Geri- Chapter 7 Study Guide
Terms in this set (21)
Information derived from a pharmaceutical company's drug testing to establish therapeutic dose ranges may be appropriate for the older adult because testing:
is done on healthy, young adult men
Age-related changes in the concentration of gastic acid can: (increase distribution of drug, decrease strength of drug, or reduce absorption)
The nurse is aware that age-related changes in the stomach that can cause increased drug aborption and possibly toxicity include: (decreased peristalsis, gastric reflux disease, or decreased gastric motility)
decreased gastric motility
As adipose tissue replaces muscle mass in the OA, a person taking a fat-soluble drug such as Valium several times a day would exhibit: (increase BP, hangover effect, or agitation)
What is the major risk of polypharmacy for the older adult?
Being treated by more than one doctor
The most reliable method of patient identification is?
Compare the medication record with the ID bracelet
How should a transdermal patch be disposed of?
Fold sticky edges together and place in sharps container
What is evidence of an overdose of theophylline?
When a 75 y/o man receiving Thorazine begins to _______ and c/o difficulty swallowing the nurse notifies the physician.
Which med can be crushed? (sublingual tab of nitroglycerin, timed-release capsule, EC ASA or plain antihypertensive tablet)
Plain antihypertensive tablet
Where would you give an 82 y/o emaciated patient 1mL dose of IM B12? (Deltoid or ventral gluteal)
What size needle? (1.5 inch or 1 inch)
Ventral gluteal; 1 inch
What does the BEERS criteria provide guidelines for?
Medication list of best avoided drugs for the elderly no matter their diagnosis
Primary organ of drug metabolism is the ____________
__________ is the study of how older adults respond to medication.
What is polypharmacy?
The prescription, administration, or use of more medications than are clinically needed.
What does each letter of the acronym CARE stand for? (fill in the blank)
R- Review regimen regularity
Know three types of medications that cannot be crushed or chewed.
Enteric-coated tablets, capsules, time-release tablets or capsules, sublingual or buccal tablets, medications with a bitter taste, medications that can irritate oral mucous membranes
What are factors that increase the risk for medication-related problems in the older adult?
Physioloical, use of multiple medications, cognitive changes, finances, drug test on a younger population
What is the guiding rule for medication administration in older adults? (write out)
Achieve maximal therapeutic benefits with smallest amount of medication necessary.
Steps for preparing crushed medications to be give by feeding tube:
Thoroughly crush the medication
Dissolve each crushed med in a med cup
Flush the tube to clear feeding
Administer each med seperately
Flush the tube to clear the med from tube
Reconnect the feeding tube
6 rights of medication administration
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