z FALL06 SAFE MED ADMIN, Nursing Dee
Terms
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MECLIZINE-B
FOR:
Motion sickness -
MECLIZINE-B
FOR: ??? -
MECLIZINE-B
NO LIFE -
MECLIZINE-B
Life: ??? -
MECLIZINE-B
COMMON:
Drowsiness -
MECLIZINE-B
COMMON:??? -
MECLIZINE-B
ASSESSMENTS:
Potentiated by CNS DEPRESSANTS -
MECLIZINE-B
ASSESSMENTS: ??? -
MECLIZINE-B
INTERVENTIONS:
Assist Ambulation -
MECLIZINE-B
INTERVENTIONS: ??? -
HYDROCHLOROTHIAZIDE-B
FOR:
Edema & Hypertension -
HYDROCHLOROTHIAZIDE-B
FOR:??? -
HYDROCHLOROTHIAZIDE-B
LIFE:
Agranulocytosis & Aplastic anemia -
HYDROCHLOROTHIAZIDE-B
LIFE: ??? -
HYDROCHLOROTHIAZIDE-B
COMMON:
Hyperglycemia
Hyperuricemia
Hypokalemia -
HYDROCHLOROTHIAZIDE - B
COMMON: ??? -
HYDROCHLOROTHIAZIDE-B
ASSESSMENTS:
Check BP before initiation of therapy and at regular intervals -
HYDROCHLOROTHIAZIDE - B
ASSESSMENTS: ??? -
HYDROCHLOROTHIAZIDE-B
INTERVENTIONS:
Monitor I&O
Check for edema
Orthostatic Hypotension, Dizziness
***Increases risk of digoxin toxicity
May cause Hyperglycemia and loss of Glycemic control in -
HYDROCHLOROTHIAZIDE-B
INTERVENTIONS: ??? -
HYDROCHLOROTHIAZIDE-B
TEACHING:
Consult physician before using OTC drugs
Monitor weight daily.
Change positions slowly
Avoid hot baths or showers
Extended exposure to sunlight
-
HYDROCHLOROTHIAZIDE - B
TEACHING: ??? - NALOXONE-NARCAN-B
- NALOXONE-NARCAN-B
-
NALOXONE-NARCAN-B
FOR:
Reverses effects of opiates
Respiratory depression sedation, hypotension -
NALOXONE-NARCAN-B
FOR:??? -
NALOXONE-NARCAN-B
NO LIFE ! -
NALOXONE-NARCAN-B
LIFE:??? -
NALOXONE-NARCAN-B
NO COMMON !!! -
NALOXONE-NARCAN-B
COMMON:??? -
NALOXONE-NARCAN-B
ASSESSMENTS:
Suspected narcotic dependence
Cardiac irritability -
NALOXONE-NARCAN-B
ASSESSMENTS:??? -
NALOXONE-NARCAN-B
INTERVENTIONS:
Naloxon-Narcan may not last as long as narcotic
Monitor for bleeding
Nausea, vomiting, sweating, Tachycardia resulting from reversal of narcortic effects -
NALOXONE-NARCAN-B
INTERVENTIONS:??? - NALOXONE HYDROCHLORIDE - B
- NALOXONE HYDROCHLORIDE - B
-
PENTAZOCINE-TALWIN-C
FOR:
Moderate to Severe Pain -
PENTAZOCINE-TALWIN-C
FOR:??? -
PENTAZOCINE-TALWIN-C
LIFE:
Allergic reactions
Shock
Respiratory depression -
PENTAZOCINE-TALWIN-C
LIFE:??? -
PENTAZOCINE-TALWIN-C
COMMON:
Drowsiness & Dizziness
Light-headedness & Euphoria
Nausea, Vomiting, Sweating -
PENTAZOCINE-TALWIN-C
COMMON:??? -
PENTAZOCINE-TALWIN-C
ASSESSMENTS:
Head injury
Increased intracranial pressure
Emotionally unstable
History of drug abuse -
PENTAZOCINE-TALWIN-C
ASSESSMENTS:??? -
PENTAZOCINE-TALWIN-C
INTERVENTIONS:
Tolerance
Psychologic and physical dependence
Acute withdrawal -
PENTAZOCINE-TALWIN-C
INTERVENTIONS:??? -
PENTAZOCINE-TALWIN-C
TEACHING:
Driving
Hazardous activities
DO NOT discontinue drug abruptly
Do NOT breast feed -
PENTAZOCINE-TALWIN-C
TEACHING:??? -
ACETYLCYSTEINE-B
FOR:
Antidote for Acetaminophen Toxicity
Mucolytic
Lowers viscosity
Facilitates removal of secretions -
ACETYLCYSTEINE-B
FOR:??? -
ACETYLCYSTEINE-B
LIFE:
Bronchospasm
Rhinorrhea
Burning sensation in upper respiratory passages
Epistaxis -
ACETYLCYSTEINE-B
LIFE:??? -
ACETYLCYSTEINE-B
COMMON:
Dizziness & Drowsiness
Nausea & Vomiting
Stomatitis & Hepatotoxicity (urticaria) -
ACETYLCYSTEINE-B
COMMON:??? -
ACETYLCYSTEINE-B
INTERVENTIONS:
Monitor:
Fluid overload
Signs of hyponatremia
S&S aspiration of excess secretions
Bronchospasm
(withhold drug and notify physician immediately if either occurs) -
ACETYLCYSTEINE-B
INTERVENTIONS: ??? - BENZONATATE-Tessalon-C
- BENZONATATE-Tessalon-C
-
BENZONATATE-TESSALON-C
FOR:
Cough
Antitussive
Decreases frequency and intensity of nonproductive cough
Bronchoscopy
Thoracentesis
& other procedures when coughing must be avoided. -
BENZONATATE-TESSALON-C
FOR:??? -
BENZONATATE-TESSALON-C
NO LIFE -
BENZONATATE-TESSALON-C
LIFE: ??? -
BENZONATATE-TESSALON-C
COMMON:
Drowsiness & Dizziness
Sedation & Headache
Constipation & Nausea
Rash & Pruritus. -
BENZONATATE-TESSALON-C
COMMON:??? -
BENZONATATE-TESSALON-C
ASSESSMENTS:
Swallow whole!
Store in airtight containers Protect from light -
BENZONATATE-TESSALON-C
ASSESSMENTS:??? -
BENZONATATE-TESSALON-C
TEACHING:
DO NOT breast feed
DO NOT chew
DO NOT allow perle to dissolve in mouth
Swallow whole.
***If perle dissolves in mouth, the mouth, tongue, & pharynx will be anesthe -
BENZONATATE-TESSALON-C
TEACHING:??? -
CELECOXIB-CELEBREX-3rdtri
FOR:
Rheumatoid & Osteoarthritis Pain
Dysmenorrhea -
CELECOXIB-CELEBREX-3rdtri
FOR:??? -
CELECOXIB-CELEBREX-3rdtri
NO LIFE: -
CELECOXIB-CELEBREX-3rdtri
LIFE: ??? -
CELECOXIB-Celebrex-3rdTRI
COMMON:
Back pain
Peripheral edema Cardiovascular
Abdominal pain & diarrhea Dyspepsia & Flatulence Nausea & Dizziness
Headache & Insomnia Pharyngitis & Rhinitis Sinusitis, -
CELECOXIB-Celebrex-3rdTRI
COMMON:??? -
CELECOXIB-CELEBREX-3rdTRI
ASSESSMENTS:
MONITOR:
Fluid retention
Edema
(especially in those with a history of hypertension or CHF) -
CELECOXIB-CELEBREX-3rdRTRI
ASSESSMENTS:??? -
CELECOXIB-CELEBREX-3rdtri
INTERVENTIONS:
Monitor closely PT/INR when used concurrently with warfarin. -
CELECOXIB-CELEBREX-3rdtri
INTERVENTIONS:??? -
FUROSEMIDE-LASIX-C
FOR:
Edema & Hypertension -
FUROSEMIDE-LASIX-C
FOR:??? -
FUROSEMIDE-LASIX-C
LIFE:
Circulatory Collapse, Aplastic Anemia, Agranulocytosis (RARE!) -
FUROSEMIDE-LASIX-C
LIFE:??? -
FUROSEMIDE-LASIX-C
COMMON:
Hypokalemia -
FUROSEMIDE-LASIX-C
COMMON:??? -
FUROSEMIDE-LASIX-C
ASSESSMENTS:
Observe Pt's W/parenteral use carefully
Closely monitor BP & vitals
Sudden death from cardiac arrest has been reported.
Monitor for S&S of hypokalemia
< -
FUROSEMIDE-LASIX-C
ASSESSMENTS:??? -
FUROSEMIDE-LASIX-C
LAB:
frequent blood count, serum & urine electrolytes
CO2, BUN, blood sugar, uric acid values during first few months of therapy & periodically thereafter
Monitor urine & blood glucose -
FUROSEMIDE-LASIX-C
LAB:??? -
FUROSEMIDE-LASIX-C
INTERVENTIONS:
DO NOT breast feed while taking this drug!
Consult physician regarding allowable salt and fluid intake
Ingest potassium-rich foods daily (e.g., bananas, oranges, peaches, drie -
FUROSEMIDE-LASIX-C
INTERVENTIONS:??? -
SPIRONOLACTONE-ALDACTONE-D
FOR:
Edema
Hypertension
Primary Aldosteronism -
SPIRONOLACTONE-ALDACTONE-D
FOR:??? -
SPIRONOLACTONE-ALDACTONE-D
NO LIFE: -
SPIRONOLACTONE-ALDACTONE-D
LIFE:??? -
SPIRONOLACTONE-ALDACTONE-D
NO COMMON: -
SPIRONOLACTONE-ALDACTONE-D
COMMON:??? -
SPIRONOLACTONE-ALDACTONE-D
ASSESSMENTS:
Check blood pressure before initiation of therapy
Assess for signs of fluid & electrolyte imbalance
Assess for signs of digoxin toxicity
Monitor daily I&a -
SPIRONOLACTONE-ALDACTONE-D
ASSESSMENTS:??? -
SPIRONOLACTONE-ALDACTONE-D
TEACHING:
Maximal diuretic effect may not occur until 3rd day
Diuresis may continue for 2–3 days after drug is withdrawn
Report signs of hyponatremia or hyperkalemia (see Appendix -
SPIRONOLACTONE-ALDACTONE-D
TEACHING:??? - A TEST CARD
- A TEST CARD
-
Drug polymorphism is?
A client’s variation in response to a drug is influenced by age, gender, size, and body composition - A client’s variation in response to a drug is influenced by age, gender, size, and body composition is called?
-
Drug dependence is?
The inability to keep the intake of a drug or substance under control. - The inability to keep the intake of a drug or substance under control is called?
-
Drug tolerance is?
A condition in which successive increase in the dosage of a drug are to maintain a given therapeutic effect - A condition in which successive increase in the dosage of a drug are to maintain a given therapeutic effect is called?
-
Idiosyncratic effect?
A different, unexpected or individual effect from the normal one usually expected from a medication: the occurrence of unpredictable and unexplainable symptoms - A different, unexpected or individual effect from the normal one usually expected from a medication: the occurrence of unpredictable and unexplainable symptoms is called/
-
Drug plateau is ?
A maintained concentration of a drug in the plasma during a series of scheduled doses. - A maintained concentration of a drug in the plasma during a series of scheduled doses is called?
-
Adverse (drug reaction) effect?
More severe side effects that may justify the discontinuation of a drug. - More severe side effects that may justify the discontinuation of a drug is called?
-
Duration of action?
The length of time that a drug continues to produce its effect. - The length of time that a drug continues to produce its effect is called?
-
Sublingual means?
under the tongue. - Under the tongue is termed?
-
Pharmacopoeia is?
A book containing a list of drug products used in medicine, including their descriptions and formulas - A book containing a list of drug products used in medicine, including their descriptions and formulas is called?
-
Drug interaction?
The beneficial or harmful interaction of one drug with another drug. - The beneficial or harmful interaction of one drug with another drug is called?
-
Inhibiting effect is?
The decreased effect of one or both drugs. - The decreased effect of one or both drugs is called?
-
STAT means?
immediately. - STAT means?
-
Unit-dose system is?
When a drug is packaged individually and labeled with the drug name, dose, and expiration date. - When a drug is packaged individually and labeled with the drug name, dose, and expiration date it is called a?
-
Telephone order?
When physicians order a therapy (e.g.,a medication) for a patient over the phone. - When physicians order a therapy (e.g.,a medication) for a patient over the phone it is a ?
-
Verbal order?
When physician must cosign the order written by the nurse within 24-48 hours. - When physician must cosign the order written by the nurse within 24-48 hours it is called a?
-
Latrogenic (disease) effect is?
Caused unintentionally by medical therapy, can be due to drug therapy. - A term used when an affect is caused unintentionally by medical therapy, can be due to drug therapy is?
-
6 rights are?
right medication
right dose
right time
right route
right patient
right documentation! - The 6 rights are?
-
Schedule drugs are?
Drugs that are narcotics - Drugs that are narcotics are called/
-
Digoxin-Lanoxicaps-Linoxin
FOR:
CHF, atrial fibrillation, atrial flutter, paroxysmal atrial tachycardia.
Increases the contractility of the heart muscle (positive inotropic effect) -
Digoxin-Lanoxicaps-Linoxin
FOR:??? -
Digoxin-Lanoxicaps-Linoxin
LIFE:
AV block -
Digoxin-Lanoxicaps-Linoxin
LIFE:??? -
Digoxin-Lanoxicaps-Linoxin
ASSESSMENTS:
when tablet is replaced by elixir potential for toxicity increases
know Pt's baseline
quality of peripheral pulses, blood pressure
clinical symptoms
serum electrolyt -
Digoxin-Lanoxicaps-Linoxin
ASSESSMENTS:??? -
Digoxin-Lanoxicaps-Linoxin
INTERVENTIONS:
Give without regard to food
Crush and mix with fluid or food if patient cannot swallow it whole.
Take apical pulse for 1 full min noting rate, rhythm, and quality before adm -
Digoxin-Lanoxicaps-Linoxin
INTERVENTIONS: -
Digoxin-Lanoxicaps-Linoxin
TEACHING:
Can take without regard to food
Crush and mix with fluid or food if patient cannot swallow it whole. -
Digoxin-Lanoxicaps-Linoxin
TEACHING: -
TEMAZEPAM-RESTORIL-X Schedule IV
FOR:
Insomnia -
TEMAZEPAM-RESTORIL-X Schedule IV
FOR:??? -
TEMAZEPAM-RESTORIL-X Schedule IV
LIFE:
CNS DEPRESSANTS -
TEMAZEPAM-RESTORIL-X Schedule IV
LIFE:??? -
TEMAZEPAM-RESTORIL-X Schedule IV
COMMON:
: Drowsiness -
TEMAZEPAM-RESTORIL-X Schedule IV
COMMON:??? -
TEMAZEPAM-RESTORIL-X Schedule IV
ASSESSMENTS:
Kava-kava valerian potentiates affects
smoking decreases sedative effects
paradoxical reaction -
TEMAZEPAM-RESTORIL-X Schedule IV
ASSESSMENTS:??? -
TEMAZEPAM-RESTORIL-X Schedule IV
TEACHING:
that improvement in sleep will not occur until after 2–3 doses -
TEMAZEPAM-RESTORIL-X Schedule IV
TEACHING:??? -
ZOLPIDEM-Ambien-B Schedule IV
FOR:
Short-term treatment of insomnia -
ZOLPIDEM-Ambien-B Schedule IV
FOR:??? -
ZOLPIDEM-Ambien-B Schedule IV
NO LIFE: -
ZOLPIDEM-Ambien-B Schedule IV
LIFE:??? -
ZOLPIDEM-Ambien-B Schedule IV
COMMON:
Headache on awakening -
ZOLPIDEM-Ambien-B Schedule IV
COMMON:??? -
ZOLPIDEM-Ambien-B Schedule IV
ASSESSMENTS:
DO NOT give with or immediately after a meal.
Depression
hepatic/renal impairment
pregnancy (category B)
respiratory status -
ZOLPIDEM-Ambien-B Schedule IV
ASSESSMENTS:??? -
ZOLPIDEM-Ambien-B Schedule IV
TEACHING:
DO NOT take immediately after a meal.
Report vision changes to physician
Onset of drug is more rapid when taken on an empty stomach.
DO NOT not breast -
ZOLPIDEM-Ambien-B Schedule IV
TEACHING:??? -
SALSALATE-Salicylate-C
FOR:
rheumatoid arthritis, osteoarthritis
Analgesic
Antipyretic
Antiinflammatory
Antirheumatic -
SALSALATE-Salicylate-C
FOR:??? -
SALSALATE-Salicylate-C
LIFE:
Liver function impairment
Pregnancy
Lactation -
SALSALATE-Salicylate-C
LIFE:??? -
SALSALATE-Salicylate-C
COMMON:
Nausea & dyspepsia
Heartburn & vomiting
Diarrhea & Tinnitus
Hearing loss (reversible)
Vertigo, flushing, headache
confusion
hyperventilation & sweating CNS -
SALSALATE-Salicylate-C
COMMON:??? -
SALSALATE-Salicylate-C
ASSESSMENTS:
relief is gradual
Monitor for adverse GI
history of peptic ulcer -
SALSALATE-Salicylate-C
ASSESSMENTS:??? -
SALSALATE-Salicylate-C
INTERVENTIONS:
Take with full glass water, food. milk
Do not to take another salicylate (e.g., aspirin)
Report tinnitus, hearing loss, vertigo, rash, or nausea.
Do not breast feed -
SALSALATE-Salicylate-C
INTERVENTIONS:??? -
SALSALATE-Salicylate-C
TEACHING:
Take with full glass water, food. milk
Do not to take another salicylate (e.g., aspirin)
Report tinnitus, hearing loss, vertigo, rash, or nausea.
Do not breast feed whil -
SALSALATE-Salicylate-C
TEACHING:??? -
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D
FOR:
Rheumatoid Arthritis
Psoriasis
Trophoblastic Neoplasm
Leukemia
Lymphoma -
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D
FOR:??? -
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D
LIFE:
Hepatotoxicity
Hepatic cirrhosis
Myelosuppression
Aplastic bone marrow
Sudden death
Pneumonitis
Pulmonary fibrosis -
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D
LIFE:??? -
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D
COMMON:
Headache
Ulcerative stomatitis
Glossitis & Gingivitis
Leukopenia
Thrombocytopenia -
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D
COMMON:??? -
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D
ASSESSMENTS:
Infections
Peptic ulcer
Ulcerative colitis
Poor nutrition -
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D
ASSESSMENTS:??? -
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D
INTERVENTIONS:
Give 1 h before or 2 h after meals
Avoid skin exposure
Avoid inhalation of drug
particles
Keep patient well hydrated
-
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D
INTERVENTIONS:??? -
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D
TEACHING:
Report bloody diarrhea
Alcohol increases incidence & severity of methotrexate hepatotoxicity
mouth care to prevent infection
mai -
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D
TEACHING:??? -
MISOPROSTOL-Cytotec-X
FOR:
Prevention of NSAID-induced Ulcers -
MISOPROSTOL-Cytotec-X
FOR:??? -
MISOPROSTOL-Cytotec-X
NO LIFE:
has abortofectant preoperties!!! -
MISOPROSTOL-Cytotec-X
NO LIFE:???
has abortofectant preoperties!!! -
MISOPROSTOL-Cytotec-X
COMMON:
Diarrhea & abdominal pain -
MISOPROSTOL-Cytotec-X
COMMON:??? -
MISOPROSTOL-Cytotec-X
ASSESSMENTS:
diarrhea minimized by giving drug after meals & at bedtime
Give w/ food to minimize GI adverse effects -
MISOPROSTOL-Cytotec-X
ASSESSMENTS:??? -
MISOPROSTOL-Cytotec-X
INTERVENTIONS:
this drug has abortifacient property -
MISOPROSTOL-Cytotec-X
INTERVENTIONS:??? -
MISOPROSTOL-Cytotec-X
TEACHING:
Avoid magnesium-containing antacids because of increased incidence of diarrhea.
Report postmenopausal bleeding to physician
Avoid pregnancy during misoprostol therapy
-
MISOPROSTOL-Cytotec-X
TEACHING:??? -
Non-steroidal anti-inflammatory drugs (NSAID’s)are?
Drugs that relieve pain by acting on the peripheral nerve endings to inhibit the formation of the prostaglandins that trend to sensitize nerves to painful stimuli; have analgesic, antipyret - Drugs that relieve pain by acting on the peripheral nerve endings to inhibit the formation of the prostaglandins that trend to sensitize nerves to painful stimuli; have analgesic, antipyretic, and anti-inflammatory effects; included aspirin and ibuprofen are?
-
Diuretics are?
Agents that increase urine secretion. - Agents that increase urine secretion are?
-
Opioids are?
Any synthetic narcotic not derived from opium. - Any synthetic narcotic not derived from opium is a?
-
Salicylates are?
Any salt of salicylic acid. - Any salt of salicylic acid is?
-
Methotrexate is ?
An inhibitor of dihydrofolate reductase that is used to treat rheumatoid arthritis - An inhibitor of dihydrofolate reductase that is used to treat rheumatoid arthritis is?
-
Nitrates are?
A salt of nitric acid. Agents in this class include isosorbide dinitrate or mononitrate and nitroglycerin. - A salt of nitric acid. Agents in this class include isosorbide dinitrate or mononitrate and nitroglycerin are?
-
Antiarrhythmics are?
A drug or physical force that acts to control or prevent cardiac arrhythmias. - A drug or physical force that acts to control or prevent cardiac arrhythmias is?
-
Antihypertensives are?
Used to prevent or control high blood pressure. An agent that prevents or controls high blood pressure. - A drug used to prevent or control high blood pressure or an agent that prevents or controls high blood pressure is?
-
Hydrogel (agents)are?
Colloids containing hydrophilic polymers. Hydrogels are used in soft contact lenses and the treatment of burns. - Colloids containing hydrophilic polymers. Hydrogels are used in soft contact lenses and the treatment of burns are?
-
Hydrocolloids are?
A colloidal suspension in which water is the liquid. - A colloidal suspension in which water is the liquid is?
-
Antipyretics are?
reduce fever - Drugs that reduce fever are?
-
Antiemetics are?
Used to prevent or relieve nausea and vomiting. - Drugs used to prevent or relieve nausea and vomiting are?
-
Antidiarrheal's are?
Substance used to prevent or treat diarrhea. - Substances used to prevent or treat diarrhea are?
-
For Safe Medication Administration the RN must?
Know why the patient is getting a medication
Accurately deliver the medication
Accurately document the medication administration
Observe the patient for the expec - For Safe Medication Administration the RN must?
-
The Institute of Medicine (IOM) estimates that at least _____ million preventable adverse drug events occur in the United States each year.
1.5 million - The Institute of Medicine (IOM) estimates that at least _____ million preventable adverse drug events occur in the United States each year.
-
One study revealed that approximately ___ dose out of of every ____ administered in a hospital is administered in error.
1 dose in every 5 - One study revealed that approximately ___ dose out of of every ____ administered in a hospital is administered in error.
-
Reports estimate about _____ medication error deaths occur each year in hospitals
7,000 - Reports estimate about _____ medication error deaths occur each year in hospitals
-
It is estimated that the annual cost of drug-related morbidity and mortality is nearly _____ in the United States.
$177 billion - It is estimated that the annual cost of drug-related morbidity and mortality is nearly _____ in the United States.
-
For each adverse drug event that takes place in a hospital, it adds an average of ________ to the cost of that hospital stay.
$8,750 - For each adverse drug event that takes place in a hospital, it adds an average of ________ to the cost of that hospital stay.
-
The Hospital drug delivery process is:
Someone prescribes the drug
Physician, advanced practice nurse, physician’s assistant
Prescription order may be
Written
Oral
Telephone
Someone “notes†- The Hospital drug delivery process is:
-
System of checks and balances
in the drug delivery process is?
Prescriber should be sure of correct drug and dosage for patient
Pharmacist should double check the order’s correctness as far as appropriateness for patient’s -
System of checks and balances
in the drug delivery process is? -
Drug distribution systems are?
Drug cart or drawer
(ea pt has a specified area (drawer, cabinet, etc) in which the medications ordered are kept
Generally see 24 hour’s worth of medication stocked at a specific time each day - Drug distribution systems are?
-
Stock medications are?
bulk amounts of medications are kept in a specific area of each nursing unit (drug room)
available for use on a dose by dose basis
Appropriate for medications that are routinely prescribed or prescr - Stock medications are?
-
The disadvantage of 'Stock Medications" is?
This system circumvents the pharmacist check of the medication - The disadvantage of 'Stock Medications" is?
-
Computer-controlled medication distribution systems are?
Each nurse is issued a code for access to medications.
These systems are becoming very sophisticated, some now have each patient issued a bar code and the medications being c - Computer-controlled medication distribution systems are?
-
Computer-controlled medication distribution systems are used in an effort to?
Ccontrol medication administration errors as well as diversion. - Computer-controlled medication distribution systems are used in an effort to?
-
Five (or six) rights of medication administration are?
1. Right drug
2. Right dose
3. Right patient
4. Right route
5. Right time
6. Right documentation !!!!! - Five (or six) rights of medication administration are?
-
With medications, the patient has the right to?
medication’s name, purpose, action, potential, undesired effects
Refuse a medication regardless of consequences
Have qualified nurses or physicians assess a medication his - With medications, the patient has the right to?
-
Assessment of patient for medication administration should include?
History
History of allergies
Medication data
Diet history
Patient’s perceptual or coordination problems
Patient’s cu - Assessment of patient for medication administration should include?
-
In assessment for medication administration, be certain to include questioning regarding the patient’s use of?
herbal remedies and other OTC products.
There may be strong adverse reactions between some widely available products an - In assessment for medication administration, be certain to include questioning regarding the patient’s use of?
-
In assessment for medication administration, it is important to include questioning regarding the patient’s use of herbals and OTC products because?
There may be strong adverse reactions between some widely available products and prescriptio - In assessment for medication administration, it is important to include questioning regarding the patient’s use of herbals and OTC products because?
-
Ginkgo biloba can cause?
Bleeding - Ginkgo biloba can cause?
-
St John’s wort can cause?
GI disturbances
Allergic reactions
Fatigue & dizziness
confusion
dry mouth & photosensitivity - St John’s wort can cause?
-
Ephedra can cause?
Hypertension & Onsominia
Arrhythmia & Nervousness
Tremor, Headache, Seizure
CVA, MI
Kidney stones - Ephedra can cause?
-
Kava can cause?
Sedation
Oral & Lingual Dyskinesia
Torticollis & Oculogyric
crisis
Exacerbation of Parkinson’s
Painful twisting movements of the trunk
Rash - Kava can cause?
-
Ginkgo interacts with?
ASA Coumadin
Plavix
Persantine
Ticlid - Ginkgo interacts with?
-
St Johns Wort interacts with?
Antidepressants - St Johns Wort interacts with?
-
Ephedra interacts with?
caffeine
decongestants
stimulants - Ephedra interacts with?
-
Kava interacts with?
sedatives
sleeping pills
antipsychotics
alcohol - Kava interacts with?
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Ginseng interacts with?
Warfarin - Ginseng interacts with?
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Three key goals or expected outcomes with medication administration are?
Drug’s therapeutic effect is achieved
No complications related to the medication and/or method of administration
Patient and family will dem - Three key goals or expected outcomes with medication administration are?
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Before the implementation of administering medication, consider these things?
Pre-administration
Is order current and legal?
Is dosage calculated accurately?
Do you understand why you are giving the drug?
- Before the implementation of administering medication, consider these things?
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With administration of drugs be sure to?
6 rights
Educate patient as meds are given
Keep unit dose meds in their containers until opened at the bedside
Remain with patient until meds are taken
Don’ - With administration of drugs be sure to?
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In the nurses evaluation of medication administration, she should?
Monitor physical response to medication
Monitor behavioral response to medication
Observe injection sites for bruises, inflammation, infection
- In the nurses evaluation of medication administration, she should?
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In Pediatrics, many facilities require all pediatric dosage calculations to be?
double checked by another RN - In Pediatrics, many facilities require all pediatric dosage calculations to be?
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In pediatrics, Parents are valuable resources in?
getting the pediatric patient to take their medications
What works at home??
Also need to explain o the child why and what of medication
Don’t be untruthful w - In pediatrics, Parents are valuable resources in?
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Concerns about medications with Older adults are?
Polypharmacy:
patient is taking many medications, prescribed or OTC, in an attempt to treat many disorders at once
High risk for drug interactions and/or food interactions
- Concerns about medications with Older adults are?