NSC 232 Exam 3
routes of non-parenteral medication - ✔️✔️topical- only affects area where it is applied
rectal
vaginal
transdermal (patches)
inhalation (inhaler)
ophthalmic (eye drops)
otic (ear drops)
nasal
Factors effecting nutrition: development:Infant - (birth to 1yr) - ✔️✔️nutritional needs
rapid period of growth
breast fed
bottle fed
solid foods
pancreatic amylase
lipids (9kcal/gram) - ✔️✔️Insoluble in water & blood
simple
compound
Triglycerides (95% of lipids in diet)
Classification
Saturated - cannot hold anymore hydrogen (solid at room temperature)
Unsaturated - have the potential to hold more hydrogen (liquid at room temperature)
Function
most concentrated source of energy 9kcal/gm
Components and Processing
of Medication Orders - ✔️✔️Date and time of order
Medication name
Dose of medication
Route of administration
Frequency of administration
Signature of provider (physician, Advanced Nurse Practitioner)
medication - ✔️✔️substance administered for the diagnosis, cure, treatment, or relief of
a symptom or for prevention of disease
Dispensing of Medications: Controlled Substances - ✔️✔️Kept under lock
Documentation requirements
Counts of controlled
, substances
Procedures for discarding
2 nurses to witness
KASPER - ✔️✔️Kentucky All Schedule Prescription Electronic Reporting" law
*Health care providers that administer prescriptions for narcotics must comply
Legal Aspects of Administering Medications - ✔️✔️Nursing practice acts
Responsibility for actions
Question any order that appears unreasonable
Refuse to give the medication until the order is clarified
sources of information - ✔️✔️printed materials, people, computer-based resources
Drug Actions; Mechanism of action - ✔️✔️Mechanism of action is the change the
medication causes changes in body to produce desired effect
generic name of medication - ✔️✔️what was assigned to the drug during 1st
manufactured
trade name - ✔️✔️brand name
Drug actions; Therapeutic effect - ✔️✔️intended effect of medication
side effects - ✔️✔️unintended effects ex) constipation, drowsiness, NOT NEGATIVE
effects
Adverse effects - ✔️✔️when side effects are negative. can be mild or severe
mild to severe reactions: - ✔️✔️anaphylaxis-life threatening
drug interactions - ✔️✔️the way drugs interact with eachother
pharmocokinetics - ✔️✔️activity of medication in body from time in and time excreted
absorption - ✔️✔️transference of drug molecules from point of entry until it gets in
bloodstream
distribution - ✔️✔️begins from time of absorption and ends when it gets to site of action
biotransformation - ✔️✔️process of breaking down meds. (metabolism)
excretion - ✔️✔️movement of meds from metabolism to excretion
, drug allergy - ✔️✔️immunologic reaction to drug.
there can be mild to severe reactions
drug tolerance - ✔️✔️need increasing doses to maintain therapeutic effect
drug interaction - ✔️✔️one drug effecting another
KNOW MILITARY TIME - ✔️✔️
standing orders - ✔️✔️routine basis
PRN orders - ✔️✔️as necessary
single orders - ✔️✔️one time only; preoperative, pre-procedure orders
stat orders - ✔️✔️statim: immediately
sublingual administration of drug - ✔️✔️under tongue
buccal administration of drug - ✔️✔️in cheek of mouth
enteric coated medication - ✔️✔️a coating on a pill that allows the pill to pass through
the stomach unaltered and then disintegrates in intestines
six rights of medication administration - ✔️✔️Right drug
Right dose
Right client
Right route
Right time
Right documentation
what must the nurse do prior to administering medication - ✔️✔️give info about the
medication, ask about allergies
10 rights of medication - ✔️✔️1. right medication
2. right dose
3. right time
4. Right route
5. Right client
6. Right documentation
7. Right client education
8. Right to refuse
9. Right assessment
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