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T3 medication administration
mad good
30
Nursing
Undergraduate 3
10/07/2015

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Term
1. Over-reaction or under- reaction or different reaction from normal
2. Accumulation of medication in the bloodstream
3. Unintended, undesirable, often unpredictable
Severe response
Definition
idiosyncratic reaction
toxic effect
adverse effect
Term
A ____ effect occurs when the combined effect of two medications is greater than the effect of the medications given separately.
Definition
synergistic
Term
1. Time it takes for a medication to produce a response
2. Minimum blood serum concentration before next scheduled dose
3. Point at which blood serum concentration is reached and maintained
4. Time at which a medication reaches its highest effective concentration
5. Time medication takes to produce greatest result
Definition
1. onset
2. trough level
3. plateau
4. peak
5. duration
Term
* Before Meals
• As desired
• At bedtime
• After meals
• As needed
• Every morning
• Every day
• Immediately
Definition
AC or ac
ad lib
nightly or at bedtime
PC or pc
prn
am
daily
STAT or stat
Term
ID, Sub-Q, IM, IV (epidural, intrathecal, intraosseous, intraperitoneal, intrapleural, intra-arterial) are all ___ routes of administration
Definition
parenteral
Term
– Most logically organized
– Meter, liter, gram
- 0 before the decimal only
Definition
metric system
Term
a system of measurement that is
– Most familiar to individuals – Disadvantage: inaccuracy
Definition
household system
Term
types of orders
1. Administered until the dosage is changed or another medication is prescribed
2. When a medication is needed right away, but not STAT
3. Given when the patient requires it
4. Given one time only for a specific reason
Definition
1. routine order
2. Now order
3. prn order
4. single order
Term
system for stocking and dispensing medication
Definition
AMDS
automated medication dispensing system
Term
6 Rs
Definition
medication, documentation, dose, route, time, patient
Term
Definition:whenapatienttakestwoormore medications to treat the same illness, takes two or more medications from the same chemical class, uses two or more medications with the same or similar actions to treat several disorders simultaneously, or mixes nutritional supplements or herbal products with medications.
Definition
polypharmacy
Term
– Skin, nasal, eye, ear, vaginal, rectal...these are examples of ____ route
Definition
topical
Term
Verify that the tube location is compatible with
medication absorption.
– Follow American Society for Parenteral and Enteral Nutrition (ASPEN) guidelines.
– Use liquids when possible.
– If medication is to be given on an empty stomach, allow at least ___ minutes before or
after feeding.
this is an example of ___ or ___ feedings

Definition
30 minutes
enteric or small-bore feeding
Term
for nasal administration, have the patient _ and _
Definition
lay down and put their head back
Term
• Eye instillation
– Avoid the 1.___
– Avoid the 2.___ with droppers or tubes to decrease the risk of infection.
– Use only on the affected eye.
– Never allow a patient to use another patient’s
eye medication.
Definition
1. cornea
2. eyelids
Term
Ear instillation – Structures are very sensitive to temperature. – Use 1._____ solution– Drainage may indicate 2.___ – Never 3.___ the ear canal. – Do not force medication into an occluded ear canal
Definition
1. sterile solution 2. ear drum rupture 3. occlude
Term
– Pressurized metered-dose inhalers (pMDIs) • Need sufficient 1.____ for use
– Breath-actuated metered-dose inhalers (BAIs) • Release depends on strength of patients 2.____
– Dry powder inhalers (DPIs) • Activated by patient’s 3.
• Produce local effects such as 4.

Definition
1. hand strength
2. breath
3. breath
4. bronchodialation
Term
administering via irrigation
• Use 1.___ technique if a break is noted in the skin or mucosa.
• Use 2.___ technique when the cavity is not sterile.
Definition
1. aseptic
2. clean
Term
Administering via Irrigation
• Usually use 1.2.3. on
– Eye
– Ear
– Throat
– Vagina
– Urinary tract
Definition
1. sterile water 2. saline 3. antiseptic solutions
Term
inserting a medication similar to a contact lens into the patients eye
Definition
intraocular
Term
SYRINGES
Sizes from __ to ___
• use __ sizes to administer IV medications and to irrigate wounds or drainage tubes
Definition
0.5-60mL
larger
Term
• If two medications are compatible, they can be mixed in one injection if the total dose is within accepted limits, so the patient receives only one injection at a time. true or false?
Definition
true
Term
insulin
• Use the correct syringe:
use a ____ syringe
• Insulin is classified by rate of action: – 1.2.3.4
Definition
100-unit insulin syringe
rapid, short, intermediate, long acting
Term
•INSULIN
Inject rapid-acting insulins mixed with 1,___ insulin within 2._______
Definition
1. NPH
2. 15 MINUTES BEFORE A MEAL
Term
• INSULIN
Never mix insulin 1.___ (Lantus) or insulin 2.___ (Levemir) with other types of insulin.
Definition
1. glargine
2. detemir
Term
SUBCUTANEOUS
medication is placed in the 1.____ under the 2.___
absorption is slower than with 3.___ injections
Definition
1. loose connective tissue under the 2. dermis 3. intramuscular
Term
SUBCUTANEOUS
Administering 1.____ requires special considerations.
A patient’s 2.___ indicates the depth of the subcutaneous layer.
Choose the needle length and angle of insertion based on the 3.___ and estimated amount of subcutaneous tissue.

Definition
1. low-molecular-weight heparin
2. body weight
3. body weight
Term
INTRAMUSCULAR
• Faster absorption than 1. route
• Many risks, so verify the injection is justified
• Needles
– Very obese: 2.__ inches – Thin: 3.__-__ inch
Definition
1. subcutaneous
2. 3 inches
3. 1/2 to 1 inch
Term
INTRAMUSCULAR
Amounts:
– Adults: 1._ to _mL can be absorbed
– Children, older adults, thin patients: up to 2.__mL
– Small children and older infants: up to 3.__ mL
– Smaller infants: up to 4.__mL
Definition
1.2-5mL
2. 2 mL
3. 1mL
4. 0.5mL
Term
A method of intramuscular injection used to prevent injected medicine from leaking back to the surface of the skin; the skin is pushed to one side and held in place while the medicine is injected; after the needle is withdrawn, the skin is returned to its original position.
Definition
z- track method
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