medication - Answers substance administered for the diagnosis, cure, treatment, or relief of a symptom
or for prevention of disease
legislation and standards for non parental medication - Answers Pure Food and Drug Act 1906
U.S. Food and Drug Administration (FDA)
Institutional policies
Official government agency
NPA
Can patients refuse medication? - Answers They monitor testing, approval, and distribution of drugs
nurse practice act. There are certain medications that you can give based on your certificate. Comply
with the policies of the facility that you work at. Policy on how far apart you can give your medication.
YES, sometimes they have that right, and other times they may not. It depends on if they can make
those decisions for themselves or not
chemical name - Answers The name that describes the chemical composition and molecular structure of
a drug.
generic name - Answers cheapest form of the medication example: aspirin
trade name - Answers name given by manufacture that is copyrighted. Assigned when drug is made
what types of doses are there? - Answers stock dose (big bottle of aspirin)
unit dose (capsules in the individual package)
Dispensing of Medications: Controlled Substances - Answers Kept under lock
Documentation requirements
,Counts of controlled substances
what is the procedure for discarding non parental medication that you didnt use? - Answers must have 2
nurses to witness
what is *KASPER*? - Answers Kentucky All Schedule Prescription Electronic Reporting law
*Health care providers that administer prescriptions for narcotics must comply
what are the Legal Aspects of Administering Medications - Answers Nursing practice acts
Responsibility for actions
Question any order that appears unreasonable
Refuse to give the medication until the order is clarified
what are the different sources of medication? - Answers Printed materials
People
Computer-based resources
drug actions - Answers Mechanism of action
Therapeutic effect
Side effects
Adverse effects
Mild to severe reactions (anaphylaxis-life threatening)
Drug interactions
Pharmacokinetics
drug actions (mechanism of action) - Answers the processes involved in the interaction between a drug
and body cells
drug actions (therapeutic effect) - Answers The intended effect of medication
drug actions (adverse effect) - Answers true allergy to medications
* can have mild or severe reactions
Anaphylaxis - Answers Life threatening allergic reaction
drug actions (drug interaction) - Answers one medication can help the effect of the other
, four parts of pharmacokinetics - Answers absorption, distribution, biotransformation, excretion
Absorption - Answers point of entry until it gets into blood stream about 40 minutes
Distribution - Answers begins with absorption until medication arrives at desired point/site
Biotransformation - Answers the process of inactivating and breaking down of medication
Excretion - Answers the movement of med from point of breaking down, back into circulation and then
transported out of body
*happens in the kidneys, sweat. GI tract, respiratory system
drug tolerance - Answers Need increasing doses to maintain therapeutic effect
What do you document after administering a medication/drug? - Answers Date and time of order
Medication name
Dose of medication
Route of administration- oral? Injectable? Rectal?
Frequency of administration
Signature of provider (physician, Advanced Nurse Practitioner)
Types of Medication Orders - Answers Stat order
Single order
Standing order
PRN order
STAT order - Answers single order carried out immediately
Single order - Answers Medication that is to be given only once, and at a specific time, such as a
preoperative order.
standing order - Answers routine basis
PRN order - Answers "as needed" order for medication
Oral (sublingual & buccal) - Answers under tongue
side of mouth, cheek area
Enteric coated medication - Answers -a coating designed to pass through the stomach unaltered and
disintegrate in the intestines