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What are the nurse's responsibilities regarding medications?
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Evaluating the effects on health status, teaching about the meds and their side effects, ensuring adherence to the regimen, evaluating ability to self-administer, teach and evaluate family members when needed
The ____program is a voluntary program encouraging HCP to report when a medication, product, or event causes harm.
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What is the primary intent of Nurse Practice Acts?
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Protect the public from unskilled, undereducated, and unlicensed personnel.
What factors effect the absorption of medication?
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Route of administration, ability of med to dissolve, blood flow to site of administration, body surface area, and lipid solubility of the med
Which route of administration delivers medications the slowest?
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Which route of administration delivers medications the quickest?
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Intravenous injection
Which is absorbed more quickly and why? Acidic meds or basic meds?
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Acidic. Acidic meds are absorbed in the stomach and basic ones get absorbed in the small intestine.
What factors impact medication distribution?
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Circulation, membrane permeability, and protein binding
Why is the efficacy of medications in patients with CHF delayed or altered?
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They have impaired circulation which impairs medication delivery to the site of action.
What are guidelines for safe narcotic administration and control?
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Keep narcotics locked, count frequently, report discrepancies immediately, use a special inventory record, use record to document name, date, time, name of med, dose, and signature, witness if only given partial dose, flush wasted portions of tablets in toilet and liquid in sink.
Where does most biotransformation occur?
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The liver
Gaseous and volatile compounds like nitrous oxide and alcohol exit the body through the ____.
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How can a post-operative patient release anesthetic gases more rapidly?
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Through deep breathing and coughing. **exits via lungs**
The ____ glands excrete lipid soluble medications.
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Exocrine glands. ** can cause skin irritation**
Factors that increase peristalsis ____ medication excretion through the feces; decreasing it's effect.
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Accelerate; examples include conditions like IBS, c. diff., etc.
Why are older adults more at risk for adverse affects like medication toxicity when given protein bound drugs?
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They have decreased albumin; leaving more free medication
Inactivity and improper diet can ____ a medication's effects.
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Prolong the effects because they decrease peristalsis
The ____ are the main organs for medication excretion.
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True or False: If kidneys cannot adequately excrete a medication, the does should be reduced.
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What promotes proper elimination of medications for the average adult?
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Consuming at least 50mL/kg of water a day.
The ____ is the expected or predictable physiological response a medication causes.
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Therapeutic effect
____ develop after prolonged intake of a medication or when a med accumulates in the blood because of impaired metabolism or excretion.
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Toxic effects
What is the difference between side effects and adverse effects?
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Side effects: predictable and often unavoidable; Adverse effects: unintended, undesired, unpredictable severe response
____ reverses the effects of opioid toxicity.
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An unpredictable effect in which the client overreacts or underreacts to a medication. A reaction different than the norm?
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Idiosyncratic reaction
When does the highest serum concentration of medication usually occur?
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Just before the body absorbs the last of the medication.
When is a trough blood level usually drawn?
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30 minutes before administration of the next dose
What teaching should a nurse share regarding sublingual medications?
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Don't swallow medication (it won't have the same effect), no drinks until dissolved
What teaching should a nurse give when administering medication via the buccal route?
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Alternate cheeks with each subsequent dose, don't chew or swallow, don't take liquids with it
_____ commonly get intra osseous injections in emergency situations. The most common site is the ____.
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Infants/Toddlers. Tibia.

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