Drug Administration
Can cause Red Man Syndrome
What is Vancomycin
After a drug enters the body's circulation, it must reach the organ or tissues where it will have its actions. Which phase is this.
What is distribution
Occurs when a catheter becomes dislodged from the vein, allowing infusion of fluid into the tissues which then can cause extravasation and phlebitis.
What is infiltration
Recommended to give IM injections this method to prevent drug from leaking through the tissue and causing pain or damage such as penicillin or cephalosporins.
What is the Z-track method
An infection which occurs when antibiotics have eliminated or reduced normal bacterial flora.
What is a Superinfection like Clostridium difficile or Candida (thrush), vaginitis
Can cause inadequate bone or tooth development and tooth discoloration in young children and in developing fetus.
What is a tetracycline
Drugs move very quick from the stomach, small intestines and to the liver. Much of the drug is then inactivated on its ____________ through the liver.
What should you check, if ordered, before administering a drug (after the first dose) with a narrow therapeutic index?
Trough
Refers to the administration route of any drugs by an intradermal, subcutaneous, IM or IV route.
What is the parenteral route?
Why is it important to take the entire duration of antibiotics. 2 answers
What is risk of infection recurrence and development of drug-resistant organisms
You are going to teach patients to notify healthcare provider about tendonitis symptoms (ache, pain, redness and swelling in a joint).
What is a fluoroquinolone (ciprofloxacin)
Which drugs must never be crushed, chewed or cut because it can result in an overdose.
What is a long-acting or extended-release drugs
Nursing considerations to assess for if a drug has this as a possible adverse effect_____. Urine output, and labs such as creatine, BUN, and GFR rate.
Nephrotoxicity
Have patient drink a full glass of water when taking drug to prevent kidney crystals from forming and to stay out of the sun.
What is a sulfonamide (sulfamethoxazole/trimethoprim)
Differences in the enzyme pathways in the liver explain why some people respond differently to a drug. What is this called.
Genetic differences
Manipulation that does not contaminate the sterility of the drug and drug delivery system.
What is aseptic technique
One of the common causes of adverse health outcomes, therefore nurses need to follow all correct steps as they are the last stop before this may occur.
What are medication errors?
Many reasons why these occur including sound alike, look alike drugs (SALAD) and similar packaging.
Culture & Sensitivity-->Empiric Antibiotic Therapy-->Definitive Antibiotic Therapy
What is the correct order in which antibiotics and cultures are done?
These two classes can have a cross-sensitivity and if one is allergic to one class_____, may also be allergic to the other class______.
What are penicillins and cephalosporins
A drug that works by activating or unlocking cell receptors, causing the same actions as the body's own chemical.
What is the formula for calculating IV infusions (especially when no infusion pump is available).
Total amount of fluid in mL x gtt factor (drops/mL) divided by the time in minutes.