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Pharmacology

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  • What is it called when you put a med. under the tongue ?
    sublingual
  • When there is a study, one pt. gets a ________ & one gets a medication
    Placebo
  • If a pt. has been taking anti-acid for long periods of time is it okay ?
    NO, they need to see a doctor, your just making something that is going on worse than it is
  • Can you tell if a pt. had hypertension by BP ? how are you gonna find out ?
    NO ! have the pt. document or journal for about a week
  • why do older adults have problems taking meds ?
    The meds. don't metabolize
  • When making a care plan for a pt. what kind of nursing plan is it ?
    Planning
  • A drug called orlistat, what does it do ?
    Blocks fat absorption, very greasy stool, lost bowel control
  • where do you normally give an adult an IM ?
    Gluteus Medius (a child would be in the thigh)
  • Know the difference between : Idiosyncratic(1), Pharmacologic reaction(2), Allergic reaction(3), & Adverse effect(4)
    Unexpected reaction(1), Reaction you want/have(2), An Allergy(3), Bad reaction to medication(4)
  • After surgery, pt. was given opioids, what is the most important assessment ?
    To assess their respiration
  • if a patient has a serious illness, can you tell the family ?
    NO, tell them they need to ask the patient their selves
  • What is a medication error ?
    preventable event that may cause or lead to inappropriate med. use or patient harm
  • What can't you take with kava ?
    Anxiety sedative drugs (kava is a natural anti-anxiety)
  • What is the nursing process
    Assessment, Diagnosis, Planning, Implementation, & Evaluation
  • Is a herbal supplement a medication ?
    NO ! it is a dietary supplement
  • What is it called when you put a med. into muscle ?
    intramuscular
  • what is one of the major reasons baby get drug toxicity ?
    liver is not fully formed
  • What is it called when you put a med. into fat ?
    subcutaneous
  • If pt. takes seizure med. such as gabapentin, what could be wrong ?
    neuropathic pain
  • What is subjective data.....objective data ?
    S - Things the pt says......O - Things you can verify & measure
  • All 9 rights for drug administration.
    Right drug, Right dose, Right time, Right patient, Right documentation, Right reason/indication, Right response, Right to refuse
  • what drugs put patients @ fall risk ?
    sedatives, they sedate you
  • How does the liver get rid of meds ?
    metabolizing
  • Over time a patient is used to a medication, what is this called ?
    They built up a tolerance
  • when given meds, what is a time considerations ?
    last time, last dose was taken, last time eaten, last menstrual cycle
  • what's the duration of action ?
    amount of time a drug is working in your system
  • why do doctors use IV route sometimes to give medications
    goes into bloodstream/ body instantly
  • What happens to elderly's body ?
    Muscle wasting & subcutaneous increase (fatty tissue)
  • If you give a PPD(purified protein derivative), what kind of route is it ?
    Intradermal route
  • Signs & symptoms of Tardive Dyskinesia (TD)
    Rapid eye blinking, tongue protrusion, lip smacking, grimacing, jerky arm or leg movement
  • What kind of error is most common with kids ?
    Dosage error
  • Why do younger adults have problems taking meds ?
    Their organs are not matured
  • what angle should you give a IM shot ?
    90 degrees
  • What timester is the baby more likely to get more drug into their system
    The third trimester
  • When giving drugs to a baby, what are you measuring ?
    weight, in kg
  • How does the kidney get rid of meds ?
    secretion
  • If looking for an outcome criteria, what are you looking for in making sure a pt. understands
    patient will demonstrate it back
  • What is it called when you put a med. into vein
    parenteral. IV infusion
  • If your teaching an older person, what should you do for them ?
    Print in large font.
  • If you receive an order & don't understand it, what are you going to do ?
    Call the provider to clarify the order, don't ask someone else
  • why would you give a patient a z-track immunization ?
    keeps medicine from leaking back out of tissue
  • How do you know pt. teaching was effective ?
    you see pt. do what you said with good outcomes
  • If a person takes diuretics, what can the pt. experience ?
    Dehydration, Fatigue, Cramps, Low Potassium
  • If you have a pain that lasted for more than a few months, what is it called ?
    Chronic (If it lasts a few days, it's acute)
  • If you can't read a doctors hand writing, what do you do ?
    Call and verify, then repeat order back to the doctor
  • What diuretic holds potassium ?
    Spironolactone (potassium sparring diuretic)
  • What is it called when you put a med. on the cheek side of your mouth ?
    buccal
  • If I have a bunch of meds, which one is the fastest
    IV
  • In elderly patients what happens to the GI
    decreased motility, altered absorption, decreased stomach acid
  • If pt. tells you that doesn't look like my meds. what do you do ?
    double check orders
  • If a nurse gave a pt. 10 mg when they needed 20 mg, what kind of error is it ?
    Dosage error. Wrong time would be "time error" Wrong route would be "route error"
  • when a pt. is starting new blood pressure med, what will the doctor do ?
    Prescribe lowest dose, increase dose until therapeutic
  • Why do younger adults have problems taking meds ?
    Their organs aren't matured
  • Know what "drug half life" means
    The time it takes for the amount of drugs active substance in your body to reduce by half
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