Baptist Health RN Freshman Pharmacology Exam 1 Questions and Answers 100% Verified

10 Rights of Medicine Administration - -Patient(2 forms) -Medicine(check 3x-at drawer before removing, with MAR, at bedside) -Dose(read label) -Route(per order-stay ad bedside until taken) -Time(military time, dosing schedule) -Assessment(per drug, apical pulse, BS, BP, pain rating) -Documentation(after med admin) -Evaluation(Did it do what it was supposed to do?) -Education(Patient-purpose, result, dose, side effect, diet restrictions) -Refuse(Patient has right to refuse-document why) 1970: Controlled Substances Act-5 Schedules - I) Heroin, LSD...No accepted medical-High Potential II) Morphine, Oxy-Contin...Accepted Med-High Potential III) Codeine preparations, non-narcotic...Accepted med-Potential is less for abuse IV) Benzo...Ativan...Accepted Med-May cause dependence V) Cough-syrup codeine...Accepted Med-Limited potential for abuse 2003: Health Insurance Portability and Accountability Act (HIPAA) - Acts regarding patient privacy, etc. 2010: Patient Protection and Affordable Care Act - Enacted 2014-1) Quality, affordable, for all Americans 2) increase in quality and efficiency 3) prevent chronic disease and increase public health 4) increase access to medical therapies 5) Community support Active Absorption - Requires a carrier (enzyme or protein)Additive effect - 2 drugs with similar actions-sum of both Adverse Reactions - 1) More severe than side effects 2) undesirable 3) Must always be reported and documented Agonist - Drugs that produce a response All meds are ______________ at the time of surgery - Discontinued All pre-op medications must be ____________ - reordered individually Allergic Effects - The immune system responds to what the body sees as a foreign object and forms antibodies against the drug American Hospital Formulary Service Drug Information - Published by the American Society of Health System Pharmacists-Accurate and complete info on all drugs chemistry, stability, toxicity and preparation Anaphylaxis - 1) medical emergency 2) results in respiratory distress, sudden severe bronchospasms and cardiovascular collapse 3) vasopressors, bronchdialators, corticosteroids, oxygen therapy, IV fluids, antihistamines Antagonist - Drugs that block a response Antagonist effect - Produces less effect than that of each drug alone-cancels out Because of renal disease, the drug usually needs to be ___________to prevent toxicity - decreasedBest Teaching Strategy - 1) Nurse Demonstrates 2) Patient Return Demonstration 3) Multiple Sessions and Practice Each Step Separately Bioavailability - % of administered drug dose reaching circulation Brand/Trade Name - Proprietary name, chosen by the drug company, trademark (Ex. Tylenol) Chemical Name - Name of drug by chemical structure Common tests to determine renal function _________ and __________ - creatine clearance and blood urea nitrogen Controlled substances are kept ____A_____, counted ___B___ at ___C___ and ___D___ of shift, count before and after removal of any medicine, a witness is required for ___E___ and document, record and documentation is required for narcotic administration - A) locked in a drawer B) daily C) beginning D) end E) disposal Creatine clearance is decreased in older patients and those with ____________ - renal disease Culturally Sensative - Use simple and clear instruction Ask open-ended questions, demonstrate and verbalize Cumulative effect - more drugs are taken than excreted