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50 Cards in this Set

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  • Back
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Enforcement of medication laws currently rests with the ____.
FDA (Food and Drug Administration)
The ___ sets standards for medication strength, quality and purity.
USP (United States Pharmacopeia)
The primary intent of the ___ is to protect the public from unskilled, undereducated and unlicensed personnel.
NPA (Nurse Practice Act)
_____ produces the most rapid absorption because medications are immediately available when they enter the systemic circulation.
Intravenous injections
Medications that are ___ are not absorbed before reaching the small intestine.
basic
___ medications pass through the gastric mucosa rapidly.
Acidic
The BBB allows only ___ medications to pass into the brain and cerebral spinal fluid.
fat-soluble
this is why central nervous system infections often require treatment with antibiotics injected directly into the subarachnoid space of the spinal cord.
The placental membrane has non-selective barrier.
When medications bind to ____ they cannot exert pharmacological activity.
albumin
-only the free medicine in the blood is in active form
_____ occurs under the influence of enzymes that detoxify, degrade and remove biologically active chemicals.
Biotransformation
True/False
Deep breathing and coughing help the postoperative patient get rid of anesthetic gases more rapidly.
True
The ___ is the expected or predictable physiological response a medication causes.
therapeutic effect
-knowing the desired therapeutic effect for each medication allows the nurse to provide client education and evaluate the medications effect.
___ are unintended, undesirable and often unpredictable severe responses to meds.
Adverse effects
-happen right away, but sometimes takes weeks or months to develop.
-Med Watch can be used to report adverse effects
___ develop after prolonged intake of a medication or when medication accumulates in the blood.
Toxic effects
-narcan reverses the effects of opioid toxicity; this is called an antidote
Medications sometimes cause unpredictable effects such as ____, in which a client overreacts or underreacts to a med.
idiosyncratic reaction
____ are life threatening, and cause bronchiolar constriction, edema, wheezing and SOB.
Anaphylactic
____ occurs when one medication modifies the other.
Medication interaction
When two medications have a _____ the combined effect of the two is greater than separate.
synergistic effect
Ex. the effect of alcohol on certain medications
True/False
Medications typically peak just before the body is about to absorb the last of it.
True
The ____ is the time it takes for excretion processes to lower the serum medication concentration by half.
serum half-life
-pain medication works best when given around the clock because each dose is given at the previous doses half-life.
AC
before meals
ad lib
as desired
twice a day
do not abbreviate
h or hr
hour
At bedtime
nightly or at bedtime
PC
after meals
as needed
prn
Every morning
qAM
Every day
daily
Every hour
qH
Every 2 hours
q2h
4 times a day
do not abbreviate
give immediately
STAT
3 times a day
do not abbreviate
An ____ injection is given into the dermis just under the epidermis.
intradermal (ID)
___ injections are given into tissues just below the dermis of the skin.
Subcutaneous (Sub-Q)
An injection into the muscle
intramuscular (IM)
An ____ is given directly into a vein.
intravenous (IV)
A medication given by the ___ route should be placed under the tongue to dissolve.
sublingual
buccal route is against the cheek
A nurse has ___min. to administer a now order.
90
___ refers to comparing a patients medications with ones they take at home.
Medication reconciliation
What are the six rights to medication administration?
1)The right to medication
2)The right dose
3)The right client
4)The right route
5)The right time
6)The right documentation
Components of medication orders include these seven areas:
1) Clients full name
2) Date and time that the order is written
3) Medication name
4) Dose
5) Route
6) Time and frequency
7) Signature of physician
___ happens when a client takes more than one type of the same medication.
Polypharmacy
A 1-3 mL syringe is adequate for a ___ or intramuscular injection.
subcutaneous
True/False
When preparing a site for infection swab from center of site, and move outward in a 2-inch radius.
True
Use 1 - 1 1/2 inch needles for ____ injection.
intramuscular
Use 3/8 to 5/8 inch needles for ___ injections.
subcutaneous
True/False
You must use a filter needle to aspirate a ampule of medicine.
True
-this prevents small glass fragments to enter
-replace the filter with a regular needle
True/False
Normal saline and sterile distilled water are solutions commonly used to dissolve medications.
True
True/False
Air must be injected into a vial before medication is withdrawn.
True
-the amount of air should equal the amount of medication being given