the __ excrete the most drugs through urine
kidneys
Key Terms
the __ excrete the most drugs through urine
kidneys
the __ excrete gaseous substances
lungs
developmental considerations, weight, gender, genetic and cultural factors, psychological factors, pathology, environment, and time of admin are all __
factors affecting drug actions
therapeutic range, peak levels, trough level, and half-life are included in and
drug dose; serum levels
concentration of drug in blood serum that produces desired effect without causing toxicity is called __
therapeutic levels
highest plasma level is called the __
peak level
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| Term | Definition |
|---|---|
the __ excrete the most drugs through urine | kidneys |
the __ excrete gaseous substances | lungs |
developmental considerations, weight, gender, genetic and cultural factors, psychological factors, pathology, environment, and time of admin are all __ | factors affecting drug actions |
therapeutic range, peak levels, trough level, and half-life are included in and | drug dose; serum levels |
concentration of drug in blood serum that produces desired effect without causing toxicity is called __ | therapeutic levels |
highest plasma level is called the __ | peak level |
drug is at the lowest concentration, indicating rate of elimination is called __ | trough level |
the amount of time it takes for 50% of blood concentration of a drug to be eliminated from the body is called __ | half life |
, , , and are the 4 types of med orders | standing order; prn order; single/one-time order; stat order |
order carried out until cancelled by another order | standing order |
as needed order | prn |
order carried out immediately | stat order |
parts of a med order include: , , , , , , and __ | patient's name; date & time; name of drug; dose; route; frequency; signature of person writing order |
, , and __ are the routes of administration | oral; parenteral; topical |
most common route of admin: enteral (enteral tube), sublingual (under tongue), buccal (btwn cheek & gum) | oral |
route of admin that includes IV, SQ, ID, IO, etc | parenteral |
route of admin that includes the skin, vaginal, and rectal skin/mucous membranes | topical |
most policy requires meds to be given within __ before or after ordered time | 30 mins |
the 3 checks of med admin | remove from drawer, placing in med cup, at bedside |
what are 5 other rights of med admin? | assessment data, documentation, education, refusal, and response |
controlled substances are , , , and | kept in a locked location; tracked; reconciliation done on regular schedule per agency policy; any narcotic not administered must be discarded with another nurse who witnesses the wastes and signs for it |
you need to know , , , , , , , and for med prep | what type of med; purpose of med; dose; route, relevant labs; clinical assessment; expected clinical response and nursing implications; patient teaching |
the 6 steps in administering meds are , , , , , and | identify pt; explain what you are giving and the side effects; admin med; pt takes med; document drug administered; evaluate pt response |
pt is on precautions, gown is worn, med affected by you or can affect you are reasons why you should __ for oral admin | wear gloves |
__ has the longest absorption time of all parenteral routes | intradermal injection |
you should avoid 2" near umbilicus or belt line with __ | heparin |
injected at a 90 degree angle and you should not expel air from the prefilled syringe for this drug | lovenox |
client looks up, aim for lower conjunctival sac, don't touch eye for this med | eye drops |
__ suppositories are taken in the lithotomy position for 5-10 mins | vaginal |
__ suppositories are taken in the sims position for 5 - 30 mins and may have systemic effects | rectal |
diagnostic test/procedures, need changes, allergy discovered are examples of __ | intentional omissions |
this is considered a medication error | unintentional |
you must determine reason, report immediately if essential to therapy, and document why and who was contacted for this situation | refusal |
next steps for med errors include: , , , and | check pt's condition; notify nurse manager and pcp; write description; complete form |
three checks, correct pt identification, pharmacists on clinical units, and med reconciliation are __ | strategies to reduce errors |