Pharmacokinetics
this is when the medication is made available to the body. The pill is dissolved in the GI tract and moved into the body fluid.
Absorption
the order states that the patient has a PO medication to be administered at 0800. What should the nurse verify prior to administration?
1. the patient can swallow
2. the patient is not nauseated or vomiting
3. The patient is in the upright position
4. The pt has a full glass of water at the bedside
What are the types of parental medication administration?
Intramuscular (IM)
Subcutaneous (SubQ)
Intradermal
Intravenous (IV)
These herbals can cause increased bleeding when taken with medications that are blood thinners
the G's
Ginkoba
Ginseng
Glucosamine
You are placing a transdermal patch which area should you choose?
dry, hairless area of intact skin that is large enough for the patch to adhere
this happens when the drug is absorbed in the small intestines, then it travels to the liver and a portion of the drug is metabolized by the liver before it is made available for use by the body. This may cause the drug to be less effective.
1st pass effect
The patient has taken the medication sublingually, what must the nurse ensure has happened before the patient can eat his dinner.
What is the angle for intradermal administration of medication
10 degree
What is the nursing process in the correct order
Diagnosis (nursing)
Plan
Implement
Evaluate
What must the nurse do to prevent accidental exposure while administering a transdermal patch
WEAR GLOVES
aka biotransformation this is where the drug is changed to a less active form. The liver does most of the work here.
Metabolism
What is the most important assessment for the nurse before administering enteral medication via NGT/OGT
PLACEMENT
What are the sites for Sub Q injections (please name 2)
upper arm
upper thigh
abdomen
less often used: buttock and mid scapula)
Dyspnea, tachycardia, urticaria, pruritus, nausea and vomiting are all signs of what
This type of drug is administered via droplet, vapor, and gas to the mucous membrane of the respiratory tract
Inhalations
the time required for the body to eliminate 50% of the drug
half-life
What are the routes of enteral medication administration
Oral
OGT/NGT
Sublingual
Buccal
At what angle, with what gauge, and needle length is appropriate for subcutaneous injections?
25-gauge
1/2 inches long
inserted at a 45-90 degree angle
Examples: benzodiazepines, some sedatives (Ambien) and anxiety agents (Valium, Ativan), nonopioid analgesics (tramadol), opiate products (lomotil), diet drug (Belviq) is what schedule of drug
Schedule IV
What are examples of inhalation meds
anti-inflammatory, bronchodilators and mucolytics
is a drug that joins with the receptor but does not cause a response. The therapeutic response here is to block the receptor function.
Antagonist
Which meds require 2 nurse verifier
Insulin
heparin
blood products
drips
Give 2 locations for intramuscular injections
Ventrogluteal
Vastus lateralis
Deltoid
Dorsogluteal
This is the study of how individual people respond to medications due to their genetic makeup. It is the creation of individualized drug therapy that allows for the best choice and dose of drug.
pharmacogenomics
True or false the patient has a transdermal patch on her left arm. The first thing a nurse should do is place the new patch on her right arm to rotate the site.
FALSE! The nurse should remove the patch 1st then rotate the site.