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50 Cards in this Set

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Name the Three main reasons Medications are used.
Prevent, Diagnose, or Treat Disease.
How many names does a medication typicall have?
Three

Chemical Name - Rarely Used
Generic Name - Example Acetaminophen
Trade/Brand/Propritery Name - Tylenol
Define Pharmacokinetics
How medications enter the body, reach their site or action, are metabolized and exit the body.
Name the Order or Enforcement
Federal Law is most important.
Can be further narrowed by State/Local.
Can be further narrowed by Facility
Define Absorption
The Passage of Medication molecules into the blood from its site of administration.
Where are Acidid Medications Absorbed?
In the Stomach.
Where are Basic Medications absorbed?
Not in the stomach due to the HCl, but are absorbed after reaching the small intestine.
Are Lipid Soluable Medications absorbed well?
Yes, they readily cross the cell membrane because of the Phosopholipid Bi Layer.
What is MedWatch?
A Voluntary report made to the FDA about possible problems with medications or treatments.
Define the Phases of Pharmacokinetics.
Absorbption
Distribution
Metabolism
Excretion
What is Protein Binding?
The degree to which medications bind to serum proteins such as albumin. When bound, they don't exert any parmacological activity.
Where are medications metabolized?
Most biotransformation occurs in the liver, but also some in the lungs, kidneys, blood and intestines.
Define Excretion
After medications are metabolized, they exit the body through the kidneys, liver, bowel, lungs, and exocrine glands.
Why are DB & C Important post operatively?
They help clear the anesthetic gasses from the lungs more rapidly.
List the types of Medication Action
Therapeutic Effects
Side Effects
Adverse Effects
Toxic Effects
Idiosyncratic Reactions
Allergic Reactions
Define Toxic Effect
They may develope after a prolonged intake of a medication, or when the medication accmulates in the blood because of impaired metabolism of excretion. Might be lethel.
What is an idiosyncratic reaction?
An unpredictable effect. For example, Benadryl normally causes drowsiness, but idiosyncratic rection is agitation.
Define Parenteral Medication Administartion.
Injecting medication into body dissues.
Define Intradermal (ID)
Injection into the dermis just under the epidermis.
Define Subcutaneous (Sub-Q)
Injection into tissues jusb below the dermis of the skin.
Define Intrathecal.
Meds administered into the subarachnoid space or into one of the ventricles of the brain.
Define Intraosseous
Medication adminsitered directly into bone marrow.
Define transdermal disk or patch.
Disks with medicated ointment that can be applied for between 24-72 Hours.
Define the basic Dosage Calculation Formula.
Dose Ordered
____________ X Amount on Hand = Amount to Administer

Dose on Hand
Six "Rights" of Medications:
Medication
Dose
Client
Route
Time
Documentation
Describe the components of a complete Medication Order
Cleints Full Name
Date Order Written
Medication Name
Dose
Route of administration
Time and Freq
Signature of physician, nurse practitioner or Physician Assistant
Define Polyharmacy
A client is taking many medication, prescried or not in an attempt to treat several disorders simultaneously.
What actions do you take when a client declines a medication?
Withhold the Meds
Document your actions
Notify the prescriber
How long should an Inhaled medication be held in the lungs?
About 10 seconds
Dow do you breath out after an inhaled medication?
Through the nose, or pursed lips.
What is the head placement for Ethmoid or Sphenoid sinus.
Head tipped back over bed, or a pillow.
What is the had of the position for administration to the Maxillary or Frontal sinuses?
Over the side of the bed, but tilted to the side.
What is an MDI?
Metered Dose Inhaler
How can you differentiate between a syringe intended for oral use, and one inteneded for parenteral use?
Oral syringes dont have a luerlock hub, but do have a cap.

Parenteral have a luerlock hub that is used to securely attach a needle.
Define the parts of a partenteral syringe.
Notice the Luerlock syringe hub
When using a prefilled, single dose syringe, and it contains more than the ordered dose, what action should the nurse take?
Discard the extra amount BEFORE injecting the patient.
What type of ysringe is used for U-100 insulin?
ONLY a U-100 Insulin Syringe.
In a U-100 Insulin Syringe 100U=____ mL?
100U = 1 mL
What are the calibrations used in a 1ml syringe?
0.01mL
What is another name for a 1ml syringe?
A TB Syringe.
How many Ounces are there in 30mL?
One Ounce
Can you interchange droppers between medications? Why or Why not.
No.

Each dropper has a specific size opening at the time and delivers a different amount. This is often due to the consitency or viscosity of the medication being delivered.
How many times do you use a prefilled syringe?
Only Once.
You have an order for 1.5ml of a medication and it arrives in a 3ml prefilled syringe. What is the nurses action?
Discard 1.5ml of the medication, leaving the ordered 1.5ml before injecting the patient.
What type of syringes can be used to deliver insulin?
Only insulin syringes should be used to deliver insulin.
When aligning the plunger in a syringe to a callibration, what is used as the marker?
The Top Ring of the black rubber tip.
Are all syringes marked in mL?
No, some use cc, which are interchangable.
Name the seven parts of a drug order.
Patient Name
Drug to be delivered
Dosage
Route
Frequency and special instructions
Date and time order written
Signature of person writing order
Which of the seven parts of a drug order is optional?
None, if 1 is missing, it is considered incomplete.
Differentiate between a Crystaloid and Suspension form of a medication.
Crystaloid is a clear solution. Suspension is solid particles in liquid that separate when held in a container.