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32 Cards in this Set

  • Front
  • Back
Agonist
A drug that produces the same type of response as the physiologic or endogenous substance. (ie: epinephrine)
Antagonist
A drug that prevents natural body substances or other drugs from activating the functions of the cell by occupying the receptor sites
Ethnopharmacology
The study of ethnicity on responses to prescribed medications
iatrogenic disease
disease caused unintentionally by medical therapy. (ie: renal damage due of fetus caused by drugs taken during pregnancy)
Idiosyncratic effect
an unexpected effect of a drug to an individual.
Intrathecal
intraspinal (into the spinal canal)
Lavage
(irrigation) is the washing out of a body cavity by a stream of water or other fluid that may or may not be medicated.
percutaneous
Drug absorbtion through the skin
additive
When two of the same types of drug increase the action of each other.
tomar
eat
drink
take
IV Tandem
A second container is attached to the line of the first container at the lower, secondary port of the IV setup
IV Piggyback
A second set connects the second container to the tubing of the primary container at the upper port of the IV
Surgical asepsis and irrigation
Surgical asepsis for an irrigation is required when there is a break in the skin, or whenever a sterile body cavity is entered.
Tuberculin syringe
useful in administering small or precise measurements
up to 1 ML
Sub Q Injections on adults
Use a needle #24 to #26 gauge
3/8 to 5/8 inch long
(Obese patients may require 1in needle)
IM injections on adults
Use a needle #20 to #22 gauge
1 to 1 1/2 inches (slender adults may require shorter needle)
Medication reconciliation
the process of creating the most accurate list possible of all medications a patient is taking and comparing that list against the docs admission, transfer, and/or discharge orders.
Process of Administering drugs
Identify the Client( name, ID #, tele #, Photo)
Inform the client (about meds)
Administer the drug (w/3 cks)
Provide adjunctive interventions as indicated:
Record
Evaluate client response
First check for Medication Administration
1) Read MAR and compare with meds in clients drawer:verify client room # and and name.
Compare label of meds agst MAR
Determine if you need to do a math calculation
Check expiration date
Second check for Medication Administration
2) While preparing the Meds, look at the medication label and check agst the MAR.
Third check for Medication Administration
Recheck the label on the medication against the MAR before opening the package at the bedside.
Ten "Rights" of Medication Administration
Right Med
Right Dose
Right Time
Right Route
Right Client
Right Client Education
Right Documentation
Right to Refuse
Right Assessment (ie: labs, vitals before admin. meds)
Right Evaluation
Assessment before administering medications
Verify patient
Verify meds, vital signs,
Check labs; ie: npo b4 surgery
Look at MAR to see if any new meds.
Assessment During administering medications
How client wants to take meds
Sit client up
Any problems taking meds?
Do they want to take themselves
Assessment After administering medications
Watch effectiveness, oral meds 30 min., IV meds 10 - 15 min.
Document
Controlled Substances
High risk for abuse or addiction
Locked drawer or cabinet
special log
If wasting part of drug, 2 RN's sign
Narcotic count b4 removing drug & at end of shift: report
Comp. disp. system: manual count not necessary
Stock Supply of Meds
Bulk quantity
Central Location
Not Patient-specific
Cost-effective
Measure dose
Unit Dose Meds
Individually packaged
Patient-specific drawers
24 hour supply
some stock meds
Ordered amount of drug
Automated Dispenser Meds
PW accessible locked cart
Computerized tracking
stock & unit doses
PW required
Self-Administration Meds
Individual containers
At patient bedside
Check with patient for time drug taken
Documenting Medications
Record Meds given
Dosage
Time
Any complaints or assessment of the client
Your signature
Documenting Medications if refused or omitted
Document the reason
and the nurse's actions according to agency policy.