Questions and CORRECT Answers
6 rights of medication administration - CORRECT ANSWER -Patient, Dose, Med, Route, Time, Document
Role of Pescriber in Medication Administration - CORRECT ANSWER -Writes order
Determines Med
Make sure dose, med, time, route, patient are documented
Role of the Nurse in Medication Administration - CORRECT ANSWER -Cannot prescribe
Ensure dosage, med, time, patient
Cannot have another nurse administer
Role of the Pharmacist in Medication Administration - CORRECT ANSWER -Prepares meds
Mixes solutions
Determines side effect
PO Meds - CORRECT ANSWER -Oral or enteral
- Tablets
- Capsules
- Liquids
- Suspensions
- Elixirs
topical medications - CORRECT ANSWER -applied to the surface of the skin
Inhalation medication - CORRECT ANSWER -Inhaler
Parental Med Types - CORRECT ANSWER -IV, IM, SQ
Intraocular medication - CORRECT ANSWER -eye drops
Standing Order - CORRECT ANSWER -carried out until cancelled by another order
PRN - CORRECT ANSWER -as needed
STAT - CORRECT ANSWER -immediately, at once
"Now" med order - CORRECT ANSWER -when med is needed right away but not STAT
Prescriptions - CORRECT ANSWER -Medication to be taken outside of the hospital
Acute Pain - CORRECT ANSWER -pain that is felt suddenly from injury, disease, trauma, or surgery
Chronic Pain - CORRECT ANSWER -episode of pain that lasts for 6 months or longer; may be intermittent or
continuous
QRSTU (Pain) - CORRECT ANSWER -Q=Quality
R=Region/Radiation
S=Severity (0-10)
T=Timing (constant?)
U=YOU. How does it affect you? (ADLs)
Pain Tolerance - CORRECT ANSWER -the amount of pain a patient can endure without its interfering with normal
function
Pain Threshold - CORRECT ANSWER -amount of stimulation required before a person experiences the sensation
of pain
, Nociceptors - CORRECT ANSWER -pain receptors
Bradykinin - CORRECT ANSWER -response to inflammation
Serotinin - CORRECT ANSWER -happy
Prostaglandins - CORRECT ANSWER -response to tissue damage/infection
Tylenol (acetaminophen) - CORRECT ANSWER -decrease pain, temp, and inflammation
Adverse Effects of Acetaminophen - CORRECT ANSWER -Heptotoxicity (4000mg/day)
Antidote for Acetaminophen - CORRECT ANSWER -Acetylcysteine (Mucomyst)
Tramadol (Ultram) - CORRECT ANSWER -weekly binds to opioid receptors
Tramadol adverse effects - CORRECT ANSWER -Respiratory Depression
Sumatriptan (Imitrex) - CORRECT ANSWER -Stimulates serotinin receptors. Migraine treatment.
VASOCONSTRICT. Increase BP and HR
How do opioids work? - CORRECT ANSWER -bind to and block pain receptors
AGONIST (depress CNS)
Opioid Analgesics - CORRECT ANSWER -morphrine
hydromophone
ocycodone
hydrocodone
Adverse Effect of Opioids - CORRECT ANSWER -respiratory depression
constipation
Antidote: Opioids - CORRECT ANSWER -Naloxone
physical dependence - CORRECT ANSWER -therapeutic effects (getting rid of pain)
psychological dependence - CORRECT ANSWER -compulsive cravings, seeking euphoria
Break-through pain - CORRECT ANSWER -still feeling pain even when on meds
Beta Blockers - CORRECT ANSWER -LOL
vasodilate
NOT for HF or Asthma pts
beta blockers adverse effects - CORRECT ANSWER -impotence
Calcium Channel Blockers - CORRECT ANSWER -PINE
First line of defense
Smooth muscle relaxation/prevents constriction
Calcium Channel Blockers Adverse Effects - CORRECT ANSWER -Constipation
ACE inhibitors - CORRECT ANSWER -PRIL
Inhibits RAAS
Diuresis
ACE inhibitors adverse effects - CORRECT ANSWER -Dry Cough