NSC 232 Exam- Medication Administration non-parenteral

Legislation and standards

Pure food and drug act

FDA

Institutional policies

Unit dose

Ex: Pill pack of birth control

The amt needed is the amt in the package

Stock dose

Package of meds w a lot of doses in it

Ex: bottle of aspirin

Controlled substances

Kept under lock

Requires documentation and counting

2 nurses have to witness discarding

KASPER law

Mechanism of action

The specific biochemical or physical interaction through which a drug or molecule produces its effect in the body

Drug allergy

Immunologic reaction to drug

Mild to severe

Pharmacokinetics

How the body affects a chemical substance from time of entry to elimination

4 parts of pharmacokinetics

Absorption

Distribution

Biotransformation

Excretion

Drug tolerance

Need to increase doses to maintain therapeutic effect

Drug interaction

One drug affecting another

standing orders

Routine bases

PRN orders

Pro re nata

As necessary

Oral route

PO (by mouth)

Sublingual (under tongue)

Buccal (in cheek)

Enteric coated medication

Coating designed to pass thru stomach unaltered and disintegrate in intestines

DONT CRUSH

Routes

Topical

Rectal

Vaginal

Transdermal

Inhalation

Ophthalmic

Otic

Nasal

6 rights of med administration

Drug

Dose

Client

Route

Time

Documentation