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amanda430
on FreezingBlue Flashcards.
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What is the nursing Process?
- Assessment
- Diagnosis
- Goals/Outcomes
- Interventions
- Evaluations
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What do you need to know about medication?
- Class
- Method of administration
- expected therapeutic effect
- adverse effect
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What is the nurse's role?
- Assess pt
- store meds
- administer
- reassess pt
- Document (affects)
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What are the categories of controlled substances?
- I- not approved for medicinal use
- II-Narcotic Analgesic (opiates/barbituates)
- III- Sedatives, Anabolic steroids)
- IV-Sedative, Hypnotic
- V-Partially Controlled
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What can nomenclature for medications be based on?
- Body system if affects
- Therapeutic Use
- Chemical Characteristics
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What is "off label" use?
using a medication for something other than what it was initially intending for
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What are examples of therapeutic effects?
- Palliative
- curative
- supportive
- substitute
- chemotherapeutic
- restorative
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Define what tolerance is
when a body becomes more effective at breaking down the medicine by releasing certain enzymes
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Define Cross-Tolerance
Having a tolerance for a different drug that is broken down by the same enzymes that break down a drug that you have tolerance
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Define some characteristics of adverse drug effects (ADE)
- common/rare
- local/systemic
- mild
- severe (allergic reaction)
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What is an ADE for CNS
stimulation/depression
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What is an ADE for GI tract
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What is an ADE for hematological
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What is an ADE for hepatotoxicity
hepatic necrosis
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What is an ADE for nephrotoxicity
renal failure
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What is an ADE for allergic reaction
skin Rash --> Anaphylactic Shcok
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What is an ADE for Drug Fever
low or high fever
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What is an ADE for Paradoxical/Idiosyncratic
unexpected reaction
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What is an ADE for Carcinogenic
increased cancer risk
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What is an ADE for teratogenicity
Abnormal fetal development
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What is an ADE for Toxicity
Harmful Dose
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What are the levels for Teratogenicity Drug Categories
- A- no risk: studies on pregnant women
- B- no risk: studies done on animals
- C- Potential Risk: animal studies
- D- Evidence of risk
- X- DO NOT GIVE
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What do you need to check during your assessment
- Allergies
- Recreational Drugs
- OTC Drugs
- Age
- Body Size
- Sex-Teratogenicity
- Ethnicity
- Genetics
- Dose
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What should you look for with doses?
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