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Utilizing a medication for purposes other than what it was intended for |
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Culturally defined, drug use inconsistent with medical or social norms |
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Complex CNS disorder, uncontrolled cravings and dependence |
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Stopping causes severe emotional/mental/physiologic reaction |
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Does not guarantee addiction |
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The lowest serum concentration of a medication before the next medication dose is administered |
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Time it takes for a medication to reach its highest effective concentration |
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Time it takes after a medication is administered for it to produce a response |
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Time during which the medication is present in concentration great enough to produce a response |
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Blood serum concentration of a medication reached and maintained after repeated fixed doses |
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Time it takes for excretion process to lower the amount of unchanged medication by half. Short half-life meds need to be given more frequently, however the half-life does not increase with a greater dose |
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Regular fixed doses that corresponds with their half-life |
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Early or delayed administration of doses (more than 30 minutes before or after scheduled time) will most likely harm or result in sub therapeutic responses |
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Timing of administration will not affect desired effect of medication if given 1-2 hours before or after scheduled time |
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Carried out until the prescriber cancels it by another order or a prescribed number of days elapse. |
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Only when patient requires it. Use objective and subjective assessment and discretion in determining whether or note the patient needs the medication |
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Single dose of a medication to be given immediately, often for emergencies when a patients condition changes suddenly |
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Patient needs medication quickly, but not right away nurse has 90 minutes to give the medication |
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Order states for example discontinue after giving two doses of a drug |
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Study of how medications enter the body, reach their site of action, metabolize, and exit the body |
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First American Law to regulate medications |
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Pure Food & Drug Act. This law requires all medications to be free of impure products |
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Enforcement of medication laws. Ensures that all medications on the market undergo vigorous testing before they are sold to the public |
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Protect the public from unskilled undereducated and unlicensed personnel. Has the most influence over nursing practice defining scope of nurses professional functions and responsibilities |
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Classification of Medications |
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indicates the effect of the medication on a body system, the symptoms the medication receives, or its desired effect. |
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passage of medication molecules into the blood from the site of medicament administration |
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Skin-slow Orally-slow Mucous Membranes & Respiratory-quickly IV/Injection-Rapid |
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After meds are absorbed, it is distributed within the body to the tissues and organs and ultimately to its specific site of action |
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After meds races its site of action it becomes metabolized into a less active or inactive form that is easier to excrete |
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After meds are metabolized they exit the body through the kidney, liver, bowel, links, and exocrine glands. |
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patient overreacts or underreacts to a medication or has a reaction different from normal |
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expected or predicted physiological response that a medication causes |
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predictable and often unavoidable secondary effects produced at a usual therapeutic dose |
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Unintended, undesirable, and often unpredictable severe responses to medication |
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develop after prolonged intake of a medication or when a medication accumulates in the blood because of impaired metabolism or excretion |
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Unpredictable responses to a medication. |
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symptoms vary depending on individual and the medication |
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life threatening, characterized by sudden constriction of bronchiolar muscles, edema of pharynx and lynx and severe wheezing, shortness of breath |
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When one medication modifies the action of another. Common in people who take several meds. |
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When two medications combined effect is greater than the effect of the medication when given separately. |
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