A
The Nursing Process
ADPIE- assessment, diagnosis, planning, intervention, evaluation (Very important for exams).
Highest vs lowest level of medication in the blood
Peak vs Trough
Routes of medication Administration
Oral, IV and IM, inhalation, topical and transdermal, buccal and sublingual
What must a nurse do before drug administration
Assessment
What the body does to the drug
Pharmacokinetics
Abbreviation of the chemical name.
Generic name (Best to use Generic drug names (exams and NCLEX)
Pre-administration assessment
Collecting baseline data and Identifying high-risk patients (Liver and kidney impairment, Genetic factors, Drug allergies, Pregnancy, Older adult or pediatric age group)
Name the 10 Rights of Medication Administration
The right drug, right patient, right dose, right time, right route, right documentation, right assessment, right evaluation, right of patient to education, right of patient to refuse care
What the drug does to the body
Pharmacodynamics
Measures the difference between an effective dose for 50% of the patients treated, and the minimal dose at which adverse reactions occur
Therapeutic index
Most common organ of excretion
Kidneys
Four primary processes of pharmacokinetics (ADME)
Absorption, Distribution, Metabolism, Elimination
When an oral drug is rendered inactive by the liver.
First pass effect
Enhances the effect of the other drug. This produces greater effects than either drug taken alone.
Synergistic effect
Agonists vs. Antagonists
(MOA) Bind tightly at the receptor site vs competing with other molecules and blocks receptor sites
An effect other than the intended effect but minimal enough that we will continue to give the drug for its intended effect
Side Effect