PP2 - Medication Management

Question 1

what is the generic name for medications

Answer 1

active ingredient

Question 2

what are the 4 stages of administering medications

Answer 2

prescribing
dispensing
administering
monitoring

Question 3

what administration classifies medication

Answer 3

therapeutic good administration (TGA)

Question 4

what are prescriptions

Answer 4

legal documents containing medications prescribed my accredited personnel

Question 5

what are the 10 components of a valid order

Answer 5

date
full name
DOB
URN
drug generic name
dose
route
frequency
time/s
prescriber signature and name

Question 6

what is a regular order for medication

Answer 6

medication prescribed to be given regularly

Question 7

what is a STAT order for medication

Answer 7

medication immediately given

Question 8

what is a PRN order of medication

Answer 8

medication administered ‘as needed’ by nurses judgement

Question 9

what is a single order of medication

Answer 9

one time order, at a specific time

Question 10

what is a standing order of medication

Answer 10

permits nurse to administer medication under certain circumstances without being written in med chart prior to administration (must be signed MO within 24hrs)

Question 11

what is an emergency phone medication order

Answer 11

order over phone with Dr
2x RN must confirm medication

Question 12

what is a trade name of medication

Answer 12

brand name for marketing

Question 13

what are 4 factors influencing the prescription of medications

Answer 13

comorbidities, primary diagnosis
allergy status
current status (symptoms and signs)
medication literacy and safety

Question 14

what is pharmacology

Answer 14

study of how medication effects the body and how the body responds to drugs

Question 15

what is pharmacodynamics

Answer 15

how drugs affect the body

Question 16

what is pharmacokinetics

Answer 16

study of drug movement throughout the body

Question 17

what are the 4 main steps of pharmacokinetics

Answer 17

absorption
distribution
metabolism
excretion

Question 18

what is the therapeutic effect of medication

Answer 18

intended or desired effect

Question 19

what are side effects of medications

Answer 19

known, secondary reactions to medications
ex. nausea, constipation, dizziness

Question 20

what are adverse effects to medications

Answer 20

unexplained/unknown effects of medications
ex. allergic reactions

Question 21

what do we follow in australia for the administration of drugs

Answer 21

Australian Injectable Drug Handbook

Question 22

what are 4 steps in conducting a nursing assessment when administering drugs

Answer 22

1. determine appropriate prn meds (paracetamol)
2. decide whether to hold meds
3. determine is patients has adverse effects
4. evaluate effectiveness of medication

Question 23

what is anaphylaxis

Answer 23

severe, immediate allergic reaction
life threatening
treated with adrenaline

Question 24

what are the 6 RIGHTS of medication administration

Answer 24

right patient
right drug
right dose
right route
right time
right documentation

Question 25

what are 4 common errors in medication management

Answer 25

incorrect documentation allergic reactions not accounted for omission of medication errors in prescription

Question 26

what are 4 strategies to improve errors in medication admin

Answer 26

barcode scanning labelling of equipment generic names terminology, abbreviations, symbols TALLman lettering

Question 27

what is an example of inhalation medication equipment

Answer 27

nebulisers

Question 28

what route is used for medication for the eyes

Answer 28

ophthalmic route

Question 29

how does the rectal route deliver meds

Answer 29

suppository of medication in the rectum

Question 30

how is topical medication given

Answer 30

through transdermal patches, topical route of administration

Question 31

how is entral medication given

Answer 31

through a NGT (nasal gastric tube) or PEG

Question 32

what is tall man lettering

Answer 32

typographic technique used to selectively capitalize words to help distinguish between medications that look alike or sound alike

Question 33

what variables impact paediatric administration of medications

Answer 33

height, weight, age, body surface area

Question 34

what precautions should be taken for geriatric medications

Answer 34

comorbidities polypharmacy higher rate of adverse reactions increased falls, disability and frailty risks

Question 35

what does CD stand for

Answer 35

CONTROLLED DOSE - drugs which have ability to be misused or abused so they are controlled with prescription

Question 36

what does EC stand for and what is this for

Answer 36

ENTERIC COATED - medication coated to prevent breakdown in STOMACH and release into SMALL INTESTINE

Question 37

What is SR medication and what does this mean

Answer 37

SLOW RELEASE - maintains drug release over extended period but not at a constant rate

Question 38

what is LA medication and what does this do

Answer 38

LONG ACTING - produced long lasting effects on body up to atleast 12 hrs (used to improve symptoms such as airway obstruction)

Question 39

what are ER/XR medications and what is their use

Answer 39

EXTENDED RELEASE - allow to have extended use in body, last longer to reduce amount of medication needed to be taken

Question 40

what is MR medication and what does it do

Answer 40

MODIFIED RELEASE - controlling the release of the therapeutic agent in drugs and controlling the absorption of the drugs through the digestive tract through delaying absorption

Question 41

what is CR medication and what is it used for

Answer 41

CONTROLLED RELEASE - maintains a constant concentration of drug released over a prolonged period of time, minimising side effects and reducing frequency of doses

Question 42

what is the storage of schedule 4-8 medications

Answer 42

restricted medications drugs of addiction low stock stored in seperate , locked medication unit (guarded and monitored)

Question 43

what temp is ideal for medications such as vaccines

Answer 43

5 degrees between 2-8 degrees

Question 44

what are the 3 checks for administering medication

Answer 44

1. locating medication 2. time of preparing medication 3. before administering medication

Question 45

what are the first 3 points of the poison schedule (2,3,4)

Answer 45

2 - pharmacy medicine 3 - pharmacist only meds 4 - prescription only meds

Question 46

what are points 4R, 8,9,10 of poison schedule

Answer 46

subset prescriptions (4R) controlled drugs (8) prohibited substances (9) substances in danger to health (10)