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test 1
spring 2011 t1
89
Nursing
Professional
01/09/2011

Additional Nursing Flashcards

 


 

Cards

Term
meds administered for (5)
Definition
diagnosis, cure, treatment, relief of s/s, prevention
Term
schedule 1
Definition
potential for abuse is high
Term
schedule 2
Definition
more dangerous prescribed drugs
Term
schedule 3
Definition
int. potential for abuse
Term
schedule 4
Definition
minimal liability for physical or psychological dependency
Term
schedule 5
Definition
low level mixed drugs
Term
lsd, heroine
Definition
schedule 1
Term
morphine, amphetamines
Definition
schedule 2
Term
nonbarbiturates, sedatives
Definition
schedule 3
Term
hypnotics, anti-anxiety drugs
Definition
schedule 4
Term
codeine....schedule type
Definition
schedule 5
Term
therapeutic effect
Definition
desired effect;intent
Term
side effect
Definition
unwanted effect; can be harmless or harmful
Term
adverse effect
Definition
more severe reaction; might have to d/c med
Term
anaphylactic reaction
Definition
severe reaction immediately following administrations
Term
drug toxicity
Definition
OD on meds; s/s can be immediate or over time
Term
drug tolerance
Definition
pt has low physical response to med; may need higher dosage of med
Term
drug allergy
Definition
UNPREDICTABLE response of immune system
Term
cumulative effect
Definition
amount of drug in blood stream b/c pt not metabolizing or excreting
Term
drug interaction
Definition
how a drug benefits or no when mixed with another drug
Term
increased effect of 1 or both drugs
Definition
potentiating effect
Term
decreased effect of 1 or both drugs
Definition
inhibiting effect
Term
synergistic
Definition
2 or more drugs working together to help increase another drug
Term
idiosyncratic effect
Definition
unexpected effect
Term
iatrogenic disease
Definition
caused by meds
Term
half life
Definition
time it takes a drug to reduce in body by 1/2
Term
onset of action
Definition
time after administration when the body 1st responds to med
Term
onset of action
Definition
time after administration when the body 1st responds to med
Term
peak plasma level
Definition
highest drug serum level achieved by a single dose when elimination and administration rate are equal
Term
plateau
Definition
maintained concentration of drug in plasma during a series of scheduled doses
Term
receptor based
Definition
drugs exert effects by binding with receptors at cellular level
Term
agonist
Definition
drug produces same type of response as endogenous substance
Term
antagonist
Definition
drug inhibits cell function by occupying receptor sites
Term
pharmacokinetidcs
Definition
study of absorption, distribution, and exretion of drugs
Term
distribution
Definition
transportation of drug from one site to another
Term
absorption
Definition
process where drugs pass into blood stream
Term
absorption rate: oral
Definition
variable
Term
absorption rate: iv
Definition
immediately into blood w/o absorption
Term
absorption rate: im
Definition
2nd most rapid
Term
biotransformation
Definition
process of a drug being transformed into a less active form
Term
absorption rate: sub-cu
Definition
slow
Term
absorption rate: rectal
Definition
unpredictable; last resort
Term
first pass effect
Definition
oral drugs pass through liver first and are partially metabolized before reaching target organ
Term
excretion
Definition
removing metabolites and drugs from body; primarily occurs in kidney
Term
other routes of excretion
Definition
feces;resp;perspiration;saliva;breast milk
Term
physiological variables (3)
Definition
med's action on body; pt response to med; drug interaction
Term
developmental factors affecting reaction to med
Definition
pregnant; age
Term
pharmacogenetics
Definition
sez;size; body comp
Term
ethnopharmacology
Definition
effect of ethnicity in response to prescribed med
Term
psychological factors impacting action of meds
Definition
pt not motivated; hx or med therapy
Term
sociocultural factors impacting action of meds
Definition
ethnic belief;values;socioeconomic status
Term
developmental factors impacting action of meds
Definition
education level;language
Term
oral route of administration
Definition
safe;cheap; requires good function of gi tract and ability to swallow
Term
sublingual
Definition
under tongue; directly enters bloodstream; drug inactivates if swallowed
Term
buccal
Definition
in cheek; must dissolve- can't chew or swallow
Term
transdermal & topical
Definition
transdermal: patch
topical: cream
few side effects; med works faster than oral; unpredictable absorption
Term
inhalation route of administration
Definition
rapid delivery;localized effect; can cause bad breath or systemic effects
Term
iv route of administration
Definition
rapid; can get infection; $$
Term
im route of administration
Definition
can administer in larger volumes that sub-cu; rapid absorption; $$; requires skill
Term
sub-cu route of administration
Definition
expensive; slow absorption; small amounts of med
Term
stat
Definition
immediately
Term
single/1 time order
Definition
res ipsa loquitor
Term
standing order
Definition
carried out until d/c is written
Term
prn
Definition
as needed
Term
ten rights of med administration
right...
Definition
med;dose;time;route;pt;pt education;documentation;...to refuse;assessment;evaluation
Term
3 checks when administering #1
Definition
read mar & get med; read label/expiration
Term
3 checks when administering med #2
Definition
double check med again
Term
3 checks when administering med #3
Definition
check med at bedside b4 opening
Term
steps to giving meds (6)
Definition
identify pt;educate;administer;provide interventions prn;document;evaluate pt
Term
tb syringe
Definition
1ml;draw up small amounts accurately
Term
2,3,5,10,12 ml syringes
Definition
med administration
Term
20,30,50,60ml syringes
Definition
wound irrigation
Term
insulin syringe
Definition
for insulin only; comes in 50 or 100 units (.5/1ml)
Term
tubex/carpujet
Definition
prefilled dose; excess med should be seen by another rn
Term
needle for im injection
deltoid/vastus lateralis & ventrogluteal
Definition
20-22 gauge 1-1 1/2" (deltoid)
21-22 gauge 1-1 1/2" (vastus lateralis/ventrogluteal)
Term
needle selection dorsogluteal/subcut/intradermal
Definition
dorsogluteal: 21-22 gauge 1 1/2-2"
subcut: 24-26 gauge 3/8-5/8"
intradermal: 25-27 gauge 1/4-5/8"
Term
dose in an ampule
Definition
single (1-10ml)
Term
type of needle used to withdraw from ampule
Definition
filter
Term
inject med slowly and aspirate first for
Definition
im injection
Term
rapid absorption at this site;can only take small amount of med
Definition
deltoid
Term
preferred for infants 1yr and younger; no majoy bv
Definition
vastus lateralis
Term
preferred site;greatest thickness of muscle;no major bv
Definition
ventrogluteal
Term
thick muscle of the butt;don't use in children 3 or less;try to not hit sciatic nerve
Definition
dorsogluteal
Term
to prevent backflow of med in subcut use
Definition
ztrack
Term
means chest pain
Definition
angina pectoris
Term
nitrates;beta blockers;calcium channel blockers....treatments for
Definition
angina pectoris
Term
stable angina with treatment
Definition
predictable events;rest,nitro, or both
Term
unstable angina
Definition
chest pain unexpected occurs @ rest
Term
low blood flow to heart muscle; fatty plaque in blood vessels
Definition
atherosclerosis
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