NUR 201 Exam 2
- Pharmacokinetics
Answer Study of how medication enter the body, reach their site of action, metabolize, and exit the body
- why is pharmacokinetics important for nurses
Answer You can use knowledge of pharmacokinetics when timing medication administration, selecting the route of administration, and evaluating a patient's response
- absorption
Answer Occurs when medication molecule pass into the blood from the site of medication administration
- distribution
Answer After absorption, the medication is distributed within the body to tissues and organs and ultimately to its specific site of action
- metabolism
Answer After it reaches its site of action, it becomes metabolized into less active or an inactive form that is easier to excrete
- biotransformation
Answer under the influence of enzymes that detoxify, breakdown, and remove biologically active chemicals, most occur within the liver 1 / 3
SUBSCRIBE
Answer After metabolized they exit the body through the kidneys, liver, bowel, lungs, and exocrine glands
- main organ for medication excretion
Answer kidneys
- What would you do if a client has a known drug allergy and the provider prescribes a
medication that they are allergic to?
Answer Do not administer medication Notify provider
Put allergy information in patient record
- What would you do if a client asked for medication and it is not on the MAR?
Answer Do not give medication without proper orders
Must consult with health care provider Do not give medication until you are certain that you can follow the seven rights of medication administration
- What are common medication administration parameters and what would you do if you are
giving medications at 0800, the MAR says "hold if pulse is less than 60 bpm" for this drug and your assessment reveals that the client pulse is 48?
Answer do not give medication until pulse is 60 or above
- dosage formula
Answer desired/have x volume
- What is a STAT order and when is it given? 2 / 3
SUBSCRIBE
Answer signifies that a single does of a medication is to be given immediately and only once, written for emergencies when a patient's condition changes suddenly
- "7 rights of medication"
Answer right medication, right dose, right patient, right route, right time, right documentation, right indication
- right medication
Answer compare the label of the medication container with the MAR 3 times
Answer before removing from the container, as preparing, at patients bedside before administration
- right dose
Answer prepare medication dose with proper calculations and proper mea- surement devices, know which medications can be splitit or crushed and mixed with food and those that cannot, compare with MAR
- right patient
Answer common error is patients getting medication intended for another person, use at least two patient identifiers on the MAR to the patient's identification bracelet, compare with MAR
- right route
Answer compare with MAR/order, if it is not there consult with HCP or if the route is not recommended
- right time
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