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Medication Administration Rated A+

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Medication Administration Rated A+ Controlled Substances Law - Drug Schedules: - Schedule I: Illegal drugs with no accepted medical use and a high potential for abuse (e.g., heroin, cannabis). - Schedule II: High potential for abuse, accepted for medical use with severe restrictions (e.g., opioids like morphine). - Schedule III: Moderate to low potential for physical and psychological dependence (e.g., anabolic steroids). - Schedule IV: Lower potential for abuse relative to Schedule III (e.g., benzodiazepines). - Schedule V: Lowest potential for abuse, primarily consisting of preparations with limited quantities of certain narcotics (e.g., cough preparations with less than 200 mg of codeine per 100 mL). Prerequisites for Safe and Effective Medication Administration - Pharmacokinetics: Understanding how drugs are absorbed, distributed, metabolized, and excreted. - Growth and Development: Knowledge of how age-related factors can affect drug response and efficacy. - Nutrition: Awareness of how nutritional status can influence medication effectiveness and safety. - Mathematics Skills: Proficiency in calculating dosages accurately. Teratogenic - Definition: Refers to agents that can cause birth defects when administered during pregnancy. Albumin's Interaction with Drugs - Mechanism: Albumin binds to drugs in circulation. A low albumin level can lead to increased drug toxicity due to a greater proportion of unbound (active) drug in the bloodstream. - Dosage: Importance of correct dosing is emphasized since it can greatly affect drug safety. Medication Classification - Grouping of Medications: Medications are classified based on similar characteristics. - Classification Methods: - By the effect of the medication on body systems. - By the symptoms the medication is intended to relieve (desired effect). Forms of Medication 1. Tablet 2. Capsule 3. Elixir 4. Suppository 5. Troche Medication Legislation and Standards - Regulatory Framework: Includes governmental regulations, institutional policies, and laws related to medication. - Guidelines: - Safe medication practice in nursing - Regulations on non-therapeutic use of medications - Understanding “off-label” drug indications. Pharmacokinetics - Definition: The study of how medications enter the body, reach their sites of action, are metabolized, and are excreted. - Key Processes: - Absorption - Distribution - Circulation - Membrane permeability - Protein binding - Metabolism (Main organ: Liver) - Excretion (Main organ: Kidney) Types of Medication Action 1. Therapeutic Effects: Intended effects of the medication. 2. Side Effects: Unintended but generally mild effects. 3. Adverse Effects: Serious unintended effects that may need medical intervention. 4. Toxic Effects: Result from excessive doses of the drug. 5. Idiosyncratic Reactions: Unexpected responses that are opposite to anticipated effects. 6. Allergic Reactions: Adverse reactions triggered by immune responses (e.g., hives, swelling, anaphylaxis). 7. Medication Interactions: Occur when two or more medications affect each other; can be synergistic (beneficial) or antagonistic (harmful). 8. Medication Dose Responses: Vary based on individual patient factors. Angioedema - Definition: Characterized by swelling of lips, tongue, and mucous membranes, potentially obstructing the airway. Circulation Considerations - Cardiac Function: Important to consider the patient’s cardiac health when administering medications, as circulation affects drug distribution and efficacy. Membrane permeability ️Lipophilic meds are more easily absorbed than hydrophilic, but it should be hydrophilic after it is metabolized so that it is easier to excrete (think of hand lotion - greasy hydrates better, but can&039;t be too greasy or it will be hard to wash off...or something like that) Protein binding ️Many meds bind to albumen Inactive part binds and active part is free -- Low albumen = higher med toxicity Medication routes ️Oral Parenteral Topical Oral medication route ️Sublingual Buccal Parenteral route ️Subcutaneous (SQ) Intramuscular (IM) Intravenous (IV) Intradermal (ID) Subcutaneous (SQ) ️Shorter, fine gauge needle Intramuscular (IM) ️23 or 21 gauge Length depends on size of person Volume - no more than 2 mL Must make &039;Z track&039; Intravenous (IV) ️Into vein Infiltration - if needle slips out of vein into surrounding tissue If we give wrong med by IV, we must give something to counteract it immediately Can give larger volumes by IV Intradermal ️Very fine gauge needle

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Medication Administration Rated A+
Controlled Substances Law

- Drug Schedules:

- Schedule I: Illegal drugs with no accepted medical use and a high potential for abuse (e.g., heroin,
cannabis).

- Schedule II: High potential for abuse, accepted for medical use with severe restrictions (e.g., opioids
like morphine).

- Schedule III: Moderate to low potential for physical and psychological dependence (e.g., anabolic
steroids).

- Schedule IV: Lower potential for abuse relative to Schedule III (e.g., benzodiazepines).

- Schedule V: Lowest potential for abuse, primarily consisting of preparations with limited quantities of
certain narcotics (e.g., cough preparations with less than 200 mg of codeine per 100 mL).



Prerequisites for Safe and Effective Medication Administration

- Pharmacokinetics: Understanding how drugs are absorbed, distributed, metabolized, and excreted.

- Growth and Development: Knowledge of how age-related factors can affect drug response and
efficacy.

- Nutrition: Awareness of how nutritional status can influence medication effectiveness and safety.

- Mathematics Skills: Proficiency in calculating dosages accurately.



Teratogenic

- Definition: Refers to agents that can cause birth defects when administered during pregnancy.



Albumin's Interaction with Drugs

- Mechanism: Albumin binds to drugs in circulation. A low albumin level can lead to increased drug
toxicity due to a greater proportion of unbound (active) drug in the bloodstream.

- Dosage: Importance of correct dosing is emphasized since it can greatly affect drug safety.



Medication Classification

- Grouping of Medications: Medications are classified based on similar characteristics.

, - Classification Methods:

- By the effect of the medication on body systems.

- By the symptoms the medication is intended to relieve (desired effect).



Forms of Medication

1. Tablet

2. Capsule

3. Elixir

4. Suppository

5. Troche



Medication Legislation and Standards

- Regulatory Framework: Includes governmental regulations, institutional policies, and laws related to
medication.

- Guidelines:

- Safe medication practice in nursing

- Regulations on non-therapeutic use of medications

- Understanding “off-label” drug indications.



Pharmacokinetics

- Definition: The study of how medications enter the body, reach their sites of action, are metabolized,
and are excreted.

- Key Processes:

- Absorption

- Distribution

- Circulation

- Membrane permeability

- Protein binding

- Metabolism (Main organ: Liver)

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