Medication Metabolism
Increased renal excretion- increase or decrease the medication?
Increase
4 processes medications go thru as they travel thru the body
Absorption, distribution, metabolism, excretion
Contraindications for this type of administration include vomiting, decreased GI motility, absence of a gag reflex, or decreased LOC
Oral
This injection site is best for infants and toddlers
Vastus lateralis
A nurse needs to get a trough level. Best time to get it?
Immediately before administering the next dose
Elevated medication -metabolizing enzymes: increase or decrease the medication dosage?
Increased dosage
Primary organ of drug excretion
Kidneys
This type of administration bypasses the liver and directly enters the bloodstream
Buccal
This site is preferable for IM injections and injections >2mL
Ventrogluteal
Provider prescribes phenobarbital, which has a half-life of 4 days. How many times a day should nurse anticipate administering?
One
Liver failure or malnurishment: increase or decrease the medication dosage?
Decrease
This refers to the time for medication in the body to drop by 50%
Half-life
Medication is in a skin patch; provides systemic effects
Transdermal
This site has smaller muscle mass and should not be injected with more than one mL
Deltoid
Patient needs to be in this position to administer rectal suppository
Left lateral or lateral semi-prone recumbent
Peripheral vascular disease: increase or decrease the dosage?
Increase
Medications that bind to or mimic the receptor activity (Morphine is an example)
Agonist
In this type of administration, you must wait 5 minutes in between if using the same one
Eye
This type of syringe should be used for solution volumes smaller than 0.5mL
TB syringe
Patients should rinse their mouths after using this type of inhaler
Corticosteroid
Concurrent medications using the same metabolic pathways: increase or decrease the dosage?
Decrease
Medications that block the usual receptor activity that endogenous compounds regulate (Losartan is an example)
Antagonist
For ear administration, you pull an adult's auricle this way and a child's auricle this way
Upward and out for adults; down and back for child
This site is no longer recommended for a common injection site d/t close proximity to sciatic nerve
Dorsogluteal
Cold ear drops may cause this, so it's okay to warm them in your hands
Dizziness