Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
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. |