Medication Administration

Front 1

the study of how medications enter the body reach their site of action, metabolize and exit the body

Back 1

PHARMACOKINETICS

Front 2

the effects of the medications combined is greater than the effect of the medication when given seperately.

Back 2

Synergistic effect

Front 3

expected or predictable response a medication causes

Back 3

Therapeutic effect

Front 4

unintended, secondary effects a medication predictably will cause
-harmless, injurious

Back 4

Side effect

Front 5

severe responses to medications

Back 5

Adverse effect

Front 6

excessive amounts of meds within the body may have lethal effects

Back 6

Toxic effect

Front 7

unpredictable effects a client overreacts or underreacts to a medicatio, or has a reaction different from normal.

Back 7

Idiosyncratic reaction

Front 8

unpredictable response
makes up 5 to 10% of all meds reactions
client becomes sensitized immunologically to a dose

Back 8

allergic reaction

Front 9

sudden constriction of bronchiolar muscles, edema of pharynx, wheezing, SOB

Back 9

Anaphylactic Shock

Front 10

Name factors that influence medication absorption?/

Back 10

route of administration
ability of meds to dissolve
blood flow to site of admini
body surface area
lipid solubility of medicatio
food in stomach

Front 11

time of absorption?
Skin?
Mucous membranes?
Oral?
IV injection?

Back 11

Skin= slow
mucous membrances= quick
oral= slow
IV,injection= MOST RAPID

Front 12

time of absorption?
oral meds?
solutions/preparation?
acidic meds?
basic meds?

Back 12

oral meds=depends on preparation
sol/prep= liquid(quicker)
acidic=RAPID (STOMACH)
basic=absorb in sm.intestine

Front 13

Blood Flow absorption?
Body surface area?
Lipid solubility?

Back 13

rich blood supply=fast absorption time
larger surface area=faster rate of absorption
high lipid solubility=easy absorption

Front 14

all medication orders to include?

Back 14

-date
-time
-pt name
-drug name
-dosage(amount,frequency)
-route
-signature

Front 15

The highest serum concentration of the medication usually occurs just before the last of the medication is absorbed

Back 15

PEAK CONCENTRATION

Front 16

MINIMUM BLOOD SERUM CONCENTRATION OF MEDICATION REACHED JUST BEFORE THE NEXT SCHEDULE DOSE?

Back 16

TROUGH CONCENTRATION

Front 17

when is the trough level drawn?
when is the peak level drawn?

Back 17

trough: 30 minutes before the drug is administered
peak: whenever the the drug is expected to reach its peak concentration

Front 18

the time it takes for excretion processes to lower the serum medication concentration by half?

Back 18

SERUM HALF LIFE

Front 19

given via epidural space via a catheter,
most commonly used for the administration of analgesia?

Back 19

Epidural

Front 20

given through a catheter placed into the subarachnoid space or into one of the ventricles of the brain?

Back 20

Intrathecal

Front 21

involves the infusion of medication directly into the bone marrow.
commonly used in infants and toddlers who have poor accesst o their intravascular space?

Back 21

Intraosseous

Front 22

given into the peritoneal cavity,
used in dialysis patients?

Back 22

Intraperiotoneal

Front 23

given through the chest wall and directly into the pleural spce.
chemo pts use this method

Back 23

Intrapleural

Front 24

6 rights of medication administration?

Back 24

Medication
Dose
Client
Route
Time
Documentation

Front 25

Nurse checks the medication lable 3 times, Name the steps?

Back 25

-before removing from shelf
-before opening package
-before discarding package

Front 26

Assessment before giving meds
Name the steps?

Back 26

1-review clients medical history
2-history of allergies
3-Medication data
4-diet history
5-clients ability to prepare doses and take medications correctly
6-assess physical or mental status
7-observe clients behavior for evidence of dependence or avoidance to meds
8-client knowledge to meds
9-determine need for intruction of meds

Front 27

contraindications for giving oral medications via mouth is ?

Back 27

GI alterations
inability to swallow
gastric suction

Front 28

which medications cannot be crushed?

Back 28

buccal
sublingual
enteric-coated
sustained-released

Front 29

how to administer crushed meds in Ng, GI tube?

Back 29

dissolve crushed tablets,gelatin capsules, powders in 15 to 30 ml of warm water.
give each meds seperately between 1 and 30 ml of water
total amt of volume to the client 60 to 150 ml of water

Front 30

administer nasal drops?
posterior pharynx?
ethmoid or sphenoid sinus?
frontal and maxillary sinus?

Back 30

posterior pharynx: tilt head backwards
ethmoid or sphenoid sinus: tilt head back over edge of bed or place small pillow under shoulder and tilt head back
frontal and maxillary sinus: tilt head back over edge of bed or pillow with head turnes toward side to be treated.