Term
| subq injections go in at a .. |
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Definition
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Term
| intradermal injections go in at a.. |
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Definition
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Term
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Definition
| deltoid, vastus lateralis, ventrogluteal, |
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Term
| When should you aspirate? |
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Definition
| yes for narcotics and tenacious thick medications, no for immunizations, never for anticoagulants and insulin. NEVER FOR SUB Q |
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Term
| dorsogluteal site for injection is not used because... |
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Definition
| could cause damage to sciatic nerve |
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Term
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Definition
| nebulizers (breathing machine), metered doses, dry powder (diskus) |
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Term
| before you administer transdermal meds... |
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Definition
| you should cleanse and inspect skin, ensure patient only applies one patch a time |
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Term
| what's good about transdermal meds? |
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Definition
| slow, "trickling" dosage, i.e. hormones PO can sometimes cause nausea. |
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Term
| Rectal meds are good for... |
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Definition
| nauseous/vomiting patients |
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Term
| for all questions/clarifications of med orders.. talk to the.. |
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Definition
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Term
| what is a comprehensive initial assessment? |
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Definition
| performed shortly after admittance to hospitaal, to establish a complete database for problem identification, collect all data on patient's health |
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Term
| what is a focused assessment? |
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Definition
| performed during initial assessment, to gather data about a specific problem that has already been identified, by the nurse to collect a info abouta specific problem |
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Term
| what is an emergency assessment? |
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Definition
| performed when a physiologic or psychological crisis presents, to identify-life threating problems by the nurse to gather data about the life threatening problem |
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Term
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Definition
| to compare a patient's current status to baseline data obtained earlier |
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Term
| what a problem related to data collection? |
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Definition
| recording an interpretation of data rather than observed behavior... |
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Term
| three parts of the nursing diagnosis |
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Definition
| problem.. etiology (cause or contibruting factors), defining characteristics- subjective and objective data that signal the existance of the actual or potential problem |
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Term
| what's an example of a well written goal |
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Definition
| patient will increase his fluid intake to 2,000cc in the next 24 hours. |
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Term
| what is the etiology phase? |
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Definition
| the related to"" states what may be causing or contributing to the nursing diagnosis |
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Term
| what do you do if the client falls? |
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Definition
| ease the client to the floor, call for assistance, assess vital signs, focused physical assessment, assist the client to a wheelchair/bed |
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Term
| what are some illnesses associated with sleep disturbances? |
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Definition
| peptic ulcers, coronary artery diseases, epilepsy, liver failure and encephalitis, hypothyroidism |
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Term
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Definition
| insomnia, hypersomnia, narcolepsy, sleep apnea, RLS, sleep deprivation |
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Term
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Definition
| somnambulism, sleep talking, nocturnal erections, bruxism, enuresis, sleep related eating disorder. |
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Term
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Definition
| substance administered for the diagnosis, treatment, cure, or relief of a symptom or the prevention of a disease |
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Term
| what must a pharmaceutical dosage transform into in order to be taken up by the body? |
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Definition
| a bioavailable form, then it can pass through cell membrane |
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Term
| medication aborption rate depends on the... |
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Definition
| route of administration, circulation through the tisse and whether the medication is... hydrophilic-water soluble, or fat soluble |
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Term
| what factors interfere with absorption? |
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Definition
| route of admin, drug solubility, pH, local conditions at site of admin, drug dosage, serum drug levels, concurrent administration |
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Term
| how fast do IV fluids take affect? |
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Definition
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Term
| How long does buccal or sublingual take? |
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Definition
| 5-10 minutes, excretion is longer than IV |
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Term
| How long does IM action take? |
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Definition
| 30 minutes, longer acting than IV |
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Term
| How long does PO take to go into affect? |
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Definition
| approx 1 hour, takes longer to be excreted from body. |
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Term
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Definition
| process by which a drug is transported by the circulating fluids to various sites of action |
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Term
| distribution is influenced by.. |
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Definition
| blood flow, tissue availability, and protein binding |
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Term
| what is metabolism in terms of pharm? |
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Definition
| enzymatic conversion of a drug into substrate components |
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Term
| what is biotransformation? |
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Definition
| changing a drug into its active metabolite |
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Term
| where does metabolism and biotransformation primarily occur? |
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Definition
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Term
| patients with hepatic impairment may require |
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Definition
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Term
| what venues does the body excrete meds from? |
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Definition
| urine, feces, skin, exhalation, and in saliva and in breast milk |
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Term
| what is a drug's "half life" |
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Definition
| the time for half the medication to be excreted, fosomax- 6 wks, regular insulin- 1 hr |
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Term
| what is a idosyncratic response? |
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Definition
| genetically determined abnormal or excessive response to a drug |
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Term
| what are some manifestations of an allergic reaction to meds? |
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Definition
| dermatitis, urticaria, angiodema, photsensitivity |
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Term
| most serious risk of anaphylaxis |
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Definition
| life threatening hypotension |
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Term
| what is the medication "order" |
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Definition
| name, date and time of order, drug name, dosage, route, frequency of administration, signature of person writing the order |
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Term
| always identify the patient by.. |
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Definition
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Term
| always assess allergies.. |
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Definition
| even when chart reads NKDA |
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Term
| before you adminster pain meds you should.. |
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Definition
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Term
| with antihypersensitives you should check.. |
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Definition
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Term
| what do you do in case of an error? |
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Definition
| check patients condtn, notify nurse mgr/provider, write description of error down, complete special form |
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Term
| what does parenteral mean? |
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Definition
| drug given through injection |
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Term
| What are the four forms of injection? |
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Definition
| IM, SQ, ID(under epidermis), IV |
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Term
| If the bevel is facing up.. |
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Definition
| the "mouth" of the syringe is facing up |
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Term
| steps for preparing meds from vials |
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Definition
| inject (.8 ml or whatever) of air into vial, withdraw medication from vial. |
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Term
| what are the two high risk meds? |
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Definition
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Term
| who must be present to adminster high risk meds? |
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Definition
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Term
| what are the sites for IM injection? |
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Definition
| ventrogluteal, vastus lateralis, deltoid, |
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Term
| how do you give a Ventrogluteal site IM? |
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Definition
| index finger over the anterior superior iliac spine, index finger below iliac crest, and palm over femur prominence |
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Term
| when should you aspirate? |
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Definition
| when giving an IM injection with narcotics and tenacious thick meds |
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Term
| when should you not aspirate? |
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Definition
| insulin, anticoagulants and immunizations |
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Term
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Definition
| disperse fine particles of medication into deeper passages of respiratory tract |
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