NRSG 3345 EXAM 1 STUDY GUIDE
Additive Drug Interaction - Answers - drug interaction where 2 drugs are taken at the
same time/together with similar effects increasing each other's effectiveness
ex. Aspirin + Acetaminophen = larger pain killing effect
Antagonistic Drug Interaction - Answers - drug interaction where 2 drugs are taken at
the same time/together decreasing each other's effectiveness
ex. Sudafed (↑BP) + Beta Blocker (↓ BP); Stimulants + Depressants
Synergistic Drug Interaction - Answers - drug interaction where 2 drugs are taken at the
same time and feed off of each other
ex. Augmentin (Amoxicillin + Potassium = more effective bacteria killing)
Intradermal (ID) Injections - Answers - injections given directly under the first layer of
skin on the forearm or upper chest; needles used in these are short (1/2 - 5/8") with a
tiny gauge (26-28) at a 5-15° angle with an amount about 0.1 mL
ex. Allergy Testing, TB Testing
Subcutaneous (SQ) Injections - Answers - injections given under the dermis of the skin
most often on the abdomen and back of arms where you can pinch the skin; needles
used in these are short with a tiny gauge (25-31) at a 45 or 90° angle with an amount
from 0.5 to 1 mL
ex. Anticoagulants
Intramuscular (IM) Injections - Answers - injections given directly into a muscle in the
Deltoid, Ventrogluteal, Vastus Lateralis (side thigh), & Rectus Femoris (top thigh) sites
where you hold the skin taunt; needles used in these are longer up to 3" with a larger
gauge 20-25 at at a 90° angle; Deltoid can take 1 mL, other sites 4 mL
ex. Vaccines
-Patient's Age
-Pregnancy Category of Drug
-Patient's Organ Fxn
-Therapeutic Range of Drug
-Approved Abbreviations in Documentation - Answers - for safety when administering
medication, what are things to consider?
Schedule I - Answers - controlled substance schedule including illegal drugs w/o a
medical use that are considered to have the most potential for abuse and addiction
ex. Heroin, LSD, MDMA/Ecstacy
Schedule II - Answers - controlled substance schedule including most of pain
medications used and are considered to have a high potential for abuse and addiction
ex. Codeine, Percocet, Oxycontin
, Schedule III - Answers - controlled substance schedule including drugs considered to
have a moderate potential for abuse and addiction
ex. Anabolic Steroids, Ketamine, Vicodin
Schedule IV - Answers - controlled substance schedule including drugs considered to
have low potential for abuse and addiction
ex. Ambien, Valium Xanax
Schedule V - Answers - controlled substance schedule including drugs considered to
have the least potential for abuse and addiction that still require a prescription
ex. Codeine-based cough medicines (Robitussin)
Schedule VI - Answers - controlled substance schedule including drugs considered to
have the no potential for abuse and addiction that is OTC and does not need a
prescription
ex. Alcohol, Aspirin, Caffeine
-Right Patient
-Right Drug
-Right Dose
-Right Time
-Right Route - Answers - 5 rights when administering medication
-Name
-DOB
-Armhand # - Answers - 3 checks when administering medication
Absorption - Answers - pharmacokinetic phase where the drug enters the bloodstream;
this phase can be affected by an antagonistic effect by one drug not allowing the other
to go through this phase
Distribution - Answers - pharmacokinetic phase where the drug is delivered throughout
the body by the bloodstream; this phase can be affected by drugs interacting that are
both highly protein-bound
Metabolism - Answers - pharmacokinetic phase where the drug is broken down by the
liver; this phase can be affected by 2 or more drugs using the same liver enzyme group
which make drugs more water-soluble
Excretion - Answers - pharmacokinetic phase where the drug is rid of by the kidneys;
this phase can be affected by poor liver metabolism of drugs which can cause a waste
product buildup
Additive Drug Interaction - Answers - drug interaction where 2 drugs are taken at the
same time/together with similar effects increasing each other's effectiveness
ex. Aspirin + Acetaminophen = larger pain killing effect
Antagonistic Drug Interaction - Answers - drug interaction where 2 drugs are taken at
the same time/together decreasing each other's effectiveness
ex. Sudafed (↑BP) + Beta Blocker (↓ BP); Stimulants + Depressants
Synergistic Drug Interaction - Answers - drug interaction where 2 drugs are taken at the
same time and feed off of each other
ex. Augmentin (Amoxicillin + Potassium = more effective bacteria killing)
Intradermal (ID) Injections - Answers - injections given directly under the first layer of
skin on the forearm or upper chest; needles used in these are short (1/2 - 5/8") with a
tiny gauge (26-28) at a 5-15° angle with an amount about 0.1 mL
ex. Allergy Testing, TB Testing
Subcutaneous (SQ) Injections - Answers - injections given under the dermis of the skin
most often on the abdomen and back of arms where you can pinch the skin; needles
used in these are short with a tiny gauge (25-31) at a 45 or 90° angle with an amount
from 0.5 to 1 mL
ex. Anticoagulants
Intramuscular (IM) Injections - Answers - injections given directly into a muscle in the
Deltoid, Ventrogluteal, Vastus Lateralis (side thigh), & Rectus Femoris (top thigh) sites
where you hold the skin taunt; needles used in these are longer up to 3" with a larger
gauge 20-25 at at a 90° angle; Deltoid can take 1 mL, other sites 4 mL
ex. Vaccines
-Patient's Age
-Pregnancy Category of Drug
-Patient's Organ Fxn
-Therapeutic Range of Drug
-Approved Abbreviations in Documentation - Answers - for safety when administering
medication, what are things to consider?
Schedule I - Answers - controlled substance schedule including illegal drugs w/o a
medical use that are considered to have the most potential for abuse and addiction
ex. Heroin, LSD, MDMA/Ecstacy
Schedule II - Answers - controlled substance schedule including most of pain
medications used and are considered to have a high potential for abuse and addiction
ex. Codeine, Percocet, Oxycontin
, Schedule III - Answers - controlled substance schedule including drugs considered to
have a moderate potential for abuse and addiction
ex. Anabolic Steroids, Ketamine, Vicodin
Schedule IV - Answers - controlled substance schedule including drugs considered to
have low potential for abuse and addiction
ex. Ambien, Valium Xanax
Schedule V - Answers - controlled substance schedule including drugs considered to
have the least potential for abuse and addiction that still require a prescription
ex. Codeine-based cough medicines (Robitussin)
Schedule VI - Answers - controlled substance schedule including drugs considered to
have the no potential for abuse and addiction that is OTC and does not need a
prescription
ex. Alcohol, Aspirin, Caffeine
-Right Patient
-Right Drug
-Right Dose
-Right Time
-Right Route - Answers - 5 rights when administering medication
-Name
-DOB
-Armhand # - Answers - 3 checks when administering medication
Absorption - Answers - pharmacokinetic phase where the drug enters the bloodstream;
this phase can be affected by an antagonistic effect by one drug not allowing the other
to go through this phase
Distribution - Answers - pharmacokinetic phase where the drug is delivered throughout
the body by the bloodstream; this phase can be affected by drugs interacting that are
both highly protein-bound
Metabolism - Answers - pharmacokinetic phase where the drug is broken down by the
liver; this phase can be affected by 2 or more drugs using the same liver enzyme group
which make drugs more water-soluble
Excretion - Answers - pharmacokinetic phase where the drug is rid of by the kidneys;
this phase can be affected by poor liver metabolism of drugs which can cause a waste
product buildup
