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Unit V - Medication Safety
"This area focuses on safety in the administration of medications to patients across the life span." - EC Content Guide (2013) Key terms and definitions from Taylor Chapter 29 and Kee Chapters 3, 4, 5, 11, and 12.
Terms in this set (95)
The process by which a drug is transferred from its site of entry into the body to the bloodstream.
adverse drug effect
Undesirable effects other than the intended therapeutic effect of a drug.
An immune system response that occurs when the body interprets the administered drug as a foreign substance and forms antibodies against the drug.
A glass flask that contains a single dose of medication for parenteral administration.
The most serious allergic effect. See anaphylaxis.
Severe reaction occurring immediately after exposure to a drug; characterized by respiratory distress and vascular collapse
When the combined effect of two or more drugs acting simultaneously
produces an effect less than that of each drug alone.
Occurs when the body cannot metabolize one dose of a drug before another dose is administered.
The process of transporting drugs throughout the body.
Occurs when the body becomes accustomed to the effects of a particular drug over a period of time.
The process of removing a drug, or its metabolites (products of metabolism), from the body.
Name that identifies the drug's active ingredient, and is the name assigned by the manufacturer that first develops the drug.
The amount of time it takes for 50% of the blood concentration of a drug to be eliminated from the body.
Also called paradoxical effect, is any unusual or peculiar response to a drug that may manifest itself by over response, under response, or even the opposite of the expected response.
Medication is aerosolized, delivered in small particles, and breathed in by the patient.
An injection administered into the dermis, just below the epidermis.
An injection that delivers medication through the skin and subcutaneous tissues into certain muscles.
Delivery of medication directly into the bloodstream.
Also called biotransformation, is the change of a drug from its original form to a new form.
Syringe pump for intermittent infusion that is battery operated and allows medication mixed in a syringe to be connected to the primary line and delivered by mechanical pressure applied to the syringe plunger
Name by which the drug is identified in the official publications, United States Pharmacopeia and National Forumlary (USP and NF).
Outside the intestines or alimentary canal.
A drug's highest plasma concentration, measured when absorption is complete.
The process by which drugs alter cell physiology and affect the body.
The effect of the body on the drug; the movement of drug molecules in the body in relation to the drug's absorption, distribution, metabolism, and excretion.
The study that deal with chemicals that affect the body's functioning.
Desired therapeutic effects of a drug.
piggyback delivery system
Intermittent IV administration of medications through a primary IV line, with the additive container positioned higher than the primary IV solution.
Pharmacologically inactive substance.
"As needed". The patient receives medication when it is requested or required.
A single order that is carried out immediately.
Injections administered into the adipose tissue layer just below the epidermis and dermis.
When the combined effect of two or more drugs acting simultaneously
produces an effect greater than that of each drug alone.
Certain drugs known to have the potential to cause developmental defects in the embryo or fetus and are definitely contraindicated during pregnancy.
The concentration of drug in the blood serum that produces the desired effect without causing toxicity.
Medications applied to the skin or mucous membranes, including the eyes, ears, nose, rectum, vagina, and lungs. Usually intended for direct action at a particular site, although some can have systemic effects and are given for systemic effect. The action depends on the type of tissue and the nature of the agent.
Specific groups of symptoms related to drug therapy that carry risk of permanent damage or death.
Also referred to as the brand name or proprietary name, is selected by the drug company that sells the drug and is protected by trademark. A drug can have several trade names when produced by different manufacturers.
The point when a drug is at it's lowest concentration; specimen for testing is usually drawn in the 30-minute interval before the next dose.
A glass bottle with a self-sealing stopper through which the medication is removed.
volume-control administration set
Intermittent intravenous medication infusion diluted with a small amount of solution.
Attach a clean needle to the syringe after the syringe is filled with the medication to prevent the injection of any residual medication on the needle into superficial tissues. Pull the skin down or to one side about 1 (2.5 cm) and hold in this position with the non-dominant hand. Insert the needle and inject the medication slowly. Withdraw the needle steadily and release the displaced tissue to allow it to return to its normal position. Massage of the site is not recommended because it may cause irritation by forcing the medication to leak back into the needle track. However, gentle pressure may be applied with a dry sponge.
Occurs when the drug is metabolized or excreted more slowly that the rate at which it is administered.
The methods used to bring a drug from it's point of processing to point of distribution at the end-user.
Consent given when an individual has the knowledge necessary to make a decision.
Refers to the study of interrelation of heredity on drug response.
Requires collection of appropriate data before administration of a drug.
One of the traditional 5 "rights" of medication administration - ensuring the drug is being given to the correct patient.
Requires the nurse to immediately record the appropriate information about the drug administered.
One of the traditional 5 "rights" of medication administration - ensuring the correct dosage of the drug is being given.
One of the traditional 5 "rights" of medication administration - ensuring that the correct drug is being given.
Requires that the effectiveness of the medication be determined by the client's response to the medication.
One of the traditional 5 "rights" of medication administration - ensuring that the drug is being given via the correct method.
One of the traditional 5 "rights" of medication administration - ensuring that the drug is being given at the appropriate time.
right to education
Requires that clients receive accurate and thorough information about the medication and how it relates to their particular situation.
right to refuse
The clients ability to refuse to receive medication.
stock drug method
Process/system in which drugs are dispensed to all clients from the same containers.
Ability of a client to respond to a particular dose of a certain drug may diminish after days or weeks of repeated administration.
Refers to the first adverse symptoms that occur at a particular dose of a medication.
unit dose method
Process/system in which drugs are individually wrapped and labeled for single doses for each client.
In the cheek.
Holds the medication in an MDI.
A method of taking a drug into the lungs.
Liquid medications usually administered as drops, ointments, or sprays.
Administration into the dermis, just below the epidermis.
Administration into the musculature.
Administration directly into the venous circulation.
A curved line that a liquid makes inside a graduated cylinder.
metered-dose inhaler (MDI)
A medication delivery device that disperses medication as an aerosol spray, mist, or powder into the airways via inhalation.
Any medication route outside the intestines or alimentary canal, such as intravenous, subcutaneous, intramuscular, or mucosal.
Devices used to enhance the delivery of medications from MDIs.
Administration into the adipose tissue layer just below the epidermis and dermis.
Under the tongue.
Drug form typically administered via the rectum.
Medications applied to the skin in a number of ways, such as with a glove, tongue blade, or cotton tipped applicator.
Medication absorbed thought the skin that have a systemic effect.
Ancient system of weight and volume measurments used to measure drugs and solutions.
The basic unit of measure for weight in the metric system.
Medication measuring with household implements - not as accurate as the metric system because of the lack of standardization of spoons, cups, and glasses.
The basic unit of measure for volume in the metric system.
The basic unit of measure for linear measurement in the metric system.
A decimal system based on the power of 10.
A unit of volume in both the imperial and US customary systems of measurement - about one drop.
Fluidic measurement in the household measurement system.
The delivery of therapeutic care through the implementation of interventions that eliminate or minimize the psychological and physical distress experienced by children and their families in the health care system.
Age as measured in years from date of birth.
An expression of a child's maturational progress stated in age and determined by standardized measurements, as of body size and dimensions; by social and psychological functioning; by motor skills; and by mental and aptitude tests.
Drugs administered by the oral route and absorbed via the GI tract undergo some metabolism in the hepatocytes in the liver before they are made available to the body tissues.
The mechanisms of action and effect of a drug on the body and includes the onset, peak, and duration of effect of a medication.
The study of the time course of drug absorption, distribution, metabolism, and excretion.
Following a prescribed regimen of therapy or treatment for disease.
The failure to comply fully with treatment recommendations for modification of a health habit or an illness state.
Person older than the age of 65.
Refers to how a drug interacts at the receptor site or at the target organ.
Administration of many drugs together.
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