Show:
Key terms
Key terms
Checks/Rights
Injections
Miscellaneous
100
What is absorption
how the drug goes into the body, tranformed from site of entry to the bloodstream
100
What is idiosyncratic effect
unusual response
100
What is on the medication order
Pts name, date/time the order is written,name of drug,dose,route,frequency, signature
100
What is the difference between intramuscular/subcutaneous/intradermal
intramuscular- within the muscle subcutaneous- within the fatty tissue intradermal-under the epidermis layer
100
What are sublingual/buccal medication/considerations
sublingual- under the tongue buccal-beside cheek/gum no not chew or swallow/offer drink before, or oral care for npo
200
Anaphalatic reaction
allergic reaction,severe, respiratory distress
200
Standing order
routine, carried out until canceled
200
When do you do the 3 checks of a medication before adminstering
when you first take it out of the mar, before taking it out of casing, before administration
200
What are intradermal injections used for
allergy/sensitivity tests
200
Factors affecting drug action-r/t developmental changes in the older adult
decreased gastric mobility,muscle mass,acid production,blood flow, decreased liver kidney function, drugs excreted slower, increased sensitivity to drugs
300
Antagonist effect
combined effect of 2 or more drugs that lessens the effectiveness
300
Half life?
the amount of time it takes for half of the drug to be eliminated
300
When identifying what are some ways to do so, how many do you need
name, DOB, identification number, MRN 2
300
In regards to subcutaneous injections what is the fastest absorption site
abdomen
300
When documenting med administration what is involved
drug name,dose, route, time given, pts name
400
What is pharmokinetics
movement of drug molecules in the body in relation to the drugs absorption, distribution, metabolism, excretion
400
Intradermal injection
injection just below the epidermis layer
400
In regards to right time what are checking for
when the last time it was given, is it needed right now
400
When giving an injection in the deltoid what do you need to consider
cant administer more than 1 ml, pinching is used for thin pts-release after needle is in
400
When a med error occurs what should the nurse do
1st. check the patients response, notify doctor, write a description of error on MR, complete form according to facility
500
What is a trough level, whats it importance
the lowest concentration level of a drug, need to know the level before administering another dose of med. check 30 mins before next dose to establish proper elimination
500
Loading dose
larger dose given in acute distress to maximize therapeutic response
500
Environmental considerations when preparing meds
proper lighting, quiet, work alone to avoid distraction, do not leave unattended Emergency situation-lock them up before leaving
500
What are the angles/gauge sizes for the 3 injections
Intra dermal-5-15 degrees, 24-27 Subcutaneous-45-90 degrees, 25-30 Intra muscular- 90 degrees, 20-25 lower gauge is used for more medication
500
Teaching pt about medication, what should you include
Med name, dose, intended effects/adverse effects, when to take it, what to do if missed, what to do during adverse effects/what is a medical emergency, med reconciliation