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medication - ✔✔substance administered for the diagnosis, cure, treatment,
or relief of a symptom or for prevention of disease
Dispensing of Medications: Controlled Substances - ✔✔Kept under lock
Documentation requirements
Counts of controlled
substances
Procedures for discarding
2 nurses to witness
KASPER - ✔✔Kentucky All Schedule Prescription Electronic Reporting"
law
*Health care providers that administer prescriptions for narcotics must
comply
Legal Aspects of Administering Medications - ✔✔Nursing practice acts
Responsibility for actions
Question any order that appears unreasonable
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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,Refuse to give the medication until the order is clarified
sources of information - ✔✔printed materials, people, computer-based
resources
Drug Actions; Mechanism of action - ✔✔Mechanism of action is the change
the medication causes changes in body to produce desired effect
generic name of medication - ✔✔what was assigned to the drug during 1st
manufactured
trade name - ✔✔brand name
Drug actions; Therapeutic effect - ✔✔intended effect of medication
side effects - ✔✔unintended effects ex) constipation, drowsiness, NOT
NEGATIVE effects
Adverse effects - ✔✔when side effects are negative. can be mild or severe
mild to severe reactions: - ✔✔anaphylaxis-life threatening
drug interactions - ✔✔the way drugs interact with eachother
pharmocokinetics - ✔✔activity of medication in body from time in and time
excreted
absorption - ✔✔transference of drug molecules from point of entry until it
gets in bloodstream
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,distribution - ✔✔begins from time of absorption and ends when it gets to
site of action
biotransformation - ✔✔process of breaking down meds. (metabolism)
excretion - ✔✔movement of meds from metabolism to excretion
drug allergy - ✔✔immunologic reaction to drug.
there can be mild to severe reactions
drug tolerance - ✔✔need increasing doses to maintain therapeutic effect
drug interaction - ✔✔one drug effecting another
Components and Processing
of Medication Orders - ✔✔Date and time of order
Medication name
Dose of medication
Route of administration
Frequency of administration
Signature of provider (physician, Advanced Nurse Practitioner)
KNOW MILITARY TIME - ✔✔
standing orders - ✔✔routine basis
PRN orders - ✔✔as necessary
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, single orders - ✔✔one time only; preoperative, pre-procedure orders
stat orders - ✔✔statim: immediately
sublingual administration of drug - ✔✔under tongue
buccal administration of drug - ✔✔in cheek of mouth
enteric coated medication - ✔✔a coating on a pill that allows the pill to pass
through the stomach unaltered and then disintegrates in intestines
routes of non-parenteral medication - ✔✔topical- only affects area where it
is applied
rectal
vaginal
transdermal (patches)
inhalation (inhaler)
ophthalmic (eye drops)
otic (ear drops)
nasal
six rights of medication administration - ✔✔Right drug
Right dose
Right client
Right route
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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.