Should you use abbreviations for drug names or write them in full?
Write them in full.
True or false: It's okay to use apothecary units instead of metric.
False: Always use metric units.
Use at or @ in nursing notes?
Abbreviation for milliliters
Notation for micrograms
mcg or micrograms
What is the correct way of of dilluting peroxide?
Make it 1/2 strength with saline solution. One part peroxide 2 parts saline solution.
What is the percentage of saline in normal saline solution
Normal Saline can be shown as____________, as well, in nursing notes.
Its also called sodium chloride
same as isotonic solution
Also called sodium chloride, sodium lactate, potassium chloride
5% dextrose in normal saline 0.9%
D5 1/2 NS
5% dextrose in 0.45% normal saline
D5 1/4 NS
5% Dextrose in 0.225% normal saline
5% Dextrose with lactated ringers
What is the highest percentage of potassium chloride given in IV?
40% because it can be dangerous even fatal, & person needs to be monitored
IV given for fluid replacement is called
Primary or first IV
Secondary tubing is given when?
Only IV solution that can be given with blood is?
0.9% Normal Saline
Because anything else will clot up the blood
Tonicity & osmolarity are terms to describe?
Serum concentrations for IV's
They are measured in milliOsmols per Liter or mOsm/L
In terms of tonicity or osmolarity isotonic IV fluids can be described as having
The same tonicity & osmolarity as blood and other body serum
In terms of tonicity or osmolarity hypotonic IV fluids can be described as having
Lower tonicity & osmolarity as blood & other body serum
In terms of tonicity or osmolarity hypertonic IV fluids can be described as having
More tonicity & osmolarity as blood & other body serum
When blood is administered a standard blood set or ______________blood set is commonly used.
The "Y" in Y type blood set refers to the two spikes that are attached where?
Above the drip chamber. One spike is attached to the blood container and the other spike is attached to the normal saline
How is Normal Saline used when administering blood
To dillute packed cells and to flush the IV tubing at the beginning & at the end of the transfusion
Refers to activities within the body after a drug is administered. These activities include absorption, distribution, metabolism, and excretion. Another pharmacokinetic component is the half-life(a measure of the rate at which drugs are removed from the body)
the search for genetic variations associated with drug efficiency.
Drugs needed to be taken on empty stomach are given 1 hr before or 2 hrs after a meal
Drugs causing nausea,vomitting or epigastric distress are best given with food
The rights of drug administration
Schedule I Drugs
Drugs that have a high potential for abuse and no acceptible medical use
Schedule II Drugs
Drugs with high potential for abuse but accepted medical use.High risk of physical and psychological dependance
codeine,dextroamphetamine (phosphate or sulfate),
amphetamine (ADD/ADHD meds) (phosphate or sulfate)
Schedule III Drugs
Medically acceptable drugs that may cause dependency but are less prone to abuse than other schedules
paregoric,proxyphene,testosterone,ethylestrenol,butabarbital, acetaminophen with codeine
Schedule IV Drugs
Med. accep drugs that may cause mild phys & psych dep.
Med. accep drugs with limited potential for causing mild phys or psych dependence.
OTC cough medications with codeine
antidiarrheal medications with paregoric
Lomotil (diphenoxylate hydrochloride with atropine sulfate)
Pregnancy category A
Adequate, well-controlled studies in pregnant women have not shown an increased risk of fetal abnormalities to the fetus in any trimester of pregnancy.
Pregnancy Category B
Animal studies have revealed no evidence of harm to the fetus, however, there are no adequate and well-controlled studies in pregnant women.
Animal studies have shown an adverse effect, but adequate and well-controlled studies in prenant women have failed to demonstrate a risk to the fetus in any trimester.
Pregnancy Category C
Animal studies have shown an adverse effect and there are no adequate and well-controlled studies in pregnant women.
No animal studies have been conducted and there are no adequate and well-controlled studies in pregnant women.
Pregnancy Category D
Adequate well-controlled or observational studies in pregnant women have demonstrated a risk to the fetus.
However, the benefits of therapy may outweigh the potential risk. For example, the drug may be acceptable if needed in a life-threatening situation or serious disease for which safer drugs cannot be used or are ineffective
Pregnancy Category X
Adequate well-controlled or observational studies in animals or pregnant women have demonstrated positive evidence of fetal abnormalities or risks. The use of the product is contraindicated in women who are or may become pregnant.
IV solution tonicity
0.9% Normal Saline
0.25% Isotonic solution
Chemical name of drug
gives the exact chemical makeup of the drug and placing of the atoms or molecular structure; the chemical name is not capitalized
Generic name of drug
name given to a drug before it becomes official; may be used in all countries, by all manufacturers; the generic name is not capitalized
Name listed in The United States Pharmacopeia-National Formulary; may be the same as the generic name
Trade Name (brand name)
Name that is registered by the manufacturer and is followed by the trademark symbol; the name can be used only by the manufacturuer; a drug may have several trade names, depending on the number of mufacturers; the first letter of the trade name is capitalized.
refers to the time required for the body to eliminate 50% of a drug
Onset of action
time between administration of the drug and onset of its therapeutic effect
When absorption rate equals the elimination rate (not always the time of peak response)
Duration of action
Length of time the drug produces a therapeutic effect