The amount of time needed for the plasma concentration to drop 50% after the drug is discontinued.
Half life (elimination). T1/2
A continuous, therapeutic effect is achieved once a ___ ___ level is reached in the plasma
Steady state.
A strategy to get a higher serum level immediately using a larger dose.
Loading dose.
No peaks or troughs in medication delivery.
Continuous infusion.
Has peaks and troughs.
Intermittent dose.
3 checks of Medication administration.
- When you receive the meds. 2. When you prepare the meds. 3. When you bring the meds to the patient.
5 Rights of Medication administration.
- patient. 2. dose. 3. drug. 4. route. 5. time. (reason & documentation).
MAR=
Medication Administration Record.
Fried’s rule of dosing:
Child’s dose=(age in months x adult dose)/150.
Young’s rule of dosing:
Child’s dose=(child’s age in years x adult dose)/(child’s age + 12).
Clark’s rule of dosing:
Child’s dose=(child’s weight in pounds x adult dose)/150.
Body Surface Area calculation (BSA)=
Child’s dose=(child’s BSA/1.73) x adult dose.
The teratogenic effects from a drug in a fetus occur between how many days?
days 18-60.
LMP=
Last mentrual period.
Pregnancy Category A:
Possibility for fetal harm is remote.
Pregnancy Category B:
Fairly safe, not proven completely safe.
Pregnancy Category C:
Meds should only be given if potential benefit outweighs risk to the fetus.
Pregnancy Category D:
Evidence of human fetal risk, use in a life-threatening situation.
Pregnancy Category X:
Fetal abnormalities proven, absolutely do not give to any pregnant woman, or woman possibly pregnant.
Drugs to NEVER use during pregnancy:
Anticonvulsants, statins, HTN RAS-blockade drugs, tetracyclines, sulfa drugs, quinolones.
Times to safely give a breastfeeding woman drugs:
30-45 minutes after breastfeeding, 3-4 hours before next feeding.
Known drugs children and infants are intolerant to (6):
- Benzyl alcohol. 2. BP meds. 3. Arthritis meds. 4. Iron (Fe). 5. Aluminum. 6. Tetracyclines and Quinolones.
Using multiple drugs daily.
Polypharmacy.
This person has the ability to assess, test, diagnose, generate a plan of care/treatment, and implement the plan of care/treatment.
The provider.
