Edition by Tiffany Howe | 9780323661218 | Chapter 1-16 | All
Chapters with Answers and Rationals
What has to be included on a prescription? - ANSWER: Date, Name of Pt, Name of drug, Route, &
Frequency
Which Form of drug acts the fastest? - ANSWER: Gas
MH is a what? - ANSWER: Life- threating response to certain drugs attributable to a genetic defect.
Absorption - ANSWER: Drug is taken into body & moves from administration site to blood stream.
Distribution - ANSWER: Transport & diffuse in blood stream
Metabolism (biotransformation) - ANSWER: Chemical composition of a drug is changed
Excretion - ANSWER: Elimination of Medication
How are most drugs excreted from the body? - ANSWER: Drug molecules - bile, feces, & skin
Unchanged drugs/metabolites - kidney and urine
If we use antibiotics in surgery, by what method is it being administered? - ANSWER: Topical
What has to be done to a drug in powdered form? - ANSWER: Reconstituted
What did the Pure Food and Drug Act of 1906 do? - ANSWER: Set standards for quality & required
proper labeling of medication.
In the schedule of controlled substances, what does C-I mean? - ANSWER: High abuse potential & no
accepted medical use.
What does the DEA do? - ANSWER: Set standards for handling controlled substances
Abbreviations that are on the "Do Not Use" list? - ANSWER: (U, u), (Q.D), (IU), (Q.O.D), Trailing and
lack of leading 0's, (MS), (MSO4, MgSO4), (>,<)
If a medication does not require a prescription, what do we call it? - ANSWER: OTC (over the counter)
Who assigns medication brand names? - ANSWER: Pharmaceutical manufacturer
Why should an ST research the state policy on who can administer medications? - ANSWER: B/c it
determines scope of practice
What information has to be included on a medication label? (From the manufacturer) - ANSWER:
Manufacturer's name, Dosage strength, Form, Supply dosage, Total volume, Administration route,
Label alerts, Expiration date, Lot/Control #, Bar code symbols, NDC (National drug code), USP (Unites
sates pharmacopeia & NF (National formulary)
FDA pregnancy categories - ANSWER: A - no risk to fetus per studies
B - Little or no risk
C - Risk vs. benefit of the drug must be determined
D - Risk to human fetus has been proved. Risk vs. benefit of drug must be determined
X - Risk outweighs the benefit, and the drug should be avoided during pregnancy
, Military Time - ANSWER: add 12 to standard time
Standard Time - ANSWER: subtract 12 from military time
Pounds to Kilograms - ANSWER: 1 kilogram = 2.2 pounds
Converting F to C and vise versa - ANSWER: F - > C = 5/9(F-32)
C - > F = (9/5)(C)+32
Who is responsible for documenting medications administered from the sterile field? - ANSWER:
Circulator
You are relieving another ST at the end of their shift. You notice the medications are not labeled.
What do you do? - ANSWER: Throw them out, re-fill and label medication
How do you verify medication with your circulator? - ANSWER: Repeating Drug name, Strength, & Exp
date.
Can medication or fluid bottles be re-capped and used again? - ANSWER: No
Who has to reconstitute a powered medication? - ANSWER: Circulator
What do you do it a medication error occurs? - ANSWER: Notify the surgeon immediately, notify the
unit supervisor, and follow institutional policy
How can medications be transferred to the sterile field? - ANSWER: Circulator can draw up drug with
syringe or straight pour onto medicine cup held by ST, or Circulator must hold vial inverted so ST can
draw with syringe
Who passes medications to the surgeon? - ANSWER: ST
What are pathogens? - ANSWER: microorganisms that cause disease
What is a culture & sensitivity test? - ANSWER: Process of growing isolated organisms and identifying
the most effective antibiotic for treatment
What is the most common cause of SSI? - ANSWER: Bacteria, most common Staphylococcus Aureus
What do antibiotics do? - ANSWER: Prevent or treat infection
Dyes - ANSWER: solutions that color or mark tissue for identification
Staining agents - ANSWER: Chemicals in solution that react differently with abnormal cells than with
normal cells
Contrast media - ANSWER: To visualize low-contrast body tissues
How is a Schiller test performed? - ANSWER: Lugol solution is applied topically to external cervix with
sponge stick or cotton- tipped applicator & abnormal cells will not take up brown iodine stain visually
demonstrating area of cervical dysplasia to be biopsied.
What do diuretics do? - ANSWER: reduce body fluids increasing urine output
Mannitol is also called? - ANSWER: Osmitrol
How is CHF treated? - ANSWER: Loop diuretics