriber and the nursing super.
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| show | permanent part of the client record.
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| Topically applied drugs have what kind of effect? | show 🗑
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| Cutaneous applications are drugs | show 🗑
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| show | cutaneous, opthalmic, otic, nasal, sublingual, buccal, vaginal rectal.
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| Administration of medications to the skin or mucous membranes can be applied externally or internally. | show 🗑
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| show | Medication incorporated into an agent that is administered by rubbing it into the skin.
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| Applying an injunction: | show 🗑
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| show | drug incorporated into patches or paste (method of applying a drug on the skin allowing it to become passively absorbed).
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| Skin patches | show 🗑
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| drug paste | show 🗑
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| Applying Nitroglycerine Paste | show 🗑
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| Opthalmic Application | show 🗑
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| Otic applications | show 🗑
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| Child Otic Application | show 🗑
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| show | 15 minutes before treating other ear.
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| show | topical applications are dropped or sprayed within the nose. Proper instillation is important to avoid displacing med into nearby structures such as the back of the throat. Warn pt of rebound effect.
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| show | drug placed under the tongue and is left to dissolve slowly and become absorbed by the rich blood supply in the area.
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| Buccal application | show 🗑
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| show | topical vaginal applications are used to treat local infections. Early and appropo self treatment restores normal tissue integrity.
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| Vaginal application pt teaching | show 🗑
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| show | vaginal application pt teaching
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| show | drugs administered rectally usually in the form of suppositories, creams or ointments.
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| show | wash hands. id pt. sims position. drape. don gloves. INSTRUCT TO TAKE SEVERAL SLOW DEEP BREATHS. insert TAPERED END FIRST beyond internal sphincter (finger distance. Do not put in stool. Wipe excess. stay in position for at least 15min. remove gloves.
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| Inhalant route | show 🗑
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| show | older adults
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| Be sure when instilling more than one eye meds that the client knows to wait | show 🗑
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| lack of subQ tissue causes more rapid absorption of | show 🗑
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| show | vagina or rectum or to skin of lower extremities.
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| Provide space devices to assist in administration of | show 🗑
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| show | bronchodilators
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| show | solid drug covered by a substance that dissolves beyond the stomach to protect from irritation
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| scored tablet | show 🗑
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| show | drug that dissolves at timed intervals and should never be opened or crushed.
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| Spansule | show 🗑
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| Oral route of administration | show 🗑
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| show | diabetes
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| Insulin is administered with an | show 🗑
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| show | 0.3,0.5, and 1mL
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| show | 100U/mL
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| show | 30-50 U or less
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| A standard insulin syringe can administer up to | show 🗑
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| Regular insulin which is additive free is combined with | show 🗑
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| Order of insulin into syringe | show 🗑
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| show | 15 minutes of being combined their unique characteristics are offset by each other.
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| Parenteral route | show 🗑
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| Preparation and administration of injections follow the principles of | show 🗑
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| Intradermal syringe mL | show 🗑
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| Intradermal syringe calibration | show 🗑
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| show | 25, 26, or 27 gauge
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| show | 1/2 or 5/8 inch
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| SubQ syringe mL | show 🗑
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| show | 0.1mL
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| SubQ needle gauge | show 🗑
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| show | 1/2 or 5/8 inch
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| show | 1mL
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| show | Units
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| SubQ Insulin needle gauge | show 🗑
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| SubQ Insulin needle length | show 🗑
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| Intramuscular syringe mL | show 🗑
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| Intramuscular syringe calibration | show 🗑
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| show | 20, 21, 22, or 23 gauge
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| Intramuscular needle length | show 🗑
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| Intradermal injections are commonly used for | show 🗑
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| Intradermal injection sites | show 🗑
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| SubQ injections are administered between | show 🗑
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| show | 30 minutes of administration
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| show | dorsogluteal: UOQ of buttocks
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| IM injections are given at what angle? | show 🗑
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| show | barrel - holds meds / plunger - in the barrel moves back and forth / tip - needle is attached
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| show | prepare
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| show | at the bedside
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| show | locked
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| show | NO.
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| show | subQ or IV
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| Important teaching for Heparin admin | show 🗑
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| Vastus Lateralis | show 🗑
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| show | uses gluteus medius and gluteous maximus in hip. Has no large nerves or blood vessels. Safe site for children. Identify correctly.
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| Dorsogluteal site | show 🗑
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| show | process of adding liquid, known as diluents, to a powdered substance.
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| show | sterile water or sterile normal saline
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| When reconstitution is necessary, the drug label lists the following: | show 🗑
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| Continuous IV | show 🗑
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| show | Aspirate for blood return. Flush IV site with NS by pushing slowly on the plunger. Observe the skin above the IV cath. Note any puffiness or swelling. Remove Saline syringe. Insert med syringe. Inject. Remove. Flush with NS.
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| show | escape of fluid into the tissue
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| phleibitis(IV complication) | show 🗑
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| Secondary infusion also know as piggyback | show 🗑
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| Hypertonic solutions | show 🗑
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| Hypotonic solutions | show 🗑
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| Colloid solution | show 🗑
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| Whats the first step to a blood transfusion? | show 🗑
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| Administer blood transfusion through a | show 🗑
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| show | down.
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| 1mg = mcg | show 🗑
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| 1L = mL | show 🗑
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| 2.2lbs = kg | show 🗑
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| 1 hour = minutes | show 🗑
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| 1g = mg | show 🗑
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| At least two pt identifiers must be used to ensure that the med is administerd to the correct pt. Say to the pt: | show 🗑
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| show | 3
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| When medication is given what information do you record on the MAR? | show 🗑
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| show | date, reason, dose and route, and location if by injection, signature. The reaction should also be noted.
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| Skin (transdermal) absorption | show 🗑
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| show | quick
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| respiratory tract absorption | show 🗑
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| show | slow (liquids are faster than pills, tabs, or capsules)
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| show | depends on form of the drug: aqueous is quicker than oil, which slows absorption.
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| show | slow
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| show | Most rapid absorption
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| ACE Inhibitors "prils" | show 🗑
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| Angiotensin receptor blockers "sartans" | show 🗑
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| show | antihypertensives/antianginals that block beta adrenergic receptors in vascular smooth muscle.
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| Antilipemics "statins" | show 🗑
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| Peripheral vessel calcium channel blockers "dipines" | show 🗑
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| erectile agents "afils" | show 🗑
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| broad-spectrum antiinfectives "floxacins" | show 🗑
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| proton pump inhibitors "prazoles" | show 🗑
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| block histamine-2 receptors "tidines" | show 🗑
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| Antifungals "Azoles" | show 🗑
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| Antiherpetic "Cyclovirs" | show 🗑
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| Schedule 1 drugs are drugs with | show 🗑
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| show | medical use, a high potential abuse, with severe psychological or physical dependance. Group includes many opioids, psychostims, barbits, and cannabinoids.
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| show | mediccally useful but with less potential for abuse that lead to mod or low physical and high psychological dependence. Group includes lesser opioids, stimulants, some barbits, miscellaneous depressants, and anabolic steroids.
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| Schedule 4 drugs that are | show 🗑
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| Schedule 5 drugs with | show 🗑
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| tolerance | show 🗑
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| show | are unpredictable adverse drug reactions that do not occur in most patients but when they do occur they can be life-threatening.
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| show | Drug metabolism is the process by which the body breaks down and converts medication into active chemical substances.
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| show | immune system responds to otherwise harmless substances from the environment. may begin within minutes or even seconds of exposure. rapidly progress to cause airway constriction, skin and intestinal irritation, and altered heart rhythms.
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| Considered the safest IM injection site to avoid damage to nerves or blood vessels in adults | show 🗑
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| The IM site of choice for infants younger than 12 months | show 🗑
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| For children older than 13 months of age there are two different IM sites to choose from... | show 🗑
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| show | date it! if you find one not dated, discard it.
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| Intramuscular injection route | show 🗑
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| Up to 3 mL can be safely injected in the | show 🗑
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| show | blood before injecting the mdication, to avoid injecting directly into a blood vessel.
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| show | apply ice pack before, use smallest needle, select site free of inflammation, lesions, or bony prominces and without large vessels or nerves. assume prone position with the feet turned inward or sims to relax muscles. allow alcohol time to dry.
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| Critical nursing responsibilites when administering a parenteral drug are to check for | show 🗑
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