Medication Errors
The use of this system in the processing of a prescription drug order decreased the likelihood of a medication error on that order by 48%.
CPOE
Take the weight in pounds and divide by what to get kilograms?
2.2
An act that protects health insurance coverage for workers and their families when they change jobs. It also protects patient information.
HIPAA
A general term for any undesirable effects that are a direct response to one or more drugs.
Adverse Effects
A major part of the nursing process and involves the use of thought processes to gather information and then develop conclusions, make decisions, draw inferences, and reflect upon all aspects of patient care
Critical Thinking
Defined as a situation that is not distinguishable from a preventable adverse event except for the outcome.
Near Miss
This category poses possible fetal risk in humans; however, in selected cases, consideration of the potential benefit versus risk may warrant use of these drugs in pregnant women.
Category D pregnancy labeling by the FDA
The failure to act in a reasonable and prudent manner or failure of the nurse to give the care that a reasonably prudent (cautious) nurse would render or use under similar circumstances.
Negligence
The initial metabolism in the liver of a drug absorbed from the gastrointestinal tract before the drug reaches systemic circulation through the bloodstream.
First Pass effect
This phase is to prioritize the human needs and specify outcomes, including the time frame for their achievement.
Planning Phase
Any abnormal and unexpected response to a medication, other than an allergic reaction, that is peculiar to an individual patient.
Idiosyncratic reaction
Reduced production of microsomal (cytochrome P-450) enzymes occurs in the older adult and affects which pharmacokinetic principle?
Metabolism
The ethical principle of doing or actively promoting good; related nursing actions include determining how the patient is best served.
Beneficence
Alteration in the pharmacologic or pharmacokinetic activity of a given drug caused by the presence of one or more additional drugs; it is usually related to effects on the enzymes required for metabolism of the involved drugs.
Drug interaction
Consists of initiation and completion of specific nursing actions as defined by the statement of human needs and outcome identification.
Implementation
Requires patients to provide a list of all the medications they are currently taking (including herbal products and over-the-counter drugs).
Medication Reconciliation
During this pharmacokinetic change in older adults, protein (albumin) binding sites are reduced because of decreased production of proteins by the aging liver and reduced protein intake leading to greater amounts of free drug.
Distribution
Falsification of documentation on the medication profile or patient’s record
Fraud
The length of time the concentration of a drug in the blood or tissues is sufficient to elicit a response.
Duration of action
Patient learning is a critical component of safe and effective drug administration. During what step of the nursing process would the nurse document that teaching was successful?
Evaluation
Confirm information about the patient each and every time a dose is given, and check "Blank" times before giving the drug by comparing the drug order with the patient’s medication profile and verifying for the right patient, right drug, right dose, right time, right route, and right documentation
Three
This has been used to identify drugs that may be inappropriately prescribed, ineffective, or cause adverse drug reactions in older adult patients
Beers Criteria
The duty to tell the truth; related nursing actions include telling the truth with regard to placebos, investigational new drugs, and informed consent.
Veracity
The general name for a large class of enzymes that plays a significant role in drug metabolism and drug interactions.
Cytochrome P-450
Altered sensory integrity, decreased, related to medication-induced altered level of consciousness as evidenced by sleepiness, decreased reflexes, decreased orientation to place and time
Human Needs Statement