Video Notes - Week 1-3 Medication, Immunization, and Diabetes

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50 VOCABULARY-style flashcards based on Week 1-3 notes covering medication processes, immunizations, and diabetes care.

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65 Terms

1
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Medication orders review

Process of verifying a physician's orders for accuracy, safety, and appropriateness before administration.

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Nursing actions for medication orders

Steps nurses take to verify, prepare, and safely administer medications per orders.

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Role of the pharmacist

Pharmacist reviews orders, clarifies discrepancies, and supports safe medication use.

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Provider clarification

Requesting confirmation from the prescriber when an order is unclear or potentially unsafe.

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Medication label components

Label elements such as drug name, dose, route, frequency, expiration date, and patient name.

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Discharge medication teaching

Instructions given to patients about how to take meds after discharge, including schedules and side effects.

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General medication teaching

Education on medication purpose, dosing, administration, and safety.

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Drug allergies

Immune reactions to medications requiring avoidance or alternatives.

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Discharge planning

Process coordinating home meds, follow-up care, and patient education before leaving hospital.

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Routes of medication administration

Methods to administer meds (oral, IM, IV, etc.) and factors guiding choice.

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Absorption differences by route

Variations in how quickly meds enter systemic circulation via IM, IV, or oral routes.

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IM vs IV vs oral absorption

Absorption rates: IV fastest, IM intermediate, oral slowest due to first-pass metabolism.

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IV fluid reassessment

Rechecking IV therapy after administration to assess effectiveness and safety.

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Effectiveness of IV fluids

Outcomes of IV therapy such as improved hydration and electrolyte balance.

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Mechanism of action of IV solutions

How different IV fluids influence body fluid compartments and electrolyte balance.

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Administration of IV fluids

Techniques for giving IV fluids safely, including rate, site, and equipment.

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Monitoring IV therapy

Ongoing observation of patient response, vitals, intake/output, and complications.

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Older adults: teaching strategies

Educational approaches tailored for elderly patients and caregivers.

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Medication management for older adults

Planning regimens to reduce polypharmacy and interactions in seniors.

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Medication adherence

Consistency in taking medications as prescribed.

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Age-related pharmacology changes

Physiologic aging changes affecting pharmacokinetics and pharmacodynamics.

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Immunizations – contraindications

Situations where vaccines should not be given (e.g., certain allergies or illnesses).

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Types of immunity

Innate and adaptive immune responses protecting against disease.

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Immunization patient information

Education provided about vaccines, schedules, and safety.

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Serum sickness

Delayed hypersensitivity reaction to serum or biologic meds, causing fever, rash, and arthralgia.

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Vaccine types

Categories such as inactivated, live-attenuated, subunit, and conjugate vaccines.

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Current vaccine recommendations

Up-to-date guidance on who should be immunized and when.

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Mild vaccine reaction

Minor adverse effects like injection-site soreness or low-grade fever.

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Severe vaccine reaction

Serious events such as anaphylaxis requiring urgent care.

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Type I diabetes

Autoimmune diabetes with absolute insulin deficiency needing lifelong insulin.

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Type II diabetes

Diabetes with insulin resistance and progressive beta-cell decline.

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Types of insulin

Categories by duration: rapid-acting, short-acting, intermediate-acting, long-acting.

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Purpose of insulin types

Different onset/peak/duration guide dosing relative to meals and activity.

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Insulin administration

Subcutaneous injections or pumps with dosing considerations.

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Pre-administration insulin assessment

Check blood glucose, symptoms, and recent meals before insulin.

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Post-administration insulin assessment

Monitor blood glucose and signs of hypoglycemia after dosing.

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Patient teaching about insulin

Storage, dosing accuracy, hypoglycemia signs, and when to seek help.

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Lab monitoring for insulin therapy

Routine glucose testing and labs to assess control and safety.

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Metformin teaching

Education on use, indications, GI effects, and kidney function considerations.

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Metformin monitoring

Monitoring kidney function and risk of lactic acidosis; track glucose control.

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Diabetes medications overview

General review of insulin and non-insulin antidiabetic agents.

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Pre-administration assessment for diabetic meds

Baseline measures (glucose, kidney function) before starting meds.

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Insulin administration considerations

Timing around meals, dose adjustments, and monitoring for hypoglycemia.

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Hypoglycemia signs

Shaking, sweating, confusion, and dizziness indicating low blood sugar.

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Immunization adverse event management

Plan for mild or severe reactions and when to seek care.

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Immunization safety education

Explain vaccine testing and post-marketing safety monitoring.

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Older adult pharmacokinetic changes

Aging effects on absorption, distribution, metabolism, excretion of drugs.

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Older adult pharmacodynamic changes

Altered drug receptor sensitivity and responses in older adults.

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IV therapy monitoring signs of complications

Recognize edema, crepitus, electrolyte shifts, or reduced urine output.

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Discharge follow-up for medication safety

Importance of post-discharge med reconciliation and follow-up care.

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Label components expanded

Additional label data such as lot number and manufacturer if available.

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Contraindications in immunizations (examples)

Specific situations that preclude vaccination (severe component allergy, etc.).

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Absorption considerations by route (summary)

Overview of how route affects absorption speed and variability.

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Immunization scheduling basics

General guidelines for timing multiple vaccines in a series.

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Diabetes management goals overview

Aims for glycemic control through meds, lifestyle, and monitoring.

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Insulin storage basics

Store insulin per product guidelines to maintain potency and safety.

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Oral medication administration considerations

Factors affecting absorption and bioavailability when taken by mouth.

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Intramuscular administration basics

Muscle tissue route with relatively rapid absorption compared with oral.

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Intravenous administration basics

Direct venous delivery for rapid systemic effect and precise dosing.

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Discharge education planning

Structured plan for teaching medications and arranging follow-up before leaving.

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Monitoring for elder medication safety

Ongoing review of regimens to prevent adverse drug events in seniors.

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Patient education materials relevance

Use of clear, accessible information to support understanding of meds.

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Interprofessional collaboration

Coordinated effort among nurses, pharmacists, and providers for safe med use.

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Safety checks before med administration

Verification steps to prevent wrong drug, wrong dose, or wrong route.

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Assessment findings after immunization

Monitoring for immediate and delayed vaccine reactions.