NFDN 1002 midterm notes with 100% correct solutions

NFDN 1002 midterm notes with 100% correct solutions Physician's Role - Correct Answer ️️ -- order medication - write - document pt. diagnosis and need for medication Pharmacist's Role - Correct Answer ️️ -- fill/dispense the medication order - ensure prescription are valid Nurse's Role - Correct Answer ️️ -- administer drug - checking right dose, route, client, and need for drug Pre Medication Administration - Correct Answer ️️ -- determine the need for meds. - potential response to meds. - history - history of allergies - medication data - diet history - pts. perceptual/coordination problems - current condition - attitude toward med. use - knowledge / understanding of med. therapy - learning needs Factors to Medication Route - Correct Answer ️️ -- therapeutic effect - side effects - adverse effects - toxic effects - idiosyncratic reactions - allergic reactions Enteral - Correct Answer ️️ -- use of the GI track - oral, sublingual, buccal, tablets, capsules, liquids, G-tube - first pass through the liver Parenteral - Correct Answer ️️ -- by passes the GI track - iv's, injections, sublingual, buccal, intramuscular, inhalation - initially do not go through first pass [initial injection is what they 1st receive] Topical - Correct Answer ️️ -- pertaining to the surface of the body - eye drops, ear drops, cream, ointments, patches, nasal spray, inhalations - skin, smaller bld vessels then blood system - first pass through the liver Therapeutic Effect - Correct Answer ️️ -what the medication does Side Effect - Correct Answer ️️ -common, predictable reactions Adverse Effect - Correct Answer ️️ -serious, unpredictable reactions Synergistic Effect - Correct Answer ️️ -the effect of 2 medications combined that is > then the effect of the medication when given separately Allergic / Hypersensitive Reaction - Correct Answer ️️ -unpredictable, excessive response - mild [rash] to serious [anaphylactic shock] Idiosyncratic Reaction - Correct Answer ️️ -unpredictable, opposite of therapeutic effect - can be good or bad [over reacts - under reacts to medication for reasons different than normal reactions] Onset - Correct Answer ️️ -time between admin of drug & onset of the therapeutic effect Peak - Correct Answer ️️ -time needed for medication to reach its highest effectiveness Duration - Correct Answer ️️ -length of time the medication produces its therapeutic effect Drug names - Correct Answer ️️ -Generic [nonproprietary] -- manufacture company name, 1st company to develop the drug Trade [brand/proprietary] -- company with the rights on name, marketing company Medication Order - Correct Answer ️️ -1. clients name 2. date 3. medication name [no abbreviations] 4. dose [no abbreviations] 5. route 6. frequency [no abbreviations] 7. signature Standing Order - Correct Answer ️️ -carried out until cancelled PRN [as needed] - Correct Answer ️️ -- received when requested by patient - nurse uses assessment data - need to monitor frequency of administration [check the medication effectiveness sheet in MAR] Single Order - Correct Answer ️️ -- medication given only once - used pre or post operatively STAT Order - Correct Answer ️️ -- single order medication carried out immediately - used in emergency situations Prescription - Correct Answer ️️ -- medications to be taken outside the hospital - more detailed then regular order Ten Rights - Correct Answer ️️ -1. Right medication 2. Right dose 3. Right patient 4. Right route 5. Right time and frequency 6. Right documentation 7. Right reason 8. Right to refuse 9. Right patient education 10. Right evaluation [rights 1-5 must be completed at every check, 6-10 must be completed at least once] Medication Errors - Correct Answer ️️ -1. communication breakdown 2. non-standard medication time 3. workload and distractions 4. administering medications to multiple pt. 5. incorrect calculations 6. similar drug names Oral Route Assessment - Correct Answer ️️ -prior to administrations - can the pt. swallow [stroke, parkinsons, dementia] - is the pt. nauseated/vomiting [give in different form] - is the pt. NPO Nursing Diagnosis for Medication Administration - Correct Answer ️️ -- ineffective health maintenance - deficient knowledge related to medications - noncompliance - impaired knowledge - effective therapeutic regimen management - ineffective therapeutic regimen management Common conversions - Correct Answer ️️ -weight - 1 kg = 2.2 lbs volume - 5 ml = 1 tsp - 15 ml = 1 tbsp - 30 ml = 1 fl. oz Nutritional Status - Correct Answer ️️ -- nutrition aids in the prevention of disease and maintenance of overall health - assessment involves: health history [diet, allergies, unpleasant symptoms, appetite change, use of medication], weight changes [can result from a fluid shift], signs of hydration, diagnostic tests