Terms
An organized framwork for the process of nursing. It encompasses all steps taken by the nurse in caring for a patient: assessment, nursing diagnosis, planning, implementation of the plan and evaluation.
Nursing Process
Half-Life
Any preventable adverse drug events involving inappropriate medication use by a patient or health care professional; they may or may not cause the patient harm
Medication Error
True or False
Herb or dietary supplements do not have any drug interactions
False
ex. Grapefruit interacts with ED, estrogens and psychotherpeutic drugs.
ex. St. Johns Wort interacts with SSRIs, antihistamines, digoxin, warfarin..ect
The characteristics and qualities that are genetically passed from one generation to the next through reproduction
Heredity
Pertaining to a person who is 65 years of age or older.
Older adult or elderly
The primary organ responsible for the elmination
Kidney
True or False
Incident reports are placed in the patients chart
False
Do not document on the patients chart that an incident report was filled out, and a copy of the incident report should not be kept. These are forwarded to the institutions risk management department to prevent med errors in the future.
Refers to simultaneous use of both traditional and alternative medicine
Complementary medicine
The use of molecular and genetic characterizations of both the disease process and the patient for the customization of drug therapy
Personalized medicine
An Act that protects health insurance coverage for workers and their families when they change jobs. It also protects patient information. If confidentiality of a patient is breached, severe fines may be imposed
Health Insurance Portability and Accountability Act (HIPPA)
What is the fastest route by which a drug can be absorbed?
Parenteral route
Can you name the patient 9 rights?
1) Right patient
2) Right reason
3) Right drug
4) Right time
5) Right dose6) Right route
7) Right documentation
8) Right response
9) Right to refuse
Common food and drug interactions occur with which foods?
Leafy green veg (coumdin), Dairy products (Tetracycline), grapefruit (amiodarone), aged cheese and wine (Monoamine oxidase inhibitors)
The transfer of both drugs and nutrients to the fetus occurs primarily by?
Diffusion
The duty to tell the truth; related nursing actions include telling the truth with regard to placebos, investigational new drugs, and informed consent
Veracity
P.57
This effect reduces the bio-availability of the drug to less than 100%
First-pass effect
A procedure to maintain an accurate and up-to-date list of medications for all patients between all phases of health care delivery.
Medication reconciliation
The ratio of a drugs toxic level to the level that provides therpeutic benefits is referred to as the drugs...?
Therapeutic index
True or False
Pediatric patients gastric PH is more acidic
False
Less acidic because acid-producing cells in the stomach are immature until approx 1-2 years of age
New therapeutic technologies that directly target human genes in the treatment or prevention of illness
Gene Therapy
Pharmacokinetics is the study of what happens to a drug from the time it is put into the body until the parent drug and all metabolites have left the body.
What are the 4 components of Pharmacokinetic's?
Absorption
Distribution
Metabolism
Excretion
Any abnormal and unexpected response to a medication, other than an allergic reaction, that is peculiar to an individual patient
Idiosyncratic reaction (usually predictable)
This therapy maintains the integrity of body functions while the patient is recovering form illness or trauma
Supportive Therapy
True or False
Gastric pH is less acidic in older adult patients
True
Gastric pH is less acidic because of a gradual reduction in the production of hydrochloric acid in the stomach