ECPI 2023 - NUR 138 MORGAN - EXAM 1
Objective Data
defined as any information gathered through the senses or that which is seen, heard, felt, or smelled, may also be obtained from a nursing physical assessment; nursing history; past and present medical history.
Subjective Data
includes information shared through the spoken word by any reliable source, such as the patient, spouse, family member, significant other, and/or caregiver.
Assess The Patient (Vitals, Blood Glucose, etc.)
What is the first thing you should do before attempting to give medication to a client.
When you pull the medication from storage, when you get to the patients room (scan patient, confirm name, scan meds), and before you give medication to patient.
What are the 3 checks for medication you will preform before administering to the client.
Right: drug, dose, route, time, patient (patient also has right to refuse)
List the 5 rights of medication administration
Crush and Mix
Because medication and drugs are chemicals what should you not do to them unless prescribed by the provider?
Ask provider if order for specific medication is correct.
Medication error question likely on test. If this is the case what do you do first?
Enteral
Tablets, capsules, oral soluble wafers, pills, timed-release capsules, timed-release tablets, elixirs, suspensions, syrups, emulsions, solutions, lozenges or troches, rectal suppositories, sublingual or buccal tablets
Parenteral
Injectable forms, solutions, suspensions, emulsions, powders for reconstitution
Topical
Aerosols, ointments, creams, pastes, powders, solutions, foams, gels, transdermal patches, inhalers, rectal and vaginal suppositories
Chemical Name
Chemical composition and molecular structure. Generic Name
- Given by the US adopted names council, (will always be lowercase) Cheaper medication.
Trade Name
Registered trademark; use of name is restricted by drugs parent owner (manufacturer) Capital letter.
Generic
You have furosemide. Is it generic or is it trade name?
Trade
You have Lasix. Is it generic or is it trade name?
Pharmaceutics
the study of various drug forms and the way they influence the body.
Pharmacokinetics
the study of what the body does to the drug. (the body will absorb drug, distribute the drug, metabolize the drug and the body will excrete the drug)
First Pass
the fact that a medication in the GI tract passes through the liver before entering other organs
The Liver
Where is metabolism of medication most common?
Medication Administration
If patient is in Renal failure or low excretion rate, what should you be cautious of?
Distribution
Transport of a drug by the bloodstream to its site of action
Albumin
most common blood protein and carries the majority of protein-bound drug molecules.
Absorption
the movement of a drug from its site of administration into the bloodstream for distribution to the tissues
Metabolism